Permit (71) CITY OF TIGARD MECHANICAL PERMIT
111 2; 7 COMMUNITY DEVELOPMENT Permit#: MEC2016-00560
Tf G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2016
Parcel: 2S 104AC03100
Jurisdiction: Tigard
Site address: 12445 SW 134TH AVE
Project: Neet Subdivision: MORNING HILL NO.8 Lot: 175
Project Description: Replace furnace with like kind,add a/c.
Contractor: BRIANA M NEET Owner: NEET, BRIANA M&
12445 SW 134TH AVE HINESLY, PAULINE M
TIGARD, OR 97223 12445 SW 134TH AVE
TIGARD, OR 97223
PHONE: 503-329-2889 PHONE: 503-329-2889
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 08/04/2016 $46.75
Type of Use: SF Furnaces<100K BTU 08/04/2016 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/04/2016 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit tiflcation.Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
o erect questions tobJNC ,• :lin 503.232.1987 or 1.800.332.2344.
Issued By: k # Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE I/SE ONLY
City of Tigard Received - r�P �AIRDate/By: a Permit No.: 06„ 005-
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review:1111lii l(o (O
= Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
1 I G A R l) Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
E OF ltK - l'AWtiila r twat FEE* CH t/ E vagragqicitit
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
W• Value:$
O +F1STRUIONx au - It I I V E ME SYSTEMS
dwellingm'. ...?� �`.
1-and 2-family � ...
0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
'.0,:,75.,;- :,, 4� JOS i-,,,;-... F+ "r.' v '10 �v�)� A7IJ�s Heating/cooling:
.v -
Air conditioning 1 46.75
Job site address:1 a y .k5 ` Lo 13 lA - Furnace 100,000 BTU(ducts/vents) I46.75
City/State/ZIP.--T\5,3 , c,( - 9 -i-aD-- Furnace 100,000+BTU(ducts/vents) 54.91
l Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
� 11 Residential boiler(radiator or
3(j. \-a c2J.V\t.l el _, V\C' hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
D SCRIPTIAN OF,WORK Gas fireplace/insert 33.39
'"W.- "�_.' Ww7 Flue vent for water heater or gas •
Re IIYyb..;CR_O
ct G>(Ci, Ne C:Iv Q fireplace
23.32
✓ -e Log lighter(gas) 23.32
\ilw ‘t1\\"C6
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
r . Other: 23.32
t '� W OPEi O ti i!Aw Environmental exhaust and ventilation:
Name: r Ll s3e,C-- - Range hood/other kitchen
equipment 33.39
Address: ,'a.y\..k 5 s,,...) 1'�c_k'Vt/\ v,..1__ Clothes dryer exhaust 33.39
City/State/ZIP: —K a•r i eD q -a�--->-- Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(59,) 3 1, D..8- 5 9 Fax:( ) Attic/crawlspace fans 23.32
Aip :p1CkAIV r.. p s_ {_ 0 ®NT ` PE*N #r.. , , Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
w,..,,..9141"WytoFt ._ , ,,,,.4„, Clothes dryer(gas)
Business name: Other
etc A-- �� 'PE
Address: Subtotal / ,C
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of pennit fee) /c• TO
CCB lic.: TOTAL PERMIT FEE 40• FC)
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 2(C,!>I-{ it:----ix )"`J * Fee methodology set by Tri-County Building Industry Service Board
�
Print name:" h 1.Q�ck vA, 1Jc�e-r- ! ate: c
Dt J(j
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
it
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:ABuilding\Permits\MEC PennitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12445 SW 134TH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00560
Chip Barnett
Previous corrections completed
Violation Summary:
Inspector Contractor