Permit Support Document (43) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENTPermit#: MEC2018-00218
. e 4
Date Issued: 04/03/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 lir • 444 PA Parcel: 2S115AA04200
Jurisdiction: Tigard
Site address: 10531 SW KENT ST
Project: LEGGETT Subdivision: DOVER LANDING NO.2 Lot: 81
Project Description: Furnace installation. 4/3/18: REPRINTED permit to include NC unit.
Contractor: 24/7 HEATING&COOLING Owner: LEGGETT,ADAM ROY&TIFFANY JO
20022 SW 71ST AVE 10531 SW KENT ST
TUALATIN, OR 97062 TIGARD, OR 97224
PHONE: 503-804-6534 PHONE:
FAX: 503-213-6067
FEES
Specifics: Description Date Amount
Air Conditioning 04/03/2018 $46.75
Type of Use: SF Furnaces< 100K BTU 04/03/2018 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 04/03/2018 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes pnd all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee_Signature:
Call 503.639.4175 by 7:00 a.m.for the next available i •ct�e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FoR OFF ICE USE()\l \
CitySW Hall
. • 13125 Tigard,OR 97223-0, ''''''': ''' ''' '
IIIIReceived
Date/By: ' ,
Plan Review i 2r jorii Permit No.: _ ,....„ i, - 411,,,,..i
Other Permit:/fl*- , 0, _of . - ...
: 8 Phone: 503.718.2439 Fax: 503.598.196(F :: : a *N‘,,-. Date/By:
,
Inspection Line: 503.639.4175 c=. ,,:'
-IICARD ,..A.,... II:te Ready/By: la See Page 2 for
Internet: www.tigard-or.gov ii,,,,,\: ,,. NUfted/Method: Supplemental Information
INI
TYPE OF WORK
COMMERCIAL FEE* SCHEDULE - USE CIILCICLIST
C\l‘1.0 „kc,.;;"'''''
Mechanical permit fees*are based on the value of the work
El New construction Addition/alteration/reptaCtMent performed.Indicate the value(rounded to the nearest dollar)of all
. -
1:1 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1E-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
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning / 46.75 k(2.
Job site site address: 0'5'3'k S 1,/ _i j -tf (I 4' ct Furnace 100,000 BTU(ducts/vents) l 46.75 Lit"• IS-
City/State/ZIP: ---(--,r,,,,..). co. (-A-rt.:72-i Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: ) ee ,-,<--\-‘-
''' 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION oF' ,... Gas fireplace/insert 33.39
Flue vent for water heater or gas
I --QA/rN ct.c."--- fireplace 23.32
Log lighter(gas) 23.32
- GiLele.Al2.4 41-/c. tai-"j- Zi/rA S' /2.:T• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
PRPPE#TY,PV1,4, ER ' '- 0 TENANT , '1 Environmental exhaust and ventilation:
Name: A-cy(c,,,ry c k- -,,__,,),,yr_ Range hood/other kitchen
equipment 33.39
Address: 1 c.,5*-F, \ s,_,., k...: a .1-- Clothes dryer exhaust 33.39
City/State/ZIP:---/ _K-e4 crz... (=I 771.;-4 Single-duct exhaust(bathrooms,
, 0 toilet compartments,utility rooms) 23.32
Phone:( (2, ) c- 7 tc. 1 Fax:( ) Attic/crawlspace fans 23.32
Arlitte 'AiNr•-• ..„ ,,,, .. CI'tONTACT PERsop! ' Other: 23.32
Fuel piping:
Business name: Z(.4./1 11.c.e.„)..A fv.) 5.' ecA,i\(1 $14.15• $14.15 for first four;$4.03 for each additional
Contact name: Al vs c .6\e,...- -,.,06) Furnace,etc.
Gas heat pump
Address: b' Cfro ‘c , k el.\iner s•1.... r---2,
Wall/suspended/unit heater
City/State/ZIP: c &-- ,(-6.4 ci-e_. (-4-7z-v3
i )eWater heater
Fireplace
Phone:( .)-2,7) Ee.‘,,„,(_...u.,c;',.i Fax::( )
Range
E-mail: (yk 40.1(41 pi ec.,free e( cc,a-, Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:2_,A I-7 H?6,,t 41,,,,) e: ece I,nl L..cc..-__
MECHANICAL PERMIT FEES*
Address: e, i Cc) .5. , itA.yt 1,26 1,,,i S--) ' '-
Subtotal q(-1;., 7>
Minimum permit fee($90.00) `iti,,,).;
City/State/ZIP: k e)(1-- cr77;L:3
Plan review(25%of permit fee) ---
Phone:(5e2 ) ”0(.4 LA34 Fax:( ) State surcharge(12%of permit fee) 41.je
CCB lie.: i el G Cif tiTOTAL PERMIT FEE j 0 d,.‘o
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatu -...ass, * Fee methodology set by Tri-County Building Industry Service Board
.4mmF-
Print name: ".- Ific c• --' i-eSs•;11-6-- Date: Lf/3//(.3
I.\Building\Permits\MEC_PermitAPp 040113.doc 440-4617T(11/02/COM/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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10531 SW KENT ST, TIGARD, OR, 97224 April 9, 2018 at 11 :05:22 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00218
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Installed using minor label ELS595635
Violation Summary:
Inspector Contractor