Permit (148) CITY OF TIGARD MECHANICAL PERMIT
! COMMUNITY DEVELOPMENT Permit#: MEC201800077
T[( R r, 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018
Parcel: 2S103CB10200
Jurisdiction: Tigard
Site address: 13520 SW 122ND AVE
Project: LHAMON Subdivision: QUAIL HOLLOW-EAST Lot: 60
Project Description: Furnace and A/C unit replacement. Placement of A/C unit must comply with manufacturer's installation
requirements.
Contractor: BRUTON COMFORT CONTROL INC Owner: LHAMON, LIANNA
12720 SW ALLEN BLVD GRAINGER,ANDREW
BEAVERTON, OR 97005-5152 13520 SW 122ND AVE
TIGARD, OR 97223
PHONE: 503-626-7477 PHONE:
FAX: 503-646-0126
FEES
Specifics: Description Date Amount
Air Conditioning 01/31/2018 $46.75
Type of Use: SF Furnaces< 100K BTU 01/31/2018 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/31/2018 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
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 . .c f 4. .4,
Issued BY:
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 t'SE ONE\
City of Tigard ':*-IS' Received
sAN Permit No_:
13125 SW Hall Blvd.,Tigard,OR 9722Plan Re: ( ,31 AMI P - I•-- - 7
Plan Review
Phone: 503.718.2439 Fax: 503.598.19601III
i - Date/By: Other Permit:
T 1 G A R u Inspection Line: 503.639.4175 rill,�w ' Date Ready/By:
Internet: www.ti and-or. ov INIIH See Page 2 for
g g 'I\I nk% Notified/Method: Supplemental Information
TYPE'OF WORK icy $ + COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
'fMechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/1plat;emgnt , t,'';';,!'''„'''.' *' performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: -1.7.,Y,,.:
rymechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address:13520 SW 122"d Ave Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
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
Furance and A/C replacement fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
I,1 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Lianna Lhamon Range hood/other kitchen
equipment 33.39
Address:13520 SW 122"d Ave
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(419)733-5338 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Bruton Comfort Control
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Matt Bruton Furnace,etc.
Address:12720 SW Allen Blvd Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton,OR 97005 Water heater
Phone:(503)626-7477 Fax::(503)646-0126 Fireplace
Range
E-mail:service@brutoncomfortcontrol.com Barbecue
CONTRACTOR I Clothes dryer(gas)
Business name:Bruton Comfort Control Other:
MECHANICAL PERMIT FEES*
Address:12720 SW Allen Blvd Subtotal 93.50
City/State/ZIP:Beaverton,OR 97005 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)626-7477 Fax:(503)646-0126 State surcharge(12%of permit fee) 11.22
CCB lic.:65296 TOTAL PERMIT FEE 104.72
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:Matt Bruton Date:1/30/18
I:\Building\Permits\MEC_PermitApp_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:
13520 SW 122ND AVE, TIGARD, OR, 97223 February 5, 2018 at
11 :31 :24 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00077
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Minor label #ELS 621798
Violation Summary:
Inspector Contractor