Permit (85) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00382
UG R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2018
Parcel: 1 S 135BD02700
Site address: 9552 SW ANNA BELLE CT Jurisdiction: Tigard
Project: Ash Creek Village,Lot 13 Subdivision: ASH CREEK VILLAGE
Project Description: NC installation. Placement of A/C unit must comply with manufacturer's installation requirements. Lot: 13
Contractor: ALL TIME HEATING LLC Owner:
PO BOX 1341 SAGE BUILT HOMES LLC
LAKE 1341 , OR 97035 1815 NW 169TH PL STE 1040
BEAVERTON, OR 97006
PHONE: 503-208-2276 PHONE:
FAX:
FEES
Specifics: Description Date Amount
12%State Surcharge-Mechanical 05/23/2018 $10.80
Type of Use: SF Air Conditioning 05/23/2018 $46.75
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/23/2018 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or UOO.332.2344.
Issued By:41 j Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application til ,r Iv FOR OFFICE ESE ONL I
City of Tigard .,A �' Pemtit No.:
4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review + a>> �� ��
INPhone: 503.718.2439 Fax: 503.598.1960 y Other Pemtit . s-, 1. } I
TI G A R I) Inspection Line: 503.639.4175 MAY 2 3 2018
18
Date/
By:U U Note RNotified/Method:
SeePageInr
Internet: www.tigard-or.gov Notified/Method: Supplementalliffl Information
CITY OF TICA'
ritrE Ol WO ? COMMERCIALFEE*<SCHEI)J.Z;-'1 GII etfiUST:.
! � DIVI Mechanical permit fees*are based on the value of the work
®New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
, CATEGORY OP"CONSTRUCT!C N
RESIDENTIAL EQUIPMENT 1$YSTE24 FEE8*
Z 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOE srrE""INFORMATION AND.LOCATION Heating/cooling:
Air conditioning 1 46.75 4615
Job site address:9552 SW Anna Belle Court Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP:Tigard,Oregon Fumace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Ash Creek Village Duct work 23.32
Cross street/directions to job site:SW 95t5 Avenue Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision:Ash Creek Village Lot no.:tt n Other: 23.32
t� Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIP ION O OI Gas fireplace/insert 33.39
Flue vent for water heater or gas
New residential construction fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
+"$ROPEIE3 OWNER ❑. E KA,I i Other: 23.32
Environmental exhaust and ventilation:
Name:Sage Built Homes,LLC. Range hood/other kitchen
equipment 33.39
Address: 1815 NW 1695h Place,Suite 1040 Clothes dryer exhaust 33.39
City/State/ZIP:Beaverton,Oregon 97006 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(971)221-4597 Fax:( ) Attic/crawlspace fans 23.32
i4 APPLICANT b" CONTACT PERSON Other: 23.32
Business name:Sage Built Homes,LLC.
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Ben Cooper Furnace,etc.
Address:Same as above Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(971)258-6658 Fax::( ) Fireplace
Range
E-mail:planning@sagebuilthomesllc.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:All Time Heating&Cooling Other:
MECHANICAL PERMIT FES*
Address:PO Box 1341 Subtotal i-/ 7.5---
City/State/ZIP:Lake Oswego,Oregon 97035 Minimum permit fee($90.00) C-i _;;_`
Plan review(25%of permit fee)
Phone.(503)208-2276 Fax.( ) State surcharge(12%of permit fee) j).r.1)
CCB lic.: 184575 TOTAL PERMIT FEE jt
5-\'
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:Ben Cooper Date:5/23/2018
1\Building\PermitsUEC_PermitApp_040113.doc 440-46I7T(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:
9552 SW ANNA BELLE CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00382
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Seal foundation vent penetration for ac electrical and Line set. R408.2
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9552 SW ANNA BELLE CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00382
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Previous corrections completed.
Violation Summary:
Inspector Contractor