Permit (61) IN
CITY OF TIGARD MECHANICAL PERMIT
11 '_., COMMUNITY DEVELOPMENT Permit#: MEC2016 00584
[GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2016
T
Parcel: 2S109BA00300
Jurisdiction: Tigard
Site address: 13647 SW ALPINE VIEW DR
Project: MCGARRY Subdivision: THREE MOUNTAINS ESTATES Lot: 11
Project Description: Gas insert installation with venting.
Contractor: HOME FIRE STOVE Owner: MCGARRY URIBE LIVING TRUST
1695 ST NE BY MCGARRY, CLEMENT A&
SALEM, OR 97301-1370 URIBE, LYDIA B TRS
13647 SW ALPINE VIEW DR
TIGARD, OR 97224
PHONE: 503-364-6339 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Gas Fireplace 08/16/2016 $33.39
Type of Use: SF Flue Vent for Water Heater or Gas 08/16/2016 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Minimum Fee Adjustment-Mechanical 08/16/2016 $33.29
12%State Surcharge-Mechanical 08/16/2016 $10.80
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or .:s ii.
Issued By:��'. Permit e- •-cure: 42.e.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
,, `"` . •' FOR OFFICE I SE ONLY
City of Tigard ;° '� Received 3,
Date/By: Permit No.: ��
7111 Ill 13125 SW Hall Blvd.,Tigard,OR 972 i,
II Phone: 503.718.2439 Fax: 503.598.1 0 q r ON' DatReview Other Permit:
r 1 G n}z D Inspection Line: 503.639.4175 ( k ; Date Ready/By:
\�`1 + y o See Page 2 nr
Internet: www.tigard-or.gov �,
a hfied/Method:
! 1 A Supplemental Information
Mechanical permit fees*are based on the value of the work
❑New construction ®A ddition/alteratiolacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
A (N i11)1N5 ,, Value:$
El"-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description P Qty. Ea. Total
JOS t OcT Heating/cooling:
Job site address: 13(04'7. 6j� Pr!p l h e V lei) 1)' — AirFurnace conditioning0 ,046.75
100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I 'j Lt..rd OR— / -4 22- 4- Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: J Project name: 4(� . ,�'r( Heat pump 61.06
'
J Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23,32
Residential boiler(radiator or
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
1 l IOoC Gas fireplace/insert 33.39 j." r
Flue vent for water heater or gas /
i Yl .t l O eats 1 v1�,e r� vci rh✓k . fireplace L 23.32 023
(1(. e ekt M`tV S l i>tie. • JJ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 ]
NillEdliigWfi t , . .. ,.. .,'. . Tom_ Pfi:'43 : Other: 23.32
Environmental exhaust and ventilation:
Name: c,le/ley\ rnC, t Range hood/other kitchen
13t0 4' 7 4a� :E}-1 • v,-e c,A '�� equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: --FtaJr.c1 0 a,.22 Single-duct exhaust(bathrooms,
f�
1�-' toilet compartments,utility rooms) 23.32
Phone:(elik5) 3oty _ I 02...el Fax:( ) Attic/crawlspace fans 23.32
•
:` *A > ,t .. Other: 23.32
Business name: (.A.)% `l �.�-�.e ( Jo , AL Fuel piping:
S $14.15 for first four;$4.03 for each additional
Contact name: I V4 j ( D Furnace,etc.
Address: I(1)a(r JJ(NAQ e,k- e-sr- NC Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: eirv\ Ofd c5t4so l Water heater
Phone:(GJp9 3t0 4-.-(.971 Fax: :(5'p3 )30 4 1 013 Fireplace
E-mail:
(J Range
Barbecue
4, V..i. .. : Clothes dryer(gas)
Business name: LAD 1 l` e 4yle_ Other.
Address: 1 w-1� M.ct 4i<e�" r6-r NC Subtotal 0 ,it
City/State/ZIP: S �ewi OT's q.�,3 O Minimum permit fee($90.00) ���
�.�p Plan review(25%of permit fee) �-
Phone:(C�1,)3t0 4�(i � Fax:(503)340 r. C •') State surcharge(12%of permit fee) (��I
CCB lie.: st„ to ,11/36/17
( /17 _u TOTAL PERMIT FEE I 00 f ij()
t This permit application expires if a permit is not obtained within 180
g91.-/0
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: j- V`y Date:8,S I'L0(1P
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total,Valuation: , Permit Fee: .
$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:\Building\Permits\MEC_PermitApp_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
13647 SW ALPINE VIEW DR, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00584
Jeff Grove
Violation Summary:
Inspector Contractor