Permit (72) CITY OF TIGARD MECHANICAL PERMIT
11,___ .
'., COMMUNITY DEVELOPMENT Permit#: MEC2017-00752
TfC t" RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
`' Date Issued: 10/02/2017
119741
Parcel: 2S111 BD01513
f) Jurisdiction: Tigard
Site address: 14980 SW 100TH AVE
Project: KNEZ Subdivision: ALDERBROOK FARM Lot: 6
Project Description: Relocating duct work and(3)utility fans for addition. 12/4/17:REPRINTED permit to include gas piping for(1)
water heater, (1)fireplace,and(1)clothes dryer,and for installation of(1)gas fireplace.
Contractor: RENOVATE INC Owner: KNEZ, JOHN S JR&VICKI L
8425 SW CHARLOTTE DR 14980 SW 100TH AVE
BEAVERTON, OR 97007 TIGARD, OR 97224
PHONE: 503-502-0323 PHONE:
FAX: 503-356-2338
FEES
Specifics: Description Date Amount
Duct Work 10/02/2017 $46.64
Type of Use: SF Gas Fireplace 12/04/2017
$33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 10/02/2017 $69.96
Occupancy Grp: Utility Rooms)
Stories: Fuel Piping 12/04/2017 $14.15
12%State Surcharge-Mechanical 12/04/2017 $19.70
Fuel
Fuel Types:
Gas Pressure:
Total $183.84
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ��' - ,, 111. Permittee Signature: f
it (
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati .(%z ''', f FOR OFFICE USE ONLI
City of Tigard Received
f� ^�'' Date/By: /i I Permit bio
IN • 13125 SW Hall Blvd.,Tigard,OR 97223 ",„", L i7 y' L�/�!�? / �(vC(,�j7- v6 S�
g Phone: 503.718.2439 Fax: 5'03.598.1960L. Pian Review A
Date/By: Other Permit 0/2/ /g
lrt
T I G A R D Inspection Line: 503.639.4175 ," Date Ready/By: Sunl5 s. See Page 2 for f�i� t o
Internet: www.tigard-or.gov ',l
y ., .• - � Notified/Method: Supplemental Information
TYPE OF WORKCOMMERCIAL'FEE* SCHEDULE- USE CHECKLIST
' Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/r tk•u ; performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: C0 mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRU ION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LION _Heating/cooling:
r ���((( n� JJJJJJ J, / Air conditioning 46.75
Job site address:i fr) Y�7 j� t zJ /D K(iv Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: r �r1('0 11, / I L / Furnace 100,000+BTUducts/vents
( ) 54.91
Heatpump no.: Project name: p p 61.06
Duct work a 23.32 1-1(a /,i,,
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 ,..CPZ 23.32
Subdivision: i Lot no.: Other23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
r,,, DESc121PTIQ I 1 WOkK'''',44,4 '70v.---
„4,,\} ,f� -, _Gas fireplace/insert / 33.39 33,1
ez Flue vent for water heater or as
�� `� fireplace g 23.32
'a P 17 Log lighter(gas) 23.32
Wood/pellet stove 33.39
/------0--7-Z.-- Z' ,�Ty ///.S/ J Wood fireplace/insert 23.32
_ C3ilf7j *tita i
y»reis, it eWa 6/„ [ iL)/Chimney/liner/flue/vent 23.32
': P:OkRTYtER” . ❑ s4, then23.32
., l '• /Environmental
exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust _ 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) .2 23.32 Coq Ali
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
i ,s
._.-4 C iArPLI r., • '"J;
5,r , CO. 4 Other: 2332
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional I
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater / j it 15-
Phone:
5Phone:( ) Fax::( ) Fireplace /
Range
E-mail:
Barbecue
'Ask
,, 'CONTRACTOR , ”. "4111t-
r, a- Clothes dryer(gas)
Business name: Other:�C9�'��� � fo <fti CI3AlYi)~ij L PE1t I'i'F.EE
: � '
Address
Subtotal IC SI,(G,
City/State/ZIP:: Minimum permit fee($90.00)
�3 v L 0 /�� Fax:( )
Z Plan review(25%of permit fee)
Phone: ` v [- / State surcharge(12%of permit fee) . 7 D, '
CCB lic.: `.-O(>n TOTAL PERMIT FEE t i pi
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Authorized signature: L — s Fee methodology set by Tri-County Building Industry Service
Print name://C P - .L.."'" Dateri '/e,-2 i �f7 S
I:\Build' \Permits\MEC PermitA 0401 13.d°c ���-//' L�ti /
Il1G _ PP_ 440-46170(t l/02lCOM/WEH)
•
- �
CITY OF TIGARD MECHANICAL PERMIT
a1 � . COMMUNITY DEVELOPMENT Permit#: MEC2017 00752
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2017
t '7' Parcel: 2S111BD01513
Jurisdiction: Tigard
Site address: 14980 SW 100TH AVE
Project: KNEZ Subdivision: ALDERBROOK FARM Lot: 6
Project Description: Relocating duct work and(3)utility fans for addition.
Contractor: RENOVATE INC tr$ wner
KNEZJOHN S JR&VICKI L
8425 SW CHARLOTTE DR 14980 SW 100TH AVE
BEAVERTON, OR 97007 TIGARD, OR 97224
PHONE: 503-502-0323 PHONE:
FAX: 503-356-2338
FEES
Specifics: Description Date Amount
Duct Work 10/02/2017 $46.64
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 10/02/2017 $69.96
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 10/02/2017 $13.99
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.59
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,(:- 4 ' ," Permittee Signature: fre- (/! i l'te I
���((( 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.
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
IN
Permit#: MEC2017-00752
Date Issued: 10/02/2017
Tr GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S1116D01513
Jurisdiction: Tigard
Site address: 14980 SW 100TH AVE
Project: KNEZ Subdivision: ALDERBROOK FARM Lot: 6
Project Description: Relocate(2)vents and(3)fans for 1,288 sq.ft.addition.
Contractor: RENOVATE INC Owner: KNEZ, JOHN S JR&VICKI L
8425 SW CHARLOTTE DR 14980 SW 100TH AVE
BEAVERTON, OR 97007 TIGARD, OR 97224
PHONE: 503-502-0323 PHONE:
FAX: 503-356-2338
FEES
Specifics: Description Date Amount
FlueNent For Any of Above 10/02/2017 $46.64
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 10/02/2017 $69.96
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 10/02/2017 $13.99
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.59
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009g. ou may obtain a copy of the rules
or direct questions to OUNC by calling 503. 32.1987 or 1.800.332.2344.
Issued By: 4--. Permittee Signature:
Iih,
i i4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicata ''' FOR OFFICE USE ONE
City of Tigard Received
n ^ Date/B , Permit No q
111 13125 SW Hall Blvd.,Tigard,OR 97223 1)17
Pl
y' (6/et���vvv 4 4/1�C 01 ����
I Phone: 503.718.2439 Fax: 503.598.1960 Dan Reviewate/By: Other Permit o/)-a /c
D
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Jurist 0 See Page 2 for '
Internet: www.tigard-or.gov ,, . ;x Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction „"Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
El Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND'LO Heating/cooling:
// /,, ' Air conditioning 46.75
Job site address:[ 4..feloo / /7 t(4 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: f 1 v / Furnace 100,000+BTU(ducts/vents)
i ( ) 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
''''"Ai ',0 DES RIP'PIO.;N OF WORK 44, �4 ' Gas fireplace/insert 33.39
Y-- � � Flue vent for water heater or gas
V fireplace 23.32
- , / s 17 Log lighter(gas) 23.32
/ �IWood/pellet stove 33.39
/ v 1 2 0 /r 0 -SP -44 / J T o J Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
P)! a.r 'TY OWNER x,, TAN 'K k 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) ,3 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
f- ,, E APPLI. ,... "777,> r. ... co` ' I' PE'«.o ,,;- Other: 23.32
Fuel piping:
Business name:
$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
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
, CONTRACTOR ,, ; -{ Clothes dryer(gas)
Business name: Other:
'' MECHANI AL PEA fit FEE
*' "" ''''"''
Address: i / a Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
l/Y)L /�� Fax:( )
State surcharge(12%of permit fee)
CCB lic.1`i ..a(>t?C� TOTAL PERMIT FEE
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:WC, r I %C� Dater b if,) 1
I:\Building\Permits\MEC PermitApp_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_PennitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14980 SW 100TH AVE, TIGARD, OR, 97224 June 4, 2018 at 12:53:59 PM
Record Type: Record ID:
Residential - Mechanical MEC2017-00752
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Inspection cancelled per contractor as he would like all finals to be done at the
same time.
Inspection cancelled by contractor, he would like all finals done at the same time.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14980 SW 100TH AVE, TIGARD, OR, 97224 June 5, 2018 at 11 :56:02 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00752
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor