Permit (40) IIIIICITY OF TIGARD MECHANICAL PERMIT
1� COMMUNITY DEVELOPMENT Permit#: MEC2017-00348
T[GARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2017
Parcel: 1 S 125DA03800
Jurisdiction: Tigard
Site address: 6620 SW WALNUT TER
Project: Kovalev Subdivision: KINGS VIEW Lot: 23
Project Description: Adding A/C. Placement of a/c must comply with manufacturer's clearance requirements.
Contractor: AIR COMFORT INC Owner: KOVALEV,VITALY&ANITA
16055 SW 74TH AVE SUITE B 6990 SW CANBY ST
TIGARD, OR 97224 PORTLAND, OR 97223
PHONE: 503-260-7806 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 05/22/2017 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 05/22/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/22/2017 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct estion o OUNC by calling 503.232.1987 or 1.800.332.2344. -
Issue By: , Permittee Signature: VPS ,g. v 4/./. 6_/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatiam
�^`(C. U Folz OFFICE ISE:ONE)
City of Tigard `x✓ s
Date/By: 5 69 /7 Permit No.: f-a i 6 J/7��3(/f
13125 SW Hall Blvd.,Tigard,OR 97223 i l vv
MAY 2 2 2 017 Date/By:
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960ther Permit:
D /B
T I G A R U Inspection Line: 503.639.4175 (� Date Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
-
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 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:
_ Air conditioning , f 46.75 t
Job site address: Gt::e U C &)i tY�C�l
�V ?EggFurnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ,(i C:pp (3K 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
5Le2 CI* }I C y)jf,{lvr_" 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
A Log lighter(gas) 23.32
1 /C Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
tj PROPERTY OWNER 0 TENANT Other: 23.32
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 >s 0 CONTACT PERSON .. Other: 23.32
Business name: C_:',/0,61/Z Gt4,..7,- Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: < c< 17 (t.)6,..,1-(01./ Furnace,etc.
Address: Lerr( 5 CeS 5,�4a elyfe--. Gas heat pump
/ Wall/suspended/unit heater
City/State/ZIP: p b n 7
-7Z,`( Water heater
Phone:(')3) ;j5 L(Z�j cp Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: / Lc)p-?...(--,-',4,----,4-', .4,�� Other:
!i T`S MECHANICAL PERMIT FEES*
Address: / CJ 17 5 i C'. fe
/ 5.Cri8 Subtotal
City/State/ZIP: po c-( ‘,c( () 2 22Y Minimum permit fee($90.00) 90.03
Plan review(25%of permit fee)
Phone:(9,,•"2') � .?,006. Fax:( ) -��
State surcharge(12%of pennit fee) /Q•K
CCB lic.: 5.-z g j TOTAL PERMIT FEE /0e9.ce
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: 3---/T RR-7-
R ,7 Date: 5—'--,22,...(?_.
1:\Building\Permits\MEC_PermitApp_040113.doc 440-46171(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\Pennits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6620 SW WALNUT TER, TIGARD, OR, 97223 May 23, 2017 at 9:01 :38 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00348
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Mechanical final for AC ok.
Violation Summary:
Inspector Contractor