Permit t CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00276
T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017
Parcel: 2S112BB02400
Jurisdiction: Tigard
Site address: 8330 SW COLONY CREEK CT
Project: Arendt Subdivision: COLONY CREEK ESTATES Lot: 20
Project Description: Install range hood and gas line for range.
Contractor: DOUG ZIEBART CONSTRUCTION INC Owner: ARENDT, JON J &RAEGENE D
PO BOX 80402 8330 SW COLONY CREEK CT
PORTLAND, OR 97280 TIGARD, OR 97224
PHONE: 503-307-4114 PHONE: 503-789-1537
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 04/24/2017 $33.39
Type of Use: SF Fuel Piping 04/24/2017 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 04/24/2017 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 04/24/2017 $42.46
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you : .low the rules ado•ted by the Oregon
Utilit • i ica I. enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-.t -0090. ou may obta. a co. of the rules
• direct questions to •. C by calling 503.232.1987 or 1.800.332.2344.
Issued By: II/ / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the proje t.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicao FOR OFFICE LSE ONI_l
City of Tigard CEIVED Received ^�/
.� " 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Q`� �—, Permit /7...
' QQ7-�
C Phone: 503.718.2439 Fax: 503.598.196IAPR 24 2017 Plan Date/B view O�
TI G A R D Inspection Line: 503.639.4175
`t I/ Date/By: Other Permit:
/ p� Date Ready/By: Iuris: ® See Page 2 for
Internet: www.tigard-or.gov
CITY OF TIGARD Notified/Method: Supplemental Information
BUU DING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
❑New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
Agi 1-and 2-family • RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 8330 SW Colony Creek Ct. Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97224 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: Fan n o Creek 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
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
DESCRIPTION OF 'WORK Gas fireplace/insert 33.39
�� Flue vent for water heater or gas
Vent cooktop fireplace 23.32
Add gas cooktop Log lighter(gas) 23.32
Wood/pellet stove 33.39
Extend gas line from furnace Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER Other: 23.32
. 1 -, 0<TEI ANT• v
Environmental exhaust and ventilation:
Name: Jack d n d Rae Arendt
Range hood/other kitchen
Address: 8330 SW Colony Creek Ct. equipment I 33.39 3.3q
Clothes dryer exhaust 33.39
City/State/ZIP: Tigard, OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 50 789-1537 Fax:( )
Attic/crawlspace fans 23.32
£1 APPLICANTCONTACT PERS Other:
� -: 23.32
Business name: Doug Ziebart Construction, Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Doug Ziebart Furnace,etc.
Address: FO BOX 80402 Gas heat pump
City/State/ZIP: Portland, OR 97280 WaWsuspended/unit heater
Water heater
Phone:(503)307-4114 I Fax::(503)245-5433 Fireplace
E-mail: zbart3@comcast.net Range `,z�`f t�f lS
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Doug Ziebart Construction, Inc. Other:
Address: MECHANICAL PERMIT FEES*
same as above Subtotal
City/State/ZIP: Minimum permit fee($90.00) q 0 —
Plan review(25%of permit fee)
Phone:( ) I Fax:( )
State surcharge(12%of permit fee) /0,ge)
CCB lit..: 96471 TOTAL PERMIT FEE fa,. gO
CC — This permit application expires if a permit is not obtained within 180
AD days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: CD cxxl \E }_ 7
I Date: y(az
I.\Building\Permits\MECPermitApp_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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8330 SW COLONY CREEK CT, TIGARD, OR, June 1 , 2017 at 9:15:10 AM
97224
Record Type: Record ID:
Residential - Mechanical MEC2017-00276
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor