Permit Support Document (54) Ipil.- CITY OF TIGARD r „'n MECHANICAL PERMIT
�� COMMUNITY DEVELOPMENT �
Permit*: MEC2018-00208
T rC..3 y,RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2018
Parcel: 2S 108DB06800
Site address: 15360 SW THAMES LN Jurisdiction: Tigard
Project: 15360 sw thames Subdivision: POLYGON AT BULL MOUNTAIN Lot: 66
Project Description: add gas piping to outside firepit. 4/4/2018: REPRINT permit to add gas piping for barbecue.
Contractor: POWER PLUMBING CO Owner:
PO BOX 19418 WINTERS, JULIE&WILLIAM
PORTLAND, OR 97280 15360 SW THAMES LN
TIGARD, OR 97224
PHONE: 503-244-1900 PHONE:
FAX: 503-244-8825
FEES
Specifics: Description Date Amount
Gas Fireplace 03/28/2018
Type of Use: SF $33.39
Fuel Piping 03/28/2018 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/28/2018 $42.46
Occupancy Grp: 12%State Surcharge-Mechanical 03/28/2018
$10.80
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
)1 .2/ 'e"—le--- Permittee Signature: 7� .,4./C.,--77.- 1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Ap licat ta� t FOR OFFICE USE ONIX
,
apir
City of Tigard ` .0' dr 2 ,
Received / ,��
�/ �� PcmutNo� ��/j���/'li9 ?A�
• 13125 SW Hall Blvd.,Tigard,OR 97223 fl
• r Date/By: v T - G9ao;G�
■ Phone: 503.718,2439 Fax: 503.598.1960 t•i PR a 2018 Plan Review
Inspection Line: 503,639.4175 Date/By; OtherPemtit.
T1GAitD PDate Ready/By:
Internet: www.tigard-or.gov , a , y mrs_ I S Sec Page 2l Informationnf
� ,1 F � g y ,��r ` Notified/Method:
yy 3fSupplemental
fffi �t \gra ni,'t rI sit
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-u Pz>.•� ..n= � ih :��i �i' ri�;� �i� .�� 1� �r�.yG`"I ,F�E?iiw SG��IIEDUL�$�7d�i� ;� 0T.i"
❑New constructionddition/alteration replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
�� O r �. _ !� Value $
I' i i �� �_ i GAT)E�C,+ip��l' b�j Ct)$YS R. IOI�I -�,� ,7 'i}k ui, a
"" f :,,` tE$IpE>y 1Ai1 EQC7IolF:N1 1 SwEIH FSEs'" ,
(1;11-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information ase check[rsa
❑Multi family 0 Master builder
0 Other: Description I Qty. I Ea. I Total
4 ,.' r ' R14,IA70 I 1 f? A'JI11;[?l �l ua - Ir.:, Heating/cooling:
��, �� 'Jt" ' �� i` 1 ,ft�,B- 't' 1�YF�J
job site address: I 0 G p } ..-.r^°k ) AirFurnace
conditioning00 46.75
)1++A ! t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: `�`( -'3a.-1....-(pt e5212-- e 71•/ Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:1 t I Project name: r 1 Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: l-Iydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,eta 46.75
Flue/vent for any of above 23.32
Subdivision: i Lot no.: Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
" F ; FIRTtWr iUMi
Gas fireplace/insert 33.39
diald( ,�q-t /5 11 Flue vent for vaster heater ar gas
t C/ ,✓� ( ,. fireplace 23.32
r.c. -G✓ r ? "-' e)-i✓ Ca Log lighter(gas) 23.32
j � t'�ry
Wood/pellet stove 33.39
l133 Wood fireplace/insert 23,32
Chimney/liner/flue/vent2
23.3..
Other:
0RPET 0VY . j ryI lTujEnvironmental exhaust and ventilation: 2332
Name:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone ( ) Fax ( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32
:. :111:1,,::t Q ' ` i,i ;4< '. i. o
LON A, d hhsdI ,ga Other
23.32
Business name: 2(.j1,01,4441.42/7454
J745a Fuel piping:
j} Vv /J 4" $14.15 for first four;$4.03 for each additional
Contact name: (' 1.( jp
le Furnace,etc.
Address: f...d, r3 ( Y/d� Gas heat pump
City/State/ZIP: f) � Y 2 9-7 1 FO Water heater lunit heater
t +"" / ,G- �°� � ,/ ? Water heater
Phone:(5 03 1,4-/ -( ' I Fax::(.563 f
S
i
Fireplace
Range Se c =L- p/ f74 cW e` Barbecue
" TM G ,1Cut * ltClothes d
r
yer(gas)
Business name: pd,c)„,t,,, frLt ,
Other
Address: ( K 1! y'k 7(7✓1,. ,Gk. 73 t/i/ 9 N ri` g* 7'FEFSY it v
City/State/ZIP: /O( f„. 7 '� Subtotal Minimum permit fee($90.000
! )
Plan review(25%of permit feu)
Phone:( ) 1 Fax:( )
61 State surcharge(12%of permit fee)
CCB Iia: V TOTAL PERMIT FEE
rThis permit application expires if a permit is not obtained within 180
Authorized signature: ! 1 days after it has been accepted as complete.
/ . Fee methodology set by Tri-County Building Industry Service Board
I Print name: Xi/517e q�f°j 2 ,,,,e17 I Date: Zy " 3'f 'K I
I:\Buikting\Permits1MEC_Perssthpp_040113.doc 440-4617T(I t TO/COM/WEB)