Permit Support Document (56) CITY OF TIGARD MECHANICAL PERMIT
is'., COMMUNITY DEVELOPMENT Permit#: MEC2018-00161
T f GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243• f r • , Date Issued: 03/08/2018
Parcel: 1 S 136AA 13400
iliEff ' Jurisdiction: Tigard
Site address: 10287 SW 67TH AVE
Project: system pavers Subdivision: OAK STREET ESTATES Lot: 29
Project Description: new gas line. 3/22/18:REPRINTED permit to include gas line for fireplace and barbeque.
Contractor: ALL PRO PLUMBING SERVICES LLC Owner: CHILDS, MARK S
15712 NW OVERTON DR 10287 SW 67TH AVE
BEAVERTON, OR 97006 TIGARD, OR 97223
PHONE: 503-579-5555 PHONE:
FAX: 503-259-2555
FEES
Specifics: Description Date Amount
Minimum Fee Adjustment-Mechanical 03/08/2018 $52.53
Type of Use: SF 12%State Surcharge-Mechanical 03/08/2018 $10.80
Class of Work: ALT Type of Const: Log Lighter(Gas) 03/08/2018 $23.32
Occupancy Grp: Fuel Piping 03/08/2018 $14.15
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
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:
'.---
-------re.. )------
j Permittee Signature: 5 ,9/__-..)2/
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.
Mar 22 18 04:24p
p.1
Mechanical Permit Application FOR 1 Illici.l'SI ONI.1
City of Tigard Received
Permit No.:rm -
i . . 13125 SW Hail Blvd.,Tigard,OR 97223 '.Ian Review C�C�d�'
Phone: 503.718.2439 Fax: 503,598.1960 'bates y: Oche Permit:
.1 1 G,t R D Inspection Line: 503.639.4175 Date ReadylBy: rmir. fa See Page 2 for
Internet: www.tigard-or.gov MAR 2 2 2018 Notified/Method: Supplemental Information
TYPE OF W 14/
iT Y r 11C-EAr t COMMERCIAL FEE SCHEDULE- USE CHECKLIST
� 1 j �s f� Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/altera io rep acement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit,
Value:$$2,370.00
CATEGORY OF CONSTRUCTION ,,,a rF"sRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
at Eg 1-and 2-family dwelling ❑Commercial/industrial 0 , ,tt taut '. ' For special information use checklist.
9 Multi-family 9 Master builder ❑ • t a Air condi.,) - Description Qty. Ea, Total
JOB SITE INFORMATION AND LOCATI �" `� Hearin conditioning
tioning 46.75
Job site address:10287 SW 67t°Ave Furnace 100,000 BTU('duets/vents) 46.75
City/State/ZIP:Beaverton,Or.97005 Furnace 100,000+BTU(ducts/vents) _ 54.91
Heat pump 61.06
Suite/bldgJapt,no.: Project name:System Pavers Duct work 23.32
Cross street/directions to job site: , Idronic het water system 23.32
Residential boiler(radiator or
hvdronic) 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 heater23.32
DESCRIPTION OF WORK Lias fireplace/insert 33.39
Flue vent for water heater or gas
. Run gas line for a log lighter and BBQ. fireplace 23.32
�JJ�_ .J. � ) Log lighter(gas) 1 23.32
DC�Yr l 1 S7 i kj t9C's4"11 1/ �'-'-'.1 4(41 Wood/pellet stove. 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation: _
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other 1 23.32
Business name:Ail Pro Plumbing Services LLC. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Jason Jossy Furnace,etc.
Address:2038 NW.Aloclek Dr. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Hillsboro,Or.97124 Water heater
Phone:(503)579555 Fax::( ) Fireplace ,
Range
E-mail:Info@allproplumbingpdx,eom Barbecue I
CONTRACTOR Clothes dryer(gas)
Business name:MI Pro Plumbing Services LLC. Other:
MECHANICAL PERMIT FEES*
Address:2038 NW.Aloclek Dr. Subtotal 1
City/State/ZIP:Hillsboro,Or,97124 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)5795555 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:188018 I TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within LBO
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jason J y. Date:03/21/2018
is\BuddinglPermits5N(EC_Per ,p_0401I3doc 440-4617r(11/02/CONBwEB)