Permit (84) CITY OF TIGARD MECHANICAL PERMIT
■ . ' COMMUNITY DEVELOPMENT
Permit#: MEC2017-00805
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2017
T I G x412 T7 g Parcel: 1 S135DB05601
Jurisdiction: Tigard
Site address: 11385 SW 94TH AVE
Project: JAKO Subdivision: MILLER Lot: 9
Project Description: Heat pump installation with duct work.
Contractor: BUDGET HEATING Owner: JAKO,TAMAS J
13885 SE 177TH CT CSOKAS, HAJNALKA
DAMASCUS, OR 97089 11385 SW 94TH AVE
TIGARD, OR 97223
PHONE: 503-233-3133 PHONE:
FAX: 503-558-9050
FEES
Specifics: Description Date Amount
Heat Pump 10/16/2017 $61.06
Type of Use: SF Duct Work 10/16/2017 $23.32
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/16/2017 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/16/2017 $5.62
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. - •= .in a copy of the rules
or direct questions t. • NC by calling s4.232.1987 or 1 800.332.2344.
411
qiiP'i
Issued By: izrA , /1- i ` Permittee Signature: "—
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE. USE ONLY
City of Tigard Received
Date/By:
_
(0/1(/
/ (/-7f —)...o• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C fr ` L // 0vY�
_ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
TI G A K D Inspection Line: 503.639.4175 Date/By: Permit No.
Date Ready/By: Juris: Fd See Page 2 for
Internet: www.tigard-or.gov Notified/Method: IST/ Supplemental Information
yXPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST
v❑/ Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
g 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description P Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
13 W
131 ^ ,^ Air conditioning 46.75
Job site address: .cam /iC/['1S//(vJ, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7L/ or D 1e3 O (/I 0 2.3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: J Heat pump 1 61.06
Duct work i 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,= .W = Gas fireplace/insert 33.39
. ( ` ` Flue vent for water heater or gas
e1� _ Jiof '1 fireplace 23.32
D 4IeI'
VLog lighter(gas)�n / n eY '�� t o') / 47r AnI et Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
..; R Kinky' 0 ,; _ ;. j N f Other: 23.32
"r Environmental exhaust and ventilation:
Name: V Cidif 71°
Range hood/other kitchen
Address: equipment 33.39
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
` N ► ', e tt,, ''` . '' Other: 23.32
Business nam,: ^ Fuel piping:
4(/L(( 1, 'J
5 ' tV't� $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:
�. x� . Barbecue
CONTRA TOR. s ov t Clothes dryer(gas)
Business name: d4 C eaj/ ' Other:
J
�'� �� / . MEgIAI CAL 1'ERMiT F ES* N: -:t
Address: Subtotal
04/141561,10
j �
City/State/ZIP: J /C�/4 G�J C, 9 Zo-y Minimum permit fee($90.00)
�I�s 3 J/�� �----2 )? 7 ( / ) Plan review(25%of permit fee)
Phone: JJ��JJ 717 Fax:
State surcharge(12%of permit fee)
CCB lic.: / TOTAL PERMIT FEE
���� _ This permit application expires if a permit is not obtained within 180
7' days after it has been accepted as complete.
Authorized signature
''• / * Fee methodology set by Tri-County Building Industry Service Board
Print name: c50-17—
5g
Mt/al/
t N � Date: /O /% 2/
I\BuildingPennits\MEC_PermitAPp_00401 3.doc 440-4 l/0 /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:
11385 SW 94TH AVE, TIGARD, OR, 97223 October 20, 2017 at
12:25:34 PM
Record Type: Record ID:
Residential - Mechanical MEC2017-00805
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Owner on site to seal line Set penetration into attic space.
Violation Summary:
Inspector Contractor