Permit (153) CITY OF TIGARD MECHANICAL PERMIT
11 ■ COMMUNITY DEVELOPMENT Permit#: MEC2017-00136
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/22/2017
TIC. ;11F C7 9
Parcel: 2S103AD01600
Jurisdiction: Tigard
Site address: 10835 SW PATHFINDER WAY
Project: Schumacher Subdivision: PATHFINDER Lot: 7
Project Description: Remove and replace furnace,add a/c
Contractor: ABBOTT HEATING&COOLING Owner: SCHUMACHER, KURTIS J&ELIZABETH
PO BOX 68977 10835 SW PATHFINDER WAY
MILWAUKIE, OR 97268 TIGARD, OR 97223
PHONE: 503-513-7774 PHONE: 503-880-2578
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 02/22/2017 $46.75
Type of Use: SF Furnaces<100K BTU 02/22/2017 $46.75
Class of Work: ALT Type of Const: FlueNent For Any of Above 02/22/2017 $23.32
Occupancy Grp: 12%State Surcharge-Mechanical 02/22/2017 $14.02
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, • 1 work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uf' Notification -•ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O C by calling 503.232.1987 or 1.800.332.2344.
Issued By: Ij / ��L LL4 A� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Ap siTitifA F 11
FOR OFFICL I;SE 011.1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ifig - Permit No.: 64,01/7-- -4340
ill
s Phone: 503.718.2439 Fax: 503.19 f 902 I Da Plan Review
I I L A R U Inspection Line: 503.639.4175 1°' Date/By: Other Permit:
Internet: www.tigard-or.gov f 9 / t Date Ready/By: kris: H See Page 2 for
?} } , ,,& R I Notified/Method:
i, i N ., i &P,5 4`, Supplemental Information
YIN COMMERCIAL FEE* SCHEDULE USE CHECKLIST
❑New construction Mechanical permit fees*are based on the value of the work
( ]Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL:EQUIPMENT/SYSTEMS FEES*
tfz 1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuilding g For special information use checklist
❑Multi-family 0 Master builder
0 Other: Description
._ x Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 1 0$3S s a f i Y (4/A7Air conditioning I 46.75
Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: 711lad / OP- q.1 22 J Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: Heat pump 61.06
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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: _
..� Water heater 23.32
/
' £ ?FSC#ItI1'T1lON OF,wOR k rm ,. ''''° Gas fireplace/insert 33.39
�(-401/4)..4-65
�NJG� Flue vent for water heater or gas
Ad ct A/ e- fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
� y
Chimhey/liner/flue/vent 23.32
PROPERTY' OWNER . , TEOther:
"❑ NAN1 23.32
�
Name: V3.4 Environmental exhaust and ventilation:
l} sch w'A Ch,( Range hood/other kitchen
Address: l(A3s fit) VA-1-.1,p 4 A _1Z �p, equipment 33.39
; Clothes dryer exhaust 33.39
City/State/ZIP:'It o-- q-72:2 3 Single-duct exhaust(bathrooms,
Phone:( () ) S 80- 1* Fax:( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32
APPLId
,. 5
CONA PERSON Other: 23.32
Business name: A.11044 4 4 C Fuel piping:
Contact name: G �n ` ,7 �Jf $14.15 for first four;$4.03 for each additional
z� "��L�tlt Furnace,etc.
Address: i)D ,®y L,G,.^.7 7 Gas heat pump
City/State/ZIP: / v U 0��y Wall/suspended/unit heater
1<' U � ' Water heater
Phone:(13 )5)3-1771/ I Fax::( ) Fireplace
E-mail: See C c"t -i'ry...E'r'/1 y o h 0 _ w Range
}�•�:Av✓` Barbecue
a CONTRACTOR Clothes dryer(gas)
Business name: , ]x,-1- -d - A 01y
Other:
Address: P D i I�"`O'x 'cam J / MECHANICAL PERMIT FEES*
V i7? Subtotal
City/State/ZIP: M t`/ 97 ZG 6 Minimum permit fee($90.00)
Phone:(503 )J t 3~'7-/7 I Fax:( ) Plan review(25%of permit fee)
t
2g r k - State surcharge(12%of permit fee) Ai
CCB lie.: 3 TOTAL PERMIT FEE 30,$,/
This permit application expires if a permit is not obtained within 180
Authorized signature: q� l days m
�Y�/ �, * Fee methodology after set byit Tri-Countyhasbeen BuildingacceptedasIndustrycoplete.rvice Board Se
IPrint name:34Q t e i a( I Date: avl'o7 2-r)
I:\Building\Permits\MEC_PemtitApp_040113.doc 440-46I7T(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
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
10835 SW PATHFINDER WAY, TIGARD, OR,
97223
Record Type:
Residential - Mechanical
Inspection Type:
699 Mechanical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MEC2017-00136
Inspector:
Aaron Cillo-Gobel
Contractor