Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00211
Date Issued: 03/27/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
U/69 SIMParcel: 2S103AA01000
Jurisdiction: Tigard
Site address: 10965 SW ERROL ST
Project: O'BRIEN Subdivision: ECHO HEIGHTS Lot: 5
Project Description: INSTALL DUCTLESS UNIT. 9/11/17:REPRINTED permit to include gas piping for(4)appliances. 11/16/17:
REPRINTED permit to include(1)range hood,(3)bathroom exhaust fans,and(1)laundry room exhaust fan.
Contractor: A TEAM HEATING Owner: JEFF O'BRIEN
5957 MOUNT ANGEL HWY NE 10965 SW ERROL ST
SILVERTON, OR 97381 TIGARD, OR 97223
PHONE: 503-365-8326 PHONE:
FAX: 503-365-8333
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 03/27/2017 $46.75
Type of Use: SF Heat Pump 03/27/2017 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/27/2017 $12.94
Occupancy Grp: Investigation Fee 09/11/2017 $90.00
Stories: Investigation Mechanical 12%State 09/11/2017 $10.80
Surcharge
Fuel Piping 09/11/2017 $14.15
12%State Surcharge-Mechanical 09/11/2017 $1.70
Range Hood/Other Kitchen 11/16/2017 $33.39
Fuel Single Duct Exhaust(Bathrooms,Toilet, 11/16/2017 $93.28
Fuel Types: Utility Rooms)
Gas Pressure: 12%State Surcharge-Mechanical 11/16/2017 $15.20
Total $379.27
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires yoy;to follow tllo�rules adopted by the Oregon
Utility Notification Center. Those rules are set forth i OAR 952-001-0010 through OAR 952x00'-p090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 0 1.800.332.' 44. /' F
�I
Issued By: / Per na ire: / .ati f,
Call 503.639.4175 by 7:00 a.m.for the next availabl>inspec on date.
This permit card shall be kept in a conspicuous place on the job site'.until 'ompletion o .t e project.
Approved plans are required on the job site at the time of h inspection.
Mechanical Permit Application II
�. FOR OFFICE USE ONLY
d"
City of Tigard Received t ///
w at J� Date/By: 1 i GGA (7 A l Permit No.: _ - i 7._ �t
13125 SW Hall Blvd.,Tigard,OR -k 74
Plan Review
C Phone: 503.718.2439 Fax: 503.59 60 1 Other Permit:
Date/By:
T 1 G A R D Inspection Line: 503.639.4175 `, '� Date Ready/By: IO See Page 2 for
Internet: www.tigard-or.gov ��f „ xitNotified/Method: EN Supplemental Information
n
TYPE OF L .`i. C '''
M
� � COMERCIALS *SC3IEIJLE — USEFCHEG ISTD ;
Mechanical se permit fees*are based on the value of the work
1=1 New construction 1=1Addition/alte> 0t> placement performed.Indicate the value(rounded to the nearest dollar)of all
O Demolition 0 Other: e AN mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRU w.
, i,.,� RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
O 1-and 2-family dwelling 0 Commercial/industrial '. t ij s.ry building For special information use checklist.
❑Multi-family 0 Master builder all Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /pgL;5 ` `�.�/J 521-, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 6 ✓ Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: ' f Project name: a`6 \e,,..)
Heat pump 61.06
�t^. 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
DE •!ste,x-o i, WORK Gas fireplace/insert 33.39
.' _�w '.a u:-,
>' / / Flue vent for water heater or gas
Get;J4 C/J• e .'L ,f/ a^'� e-,citA-4,37t'--JC fireplace 23.32
i/
Loglighter(gas) 23.32
7 h�Pit-um5- `tip �� Jf -Y714v -be" /
t Wood/pellet stove 33.39
l „milt //? =✓tnWood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PRS ** OWNER 0 TENANT
• . ,.. '2'4;4''` Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment / 33.39 '31 34
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) / 23.32 ti3 4
Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
' '' X Other: 23.32
APPLICANT [ tQNTACT'PERSON ?a
Business name: r q ) Fuel piping:
' { �u c(
$14.15 for first four;$4.03 for each additional
Contact name: ,�� ` i 1,1 1 Furnace,etc.
Address: `. f n i` ei - /y Gas heat pump
1 �' mit
N !/r Wall/suspended/unit heater
City/State/ZIP: • 1 IC j �� q .7. 3 Water heater
Phone:(1G ) /0 •�7 `/ d Fax::( ) Fireplace
6 l // ��
Range
e
1 n �
E-mail: N CC o 1 L
3+- /� Barbecue
u
dryer(gas)
�:_ i CONTRACTOR- ':;; 5t�� � Clothes as
�^ Other:
Business name: 4 --re,m �
IVIECIiANICAL PERMIT i EIES* ,i'"
Address: Subtotal I)4;,(p 1
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /5 )j
CCB lic.: ( 1..8,7iii PERMIT FEE I Pi f 17
J This permit application expires if a permit is not obtained within 180
/ afters e.
Authorised signatu * Fee methodologydays set byit Trhai-Countybeenaccepted Buildingas IndustrycompletService Board
Print n.. i, _ 0 h Date: drffill
I:\Building\Permits\MEC_PermitApp_040113.doc 441 4617T 1/02/ •M/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_PermitApp_040113.doc 2
CITY OF TIGARD MECHANICAL PERMIT
r 71 2. COMMUNITY DEVELOPMENT t Permit#: MEC2017 00211
Date Issued: 03/27/2017
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 PM= Parcel: 2S103AA01000
Jurisdiction: Tigard
Site address: 10965 SW ERROL ST
Project: O'BRIEN Subdivision: ECHO HEIGHTS Lot: 5
Project Description: INSTALL DUCTLESS UNIT. 9/11/17: REPRINTED permit to include gas piping for(4)appliances.
Contractor: A TEAM HEATING Owner: JEFF O'BRIEN
5957 MOUNT ANGEL HWY NE 10965 SW ERROL ST
SILVERTON, OR 97381 TIGARD, OR 97223
PHONE: 503-365-8326 PHONE:
FAX: 503-365-8333
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 03/27/2017 $46.75
Type of Use: SF Heat Pump 03/27/2017 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/27/2017 $12.94
Occupancy Grp: Investigation Fee 09/11/2017 $90.00
Stories: Investigation Mechanical 12%State 09/11/2017 $10.80
Surcharge
Fuel Piping 09/11/2017 $14.15
12%State Surcharge-Mechanical 09/11/2017 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $237.40
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 • .800.332..2k11. ,
,---r
Issued By: // � O Signature f 'h
-4' Call 503.63 by 7:00 a.m.for the next available in pec on date. (a"/" .."°-- ----.\
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application 1' i n Hoa OFFICE USE o
NL1
AA
ceived / '
City of Tigard r _10 I /By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 �a 1 Os: ��
C Phone: 503.718.2439 Fax: 503.598.1960 `` ' . Review Other Permit:
Date/By:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: la See Page 2 for
Internet: www.tigard-or.gov [_p t f 1 2111 7 Notified/Method: PliA
Supplemental Information
f
TYPE OF WORKCITY OF yy1,.GAR]) COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction -cc r,i-ir;i cig ft%
0 Addition/alterati ` 1' -, ' performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
O Multi-family ❑Master builder 0 Ot - • iDescription Qty. Ea. Total
�► '
JOB SITE INFORMATION AND LOCATIO t lbOHeating/cooling:
Air conditioning 46.75
Job site address: o`1�r �--
St J ,terr✓�/� , IOW Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: IA Furnace 100,000+BTU(ducts/vents) 54.91
1 '�� � / Heat pump 61.06
Suite/bldg./apt.no.: Project name: &eri'esiNi 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 Ft WORK '. Gas fireplace/insert 33.39
Flue vent for water heater or gas
,� Jc ) l ,{{{ � �Xl1 Wj fes'777,
fireplace 23.32
7�'�' ��/Y Log lighter(gas) 23.32
/llt=om`•'20 0 Is OC1j{ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
„ • � Other: 23.32
S yrs 'ROII`ERTY OWNER 0 TENANT;
Environmental exhaust and ventilation:
Name: �� Ltji' .. C Range hood/other kitchen`"~� - equipment33.39
,,\I Clothes dryer exhaust 33.39
City/State/Z : t! o�/ C` �� Single-duct exhaust(bathrooms,
V toilet compartments,utilityrooms) 23.32
Phone:(( ) ( Fax:( Attic/crawispace fans 23.32
.. t,4,46,s,- Q ., gi s r e Other: 23.32
Fuel piping:
Business name: L 1 e t t,,-'�/V__ $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
-jkliT Clothes dryer(gas)
Business name: 4 ,7_, / 3 '�'HF��✓� „' I+I m,PERMIT FEES*4,
Address: Sct 5.7 / ' _ ,i.-- NE Subtotal
City/State/ZIP: lI J ,�,,) '�!"/1--73:61'�` " 1 i/ Minimum permit fee($90.00)
t l V r�' ", Plan review(25%of permit fee)
Phone:(5 c3) S .3� Fax:( ) State surcharge(12%of permit fee)
CCB lic.: f d D 74 TOTAL PERMIT FEE
` / This permit application expires if a permit is not obtained within 180
/ if days after it has been accepted as complete.
Authorized signature a /" * Fee methodology set by Tri-County Building Industry Service Board
Print name: • I 6" ll(..... '' Date: et li
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4Iti
7T(11/02//CM/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.. r ,
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_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10965 SW ERROL ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2017-00211
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Not ready for inspection.
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10965 SW ERROL ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2017-00211
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10965 SW ERROL ST, TIGARD, OR, 97223 September 11 , 2017 at
10:27:01 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00211
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide approved electrical inspection for mini split.
Circuit for mini split not installed to code. Unprotected Rolex at interior and exterior.
Note: stop work order posted on site for work being done without permits.
New below grade window wells, new gas line to interior.
Violation Summary:
Inspector Contractor