Permit (59) CITY OF TIGARD _ MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017 00120
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017
T r r, It L� g Parcel: 2S114BA10600
Jurisdiction: Tigard
Site address: 16355 SW WOODCREST AVE
Project: Singley Subdivision: COPPER CREEK STAGE 2 Lot: 59
Project Description: Dryer exhaust,gas line to cooktop,down draft exhaust and laundry room exhaust fan.
Contractor: DANNYS HEATING AND COOLING INC Owner: HAMMERQUIST, RICHARD C
16303 NE 36TH ST SINGLEY, KARIN L
VANCOUVER,WA 98682 16355 SW WOODCREST AVE
TIGARD, OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 02/15/2017 $33.39
Type of Use: SF Clothes Dryer Exhaust 02/15/2017 $33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 02/15/2017 $23.32
Occupancy Grp: Utility Rooms)
Stories: Fuel Piping 02/15/2017 $14.15
12%State Surcharge-Mechanical 02/15/2017 $12.51
Fuel
Fuel Types:
Gas Pressure:
Total $116.76
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct OUNCno,_0____,,,,„
by callingor 1.800.332.2344.lling 503.232.1987Issu d By: A Permittee Signatu
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A t s Ii _ ';s , FOR OFFICE 1 1:0N1.1
City of Tigard DateB ��� Permit No.: ,et,� �7
W 13125 SW Hall Blvd.,Tigard,OR 97223 lZ � �O�I
• _ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960t_r5 Other Permit: Ac.H�i 7dil
i Date/By:
T t G A R Ill Inspection Line: 503.639.4175 3 t. ' Date Ready/By: Juris: Id See Page 2 for
Internet: www.tigard-or.gov y Notified/Method: Supplemental Information
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tiia 4.
1 L I E>ULE-' t E- Tim I€I IST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
R E EN'TMLEQUIPMEN T/S%S $S FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
A`MR INFORMATION AND LOCATION ."
..xHeating/cooling:
Air conditioning 46.75
Job site address:16355 SW Woodcrest Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: i/ a Lt vDuct 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
DESCRIPTION OF WGas fireplace/insert 33.39
Flue vent for water heater or gas
1 dryer exhaust/gas line to new cooktop location/down draft exhaust/laudry fireplace 23.32
exhaust fan Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Li "PROPERTY -OWI * . ,
Environmental exhaust and ventilation:
Name:Karin Singley Range hood/other kitchen
equipment 1 33.39
Address:16355 SW Woodcrest Clothes dryer exhaust 1 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 Apii,J ANT s4.";COITAL°# 1PERRON Other: 23.32
Business name:TL Remodel&Construction Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tim Labunsky Furnace,etc.
Address:PO Box 1996 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego OR 97035 Water heater
Phone:(503)9842783 Fax::( ) Fireplace
Range 1
E-mail:TLRemodel@yahoo.com Barbecue
CONTRACTOR. Clothes dryer(gas)
Business name:Danny Heating&Cooling Inc Other:
'MECHANICAL ►IT,FES
Address:16303 NE 36th St Subtotal /Q[7.2 5—
City/State/ZIP:
City/State/ZIP:Vancouver,WA 98682 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)9148058 Fax:( ) State surcharge(12%of permit fee) 4g.5—/
CCB lie.:197549 TOTAL PERMIT FEE //(o, 7(,
This permit application expires if a permit is not obtained within 180
, ��ff days after it has been accepted as complete.
Authorized signature: �G%f 1044OV * Fee methodology set by Tri-County Building Industry Service Board
Print name:Denis Zubanov/ Date:2-9-17
1:'Buildisg\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)