Permit Support Document It. �
CITY OF TIGARD II 1 f MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00952
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2017
Parcel: 2S104DD07700
Jurisdiction: Tigard
Site address: 12874 SW MORNINGSTAR DR
Project: Wacker Remodel Subdivision: MOUNTAIN HIGHLANDS NO.3 Lot: 35
Project Description: Install replacement furnace and AC. 1/17/2018: REPRINT permit to add duct work for furnace and A/C.
Contractor: SPECIALTY HEATING&COOLING INC Owner: DOWERS, KEITH A
7500 SW TECH CENTER DR STE 130 12874 SW MORNINGSTAR DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 12/04/2017 $46.75
Type of Use: SF Furnaces<100K BTU 12/04/2017 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/04/2017 $11.22
Occupancy Grp: Duct Work 01/17/2018 $23.32
Stories: 12%State Surcharge-Mechanical 01/17/2018 $2.80
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
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:�`w , / Permittee Signature: `f -j�
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 Applica '
FOR arhtch. USE oNLN'
City of Tigard i07 i I./ Received
Pep
13125 SW Hall Blvd.,Tigard,OR 97223 may' t�/�� Pam/ft i ��Qft7 r� J�
Phone: 503.718.2439 Fax: 503.598.1960 JAN J i^ A Plan Revie
J 1 7
III
2 01 Date/By: Other Permit:
1 I t;n 1.n Inspection Line: 503.639.4175 Date Read/B )wis:
Internet: www.tigard-or.gov ``(" , Ready/By: See Page 2 for
FFttpp !i.„,....,,,,,:.‘ ,.;,1,,.,.. Notified/Method: Supplemental Information
1B i lN �
z
1 '`
' ' `- - Mechanical permit fees*are based on the value of the work
El New construction 2-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
Demolitjon 0 Other: mechanical materials,equipment,labor,overhead,and profit.
�� "j,-;' ,-7,.:-.-1,,-.,...,,..
Value $
-,; .`, i
_ ey;� a ® ` �
" ' ,- � . _ .�'! , ,,, t. .s4.' .3..3 3jf; `3i1'11., 3 r t [ET `"*:. 'J, ,,-'61,',...'.:;.4,-, -
gri-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
Ileatin, wan 1!
F r 46.75
Job site address: '
.. Vf`/1 1" L. a,t' ace 100,000 BTU(duce vents) 4675
City/State/ZIP: -r, ,,,t ,,,,,,, -7 42,3 Furnace 100,000+BTU(ductswents) 54.91
Suite kildg.iapt_no.: Project name: jj Heat pump 61.06
__.. Duct work
Cross street/directions to job site: Hydropic hot water system riall
--- Residential boiler(radiator or
h chortle) f 23.32
Unit heaters(fuel-type,not electric),
r _ Fin-wall,in-duct,suspended,etc. 46.75
Flue'vent for any of above 23.32
Lot no.: Other
Subdivision: 1. 23.32
- { Other fuel appliances:
I Tax map/parcel no.: i Water heater 23.32
D .SO1t1PfON Op'-w/(( "- Gas fireplace insert 33.39
Flue vent for water heater or gas
; ai c, ! , ,'✓ ' fir l
..e ace
._ . , 23.32
� �1 ,Lo_Ii„hter( as) 23.32 '
""" �'`�
Woodi.ellet stove 33.34
1 ( i Wood firlacerinsert 23.32
# f € f • ` Chimneyfliner,'flue,�vent 23,32
P.l2OP't R OWNER 0 TEN 1N 23.32
Other:
Environmental exhaust and ventilation:
Name: , Range hood/other kitchen
_.. ___ _.
y� equipment
r Address 1 is7 w main L.�/" /'r"I p 33.39
� ,k,1 _-rv.�- m - Clothes dryer exhaust 33.34 .�ry�
City/State(ZIP: i , Single duet exhaust(bathrooms,
'` toilet compartments,utility rooms) 23.32
( Phone:( . ) L Attic% w ,..
� . 23.32
., ii� �:',,,,I,•,,-: ' �'' ` e °. 4 --other:rn 23.32
Islrace fans
,., w_ .�� ten= e
Business name:
Fuel 'i,in :
$14.15 for first four;$4.03 for each additional
Contact name: ---' .2 G'La t$d "'1 .a urs 00.024 52C. s
, Furnace,etc.
_
Address: Suite 130
rsztl trump
all/su .ended°unit heater
City/State/ZIP: Tigard, •°
Water heater
wwws tajl1OBtif1 .Ct71 l
Phone:( ) � �21‘ _ Fireplace
1 mail: I Rinne
a,L,�, , Barbecue
' ' . so
T'''',„
u.- i
e t Me ..`' II r' 1 + C loes thd ex(:,as)
Business name.Specialty Heating&Cooling,Inc € tither.
,, a
Address:7500 SW Tech Center Dr#130
- Subtotal 2 t
City/State/ZIP:Tigard,Or.97223 __ Minimum permit fee($90.00)
Plan review(25%of permit fee) '
Phone:(503)620-5643 Fax (503)598-0718 :_ , f
State surcharge(12/0 of permit fee) �ii
CCB lic.:66578 TOTAL PERMIT FEE IIP ,t
.�� This permit application expires if a permit is not obtained within� `m" 1
days after it has been accepted as complete. �.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: 1 .t Date; '
Rnihiino,Prcmn+:MR PennitAnn 5451 it,inr edn.ex1irrt I its tura,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12874 SW MORNINGSTAR DR, TIGARD, November 7, 2018 at
OR, 97223 11 :46:33 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00952
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor