Permit (36) CITY OF TIGARD MECHANICAL PERMIT
II ' COMMUNITY DEVELOPMENT Permit#: MEC2017-00309
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2017
E1 g Parcel: 2S110BC08800
Jurisdiction: Tigard
Site address: 12490 SW WINTERVIEW DR
Project: Spears Subdivision: THORNWOOD Lot: 59
Project Description: Gas piping for(1)tankless water heater.
Contractor: CLASSIC PLUMBING LLC Owner: SPEARS, TIMOTHY&TIFFANY
521 S BALINE ST 12490 SW WINTERVIEW DR
NEWBERG, OR 97132 TIGARD, OR 97224
PHONE: 503-554-1605 PHONE:
FAX: 503-538-8570
FEES
Specifics: Description Date Amount
Fuel Piping 05/04/2017 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 05/04/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/04/2017 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Tota I $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
• \S---)
Issued By: ' � ! Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OEFICE USE ONE
IPIIReceived
City of Tigard /By:
Permit No.: 7
mu f� ( y
13125 SW Hall Blvd.,Tigard,OR 9722311 '�` 1
e: Phone: 503.718.2439 Fax: 503.598.1960 ��f■�, _ ; Other Permit e6..dosz,
T I G A R D Inspection Line: 503.639.4175 .mss V _pate Ready/By: Juris: Fd See Page 2 for
Internet: www.tigard-or.gov ti 0 L` otified/Method: Supplemental Information
OM
TYPE OF WORK MQ 11 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
j, �� `\nl" Mechanical permit fees*are based on the value of the work
0 New construction "ddition/alteration/repJ;Ip�t11e MNG performed.Indicate the value(rounded to the nearest dollar)of all
41.
o Demolition • Other: ''jjllJJ���� mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/.SYSTEMS FEES*
❑ 1-and 2-family 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: i /i Air conditioning 46.75
`�R�O 'S•`"''" 1�^`�X1'1 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: \ Q?.. c\-1224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 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
DESCRIPTION OF WORK'````` Gas fireplace/insert 33.39
-et '` °" Flue vent for water heater or gas
`AS, \__.,rN c`:40rry rr.t fireplace 23.32
% T `) 'S, ( ei \__) L fo^ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
:PROPERTY OWNER . Other: 23.32
0 ❑'TENA '1`
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT .' 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
/ IkI-iS
Phone:( ) Fax::( ) Fireplace
E-mail: Range
Barbecue
CONTRACTOR Clothes dryer(gas)
G\ Y L Other:
Business name: ' y MECHANICAL PERMIT FEES*
Address: Jbu ,b VVV04i���e..-- moi'"' - Subtotal /'v1.15-
City/State/ZIP:
—City/State/ZIP: c) �r CA..., Minimum permit fee($90.00) 'W,
( "3.3 o 13 c Plan review(25%of permit fee)
Phone: '-. Fax: `l'j�� State surcharge(12%of permit fee)
[U.t�
CCB lie.: �� � (_ TOTAL PERMIT FEE `/id! 0
�" This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: "....7 * Fee methodology set by Tri-County Building Industry Service Board
Print name: ‘-----V7 Z Y? t.,\\ Date: 0 1] `
I:\Building\Pe wits\MEC_PennitApp_040113.doe 1111 440-46171'(1111//002/ O) B)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Termit 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:
12490 SW WINTERVIEW DR, TIGARD, OR, June 19, 2017 at 10:23:39 AM
97224
Record Type: Record ID:
Residential - Mechanical MEC2017-00309
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor