Permit (104) CITY OF TIGARD MECHANICAL PERMIT
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! ',. COMMUNITY DEVELOPMENT Permit#: MEC2017-00059
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017
T f 9 Parcel: 2S102AB03600
Jurisdiction: Tigard
Site address: 12271 SW MAIN ST
Project: Eagle Heart Martial Arts Subdivision: None Lot: None
Project Description: Replace 4ton gas furnace and a/c unit. Relocate gas pipe to accommodate replacement.
Contractor: HUNTER DAVISSON INC Owner: JOHNSON TRUST"A"SURVIVOR'S TRU
1800 SE PERSHING ST JOHNSON, REES C 2007 BYPASS TRUST
PORTLAND, OR 97202 JOHNSON, MARYANNE G TRUST
3112 SW SANTA MONICA
PORTLAND, OR 97239
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/01/2017 $328.04
Class of Work: ALT Type of Const: VB Plan Review 02/01/2017 $82.01
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 02/01/2017 $39.36
Stories: Info Process/Archiving-Sm$0.50(up to 02/01/2017 $5.00
Project Valuation: $9,300.00 11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $454.41
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00 0. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. L.
[fI
Issued By: Permittee Signature: ��
3.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Ap 1 ' t "'LIVE!)
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r( lz orracl:IsF:o\i.)
City of Tigard Received
'� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By, .i Ova
/7 J Permit No.. eeaj7/7 57
Phone: 503.718.2439 Fax: 503. 9 ""�"
Plan Rev
Inspection Line: 503.639.4175 '-r� Data/B Other Permit
T1GAI2D P �'
Internet: www.tigard-or.gov ,. Date y y: / Ju is: Ed See Page 2 for
Of' y' yg ,gyp t� Notiti-•/Method:
ITY O R E.GAR / /,//
♦ I Supplemental Information
u , :' ; t ' P r1 ISIO ,r. , V' ' a# ,4j ,
El New construction Addition/alteration/replacement echanica ermit fees*are based on the value of the work
❑Demolitionperformed.Indicate the value(rounded to the nearest dollar)of all
0 Other: mechanical materials,equipment,labor,overhead,and profit.
ASI 1R O I71 I IOOtiT`,. Value:$l''3''''
Ct J t C)I�
0 1-and 2-family dwelling }q Commercial/industrial �' Rgst ( = I)1P141EssToo tES*
y ' 0 Accessory building For special information use checklist.
0 Multi-family ❑Master buildern l
0Other Description
Qty. I Ea. I Total
JOB .INFO.R;1V,ATION AND=; OC : IO I Heating/cooling:
Job site address:/ 42 C Air conditioning 46.75
...5-2i;1>
/friar �1 `?t�- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -7,7,c,cj s 6'/ 0/�® j 702,24?tx? Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:v I Project name: Heat pump 61.06
mffs
Cross street/directions to job site: f�l" Duct work 23.32
bLt ,44,4t ,J 91_774z_ /9 -7.-5 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: Other: 23.32
Lot no.:
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32 x
/� A%
DESCRIPTION,' ; Gas fireplace/insert 33.39
/e Cra Ce ell,f4 ris f� . Flue vent for water heater or gas
9� i rive)!� fireplace 23.32
// LINI�, t71 EL i, t� A 11 Log lighter as
RJ ��P. GICwM/ d�r'F� / (gas) 23.32
��Pjv / Wood/pellet stove 33.39
•
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PRO' Ty OWNER Other:
' ,TNAIYT 23.32
Name:Ge„)�� ��rr � J Environmental exhaust and ventilation:
Rt O p,r. .r - r Range hood/other kitchen
Address:
0 i p C N//7tf > QiN dd equipment 33.39
City/State/ZIP: C' L /fwd >/� Clothes dryer exhaust 33.39
l le 7 /`> Single-duct exhaust(bathrooms,
Phone:(���, !�� Fax:( ) toilet compartments,utility rooms) 23.32
v "' SO
CI
fans 23.32
"" APPLIcAl t ' - ; 0'LOIS'TA+CT PE+ O Other:
_ 23.32
Business name. Ny � , /'1 v! r. Fuel piping:
Contact name: at /{Aft $14.15 for first four;$4.03 for each additional
G Furnace,etc.
V ) Address: 4)70,7 4"C- ftr J.�t Gas heat pump
City/State/ZIP: v[. y0/1 01 -1 /� � Waterheaended/unitheater
i
Phone:(�' c-�
/ Water heater
/�3"/4�4 Fax::( ) Fireplace
E-mad -4-79z/e, Range
,.r.- a°
� � Barbecue
:, ' ONTRAcTOI t'. ° ,f Clothes dryer(gas)
Business name: ��41 e, q.5' /,►o ve. Other:
dress: �J
i\C City/State/ZIP: Subtotal
Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
CCB lic.: �� State surcharge(12%of permit fee) /
TOTAL PERMIT FEE 7i`,>f.�/
/ This permit application expires if a permit is not obtained within 180
Authorized Signature: _// y yr days after it has been accepted as complete.
I , ' Fee methodology set by Tri-County Building Industry Service Board
Print name: 2 cZI
T/.t�<� I Date:/.+
1\Building\Permils1MEC_PermitApp_040113.doe
440-4617T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
12271 SW MAIN ST, TIGARD, OR, 97223
Record Type:
Commercial - Mechanical
Inspection Type:
610 Gas line
Result:
FA I L
Comments:
No access 9:13 am
ORSC R104.6 construction site to be accessible
Violation Summary:
Tel: 503.718.2439
Inspection Date:
Record ID:
MEC2017-00059
Inspector:
Jeff Grove
Inspector Contractor