Permit (48) CITY OF TIGARD MECHANICAL PERMIT
1,1 ■ COMMUNITY DEVELOPMENT Permit#: MEC2017-00808
T I c;;\l.n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/16/2017
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Parcel: 2S103AD01500
Jurisdiction: Tigard
Site address: 10805 SW PATHFINDER WAY
Project: POSTMA Subdivision: PATHFINDER Lot: 6
Project Description: Wood fireplace insert.
Contractor: OWNER Owner: POSTMA, RUSSELL M
RUSSEL POSTMA 10805 SW PATHFINDER WAY
10805 SW PATHFINDER WAY TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-521-6200 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Wood Fireplace/Insert 10/16/2017 $23.32
Type of Use: SF 12%State Surcharge-Mechanical 10/16/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/16/2017 $66.68
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: -�� `) Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONE 1
(4 NE, : Received
City of Tigard R1— ' Date/By: /43 (,,, kr/ Permit No.: , , . ) _... 1, , r.
mi
N 13125 SW Hall Blvd.,Tigard,OR 97223
I
Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 OCT 1 6 7-°17 Date/By: Other Pennit:
GA RI) Inspection Line: 503.639.4175
Date Ready/By: PI See Page 2 for
Internet: www.tigard-or.gov .,%, r t(2..*.ah AL Notified/Method:
Iffli Supplemental Information
CITY ur I i'''Ar
TYPE
,BUILDINQA IVIS '
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST,
*.ntft
Mechanical permit fees*are based on the value of the work
0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
7 _......... CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Igl.:and 2-family dwelling 0 Commercial/industrial D Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
, -7 *JOB SITE 114F' thimATIoN AND LOCATION
Air conditioning 46.75
Job site address: /elr-0c- ...S.1 tj, ki._- ,440ovi/e--- ije-y Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: rri-5.n/I 0/,,, ;--,,22-7 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 695V_fil e..,
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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.:
Water heater 23.32
00001YritiN iSt ei'• 1;2; %., '-' , .. .,,., -, Gas fireplace/insert 33.39
- --, ,c-- Flue vent for water heater or gas
--T-1106.7 K: C.)0 6 d 4 44 1-11 45 Ffr-e ,4, e-e fireplace 23.32
Log lighter(gas) 23.32
figlyr-i--
Wood/pellet stove 33.39
Wood fireplace/insert 1 23.32 2-3 32
Chimney/liner/flue/vent 23.32
Other: 23.32
g_PROPERTY OWNER ,-17 ' ' , 0 TENANT
Environmental exhaust and ventilation:
Name: 'gaff' ,049 cd._piA. Range hood/other kitchen
equipment 33.39
Address: /e9F5c S.N__ ii'.) 1, i1A 6441PLr'l1'siii- OA y Clothes dryer exhaust 33.39
City/State/ZIP: 710-k y-d PT? T7 2 2-? Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(;011) ca/— (-2_60 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT , :,,, '74 777 a'CONTACT PERSON , Other: 23.32
Fuel piping:
Business name: el dtce::Ac...
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP:
Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR .4 ' Clothes dryer(gas)
Other:
Business name: AA jAjecn
'MECHANICAL PERMIT FEES*
Address:
Subtotal 1=3 3;
City/State/ZIP: Minimum permit fee($90.00) Lid.,IA)
Plan review(25%of permit fee) —
Phone:( ) Fax:( )
State surcharge(12%of permit fee) /0
CCB lie.: TOTAL PERMIT FEE i uo
This permit application expires if a permit is not obtained within 180
Authorized signature: 4 . . Fee daysmethodo lo
Print name: kevcif ,op 9114-
Date: id-//./47 gyafsteetrbiyt Tharis_cboeeonotyacBceapiltedidagaslocdoomatrpylestee.rvioe Board
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:\Buildmg\Pernilts\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10805 SW PATHFINDER WAY, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2017-00808
Inspection Type: Inspector:
699 Mechanical final Allyson Armstrong
Result:
PASS - NoCofO
Comments:
Non combustible floor present at time of inspection.
No hearth present at time of inspection.
Violation Summary:
Inspector Contractor