Report CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2017-00815
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2017
T[GARD Parcel: 1 S135CD01009
Jurisdiction: Tigard
Site address: 9920 SW SCOTT CT
Project: MEYER Subdivision: SCOTT Lot: 7
Project Description: Furnace replacement and mini split heat pump installation.
Contractor: COST PLUS HEATING&AIR Owner: MEYER, MATTHEW H&DIANA PRATT
7132 N FESSENDEN ST 9916 SW 31ST AVE
PORTLAND, OR 97203 PORTLAND, OR 97219
PHONE: 503-286-2009 PHONE:
FAX: 503-286-6552
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 10/19/2017 $46.75
Type of Use: SF Heat Pump 10/19/2017 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/19/2017 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.75
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 . .800.332.23
Issued By: Permittee Signature:
4011.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application I (M (II II(, I 1.OM.l
r
City of Tigard , Date/BY
` Received
y i q /7 � Permit No.: 7-
114 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit:
Inspection Line: 503.639.4175 Re
f I C;;\V:I) OCT2017 Note ed/Met o: ________ See Pent 2 for
Internet: www.tigard-or.gov U l� Notified/Method: Supplemental Information
TYPE uF +C1k '�C A l c -VSECifirCiaarr
❑New construction ®Addition/a1te Ai i ` Icem n SSI N Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION 1 i1DE1m i.EQUIPMENT/SYSTEMS FEES5
® 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 STI!E TNFORIIrTATTON AND LOCATION' Heating/cooling:
Air conditioning 46.75
Job site address:9920 sw scott dr Furnace 100,000 BTU(ducts/vents) 1 46.75 if(,t1 "75"
City/State/ZIP:tigard Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06 (01,4...\z
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
Flue vent for water heater or gas
Electric to elect furnace replace ment,add mini split heat pump fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
CI PROPERTY UVVNET . Environmental exhaust and ventilation:
Name:Matthew Meyer Range hood/other kitchen
equipment 33.39
Address:9916 SW 31"ave Clothes dryer exhaust 33.39
City/State/ZIP:portland or 97219 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)522 4299 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Steve Sanderson 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
Phone:(503 7) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Cost plus heating Other:
Address:7132 n fessenden MECHIANICAL PERMIT FEES* ^�y )
Subtotal C j) !- 1
City/State/ZIP:portland or 97203 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)2862009 Fax:(503)2866552 State surcharge(12%of permit fee) Ira,ti if
CCB lic.:47978 TOTAL PERMIT FEE /2j):7_,—
___4,L,
This permit application expires if a permit is not obtained within 180
� days after it has been accepted as complete.
/
Authorized signature: A/`� • Fee methodology set by Tri-County Building Industry Service Board
Print name:steve sanderson Date:10/19/2017
I:\BuildinglPermits\MEC_PermitApp_o40113.doc 440-4617r(11/02/COM/WEB)