Permit (66) CITY OF TIGARD MECHANICAL PERMIT
11111 i ` COMMUNITY DEVELOPMENT
Permit#: MEC2018-00243
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2018
TIGARD 9 Parcel: 1 S125CD08600
Jurisdiction: Tigard
Site address: 7556 SW RED CEDAR WAY
Project: TUDOR Subdivision: JACKSON WOODS Lot: 1
Project Description: (1)water heater with gas piping.
•
Contractor: OWNER Owner: TUDOR, OLGA&SILVIU
SILVIU TUDOR 17210 NW GABLES CREEK LN
7556 SW RED CEDAR WAY BEAVERTON, OR 97006
TIGARD,OR 97223
PHONE: 541-840-7962 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 04/12/2018 $23.32
Type of Use: SF Fuel Piping 04/12/2018 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 04/12/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 04/12/2018 $52.53
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questionsnstooOOUNC by calling 503.232.1987 or 1.:
Issued By: "" / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available in pection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Pennit No.
, „, ; Yrita te/By: 1 1/ Atikgrm. .. r",
III al 13125 SW Hall Blvd.,Tigard,OR 97223
: 111 Phone: 503.718.2439 Fax: 503.598.1960 - • ' ' Date/By: Other Permit:
Ptan Review
TIGARD Inspection Line: 503.639.4175 Date Ready/By: iZI See 'age for
Internet: www.tigard-or.gov
2 ii, Notified/Method: Supplemental Information
iit ? FA
TYPE OF WORKCIT V 1.)14 1 MA al), ': COMMERCIAL FE SCHEDULE _ USE CHECKLIST"
' 4 Mechanical permit fees*are based on the value of the work
El New construction AlAddition/alterationireplacempnt .NIT performed.Indicate the value(rounded to the nearest dollar)of all
I:1 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION - ' RESIDENTIAL EQUIPMENT I SYSTEMS FE
El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
D Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: -7.,2-4-;C. ....S vcf- /2i.-7.t..' ( ;-.7?)/A,g-- `1\/). "/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '77'c)A a 6 (),(, ,. 7 2_ 2. S 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater _i 23.32 „7.-3.1)
TION OF
71
Gas fireplace/insert 33.39
DESCRIPTION it0IIK''' ' .4"4"44.1"44'
,"- ""' - ' Flue vent for water heater or gas
04444 .1 G; " (i' \,1,/AT ET,e.. ri EirVi- g- -7 :,4-1 fireplace 23.32
Log lighter(gas) 23.32
4., (...2 A-S -. H v /. 7070,?.,1-c.f c,A5
Wood/pellet stove 33.39
c..:.t.) .As C..)"3 z_ e---.= 2e; re,r/ €I- * ri ..t-T.Lx:-> Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
C .c.,'E.A./ TAG Other: 23.32
14,41,.1.1(wiitTY OWNER4.- 1;10N: oi- A.,, - Environmental exhaust and ventilation:
Name: ,...5,,_yr,/ cir 7 c :.'...-,P--- Range hood/other kitchen
equipment 33.39
Address: r,-3-z5"-C, '-:. ,yv iZEZ C.::-.--7. A i2 .,"pi\y Clothes dryer exhaust 33.39
City/State/ZIP: c?--e-22-- Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5-4 1 ) 54(0 ec((,,I Fax:( ) Attic/crawlspace fans 23.32
1:) APPLICANT " ' .- ',.' gA,CO*CT4i4:04 ' Other161-'t'' • 23.32
Fuel piping:
Business name:
.i c_- $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater i /11
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACT/OR .,,., ,,,,,`.-1,,„- , .,',„„„, Clothes dryer(gas)
Other:
Business name: ./
MECRAN1OXL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) .-70,4.2-
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) al/'is
CCB lie.: TOTAL PERMIT FEE 14;-4-)
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
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Authorized signature: ----7\_-,------- * Fee methodology set by Tri-County Building Industry Service Board
Print name: .••'4_ V(G.Z TC.,6(_.:(:-. Date: L.;* -0. -r.;.. •,:-LS7
I:\Building\Permits\MEC_PennitApp_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:
7556 SW RED CEDAR WAY, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00243
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Owner to finish sealing around tankless water heater exhaust.
Violation Summary:
Inspector Contractor