Permit (72) IIIIIIICITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2017-00826
TKAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2017
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Parcel: 2S111AD09000
Jurisdiction: Tigard
Site address: 8775 SW REILING ST
Project: INCOGNITO Subdivision: SCHECKLA PARK ESTATES Lot: 1
Project Description: (1)furnace,(1)new A/C,and duct work.
Contractor: SYSTEM AIRE INC Owner: INCOGNITO, LISA J &BIAGIO
14444 SW FERN ST 8775 SW REILING ST
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-524-5927 PHONE:
FAX: 503-590-8357
FEES
Specifics: Description Date Amount
Air Conditioning 10/23/2017 $46.75
Type of Use: SF Furnaces<100K BTU 10/23/2017 $46.75
Class of Work: ALT Type of Const: Duct Work 10/23/2017 $23.32
Occupancy Grp: 12%State Surcharge—Mechanical 10/23/2017 $14.02
Stories: Fuel Piping 10/23/2017 $14.15
12%State Surcharge-Mechanical 10/23/2017 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $146.69
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.2.2.1987 or 1.800.332.2344.
Issued By: ,/ !///�� Permittee Signature: ''
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicationECEIV FOR OFFICE U SE ONLY
City of Tigard Received ��
DateB 7 / Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 y `` � 0
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Phone: 503.718.2439 Fax: 503.598.1960 r 2 3 2.0 / Plan Review
Date/By: Other Permit:£ ,e)/2....c.075
i'I O A It D Inspection Line: 503.639.4175
Date Ready/By: Iuns: See Page 2 for
Internet: www.tigard-or.gov
OF TIGA.!'
tified/Method: Supplemental Information
; 0.F. e' , [ IL1 hN6 1WS! �N.. --CP-W1 t .L nit LTSEfIICC'IC 1S'lr''
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEt OR OF t` ntlu "I"OI�I Es.
._ ''_ ;..' N L Q�MIT/ 'i EMS
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
" E.INFb 1Vt lT11 AND ICC---kr TON�f Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:8775 SW Reding St Furnace 100,000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 1 23.32 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
N Gas fireplacelins` ' ePrtOoW4�
33.39
- , . ,, "' Flue vent for water heater
or gas
Installatioin of furnace and duct work in attic and new air conditioning. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. , .,. ►a 1O�'..Pmt TSA 1iT.. Other: ventilation: 23.32
.. ° . Environmental exhaust and
Name: Lisa Incognito Range hood/other kitchen
equipment 33.39
Address:8775 SW Reiling St Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)327-4773 Fax:( ) Attic/crawlspace fans 23.32
yI'=pu.-il!rt � 4E, Other: 23.32
Fuel piping:
Business name: Sc�
`% Z
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc. 1 14.15 14.15
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
E-mail: Range
Barbecue
- 1►11Ti : Clothes dryer(gas)
Business name:System-Aire,Inc. Other:
:4EC4N1C.Al,POO/in-*Et8f*:::::
Address:14444 SW Fern St
Subtotal 130.97
City/State/ZIP:Tigard,OR 97223 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)524-5927 Fax:( ) State surcharge(12%of permit fee) 15.72
CCB lic.:38062 TOTAL PERMIT FEE 146.69
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:Bill Bright Date:10/19/17
I:1BuildinglPenmits\MEC_PemritApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8775 SW REILING ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2017-00826
Inspection Type: Inspector:
610 Gas line Jeff Grove
Result:
PASS
Comments:
Standard pressure verified 10 psi for 15 min
Violation Summary:
Inspector Contractor