Permit (206) CITY OF TIGARD MECHANICAL PERMIT
' a COMMUNITY DEVELOPMENT Permit#: MEC2018-00494
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2018
TIC.Ail-Dg Parcel: 1S135BD02000
Jurisdiction: Tigard
Site address: 9590 SW ANNA BELLE CT
Project: Ash Creek Village,Lot 6 Subdivision: ASH CREEK VILLAGE Lot: 6
Project Description: Installation of A/C. Placement must meet manufacturer's requirements.
Contractor: ALL TIME HEATING LLC Owner: SAGE BUILT HOMES LLC
PO BOX 1341 1815 NW 169TH PL STE 1040
LAKE OSWEGO, OR 97035 BEAVERTON, OR 97006
PHONE: 503-208-2276 PHONE: 971-221-4597
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 06/27/2018 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/27/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/27/2018 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: // I�.Z` /2�//f Permittee Signature: SCC ,,n/`?. .--2 1
/ r ` �� G��yy✓ /L
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. //
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Applic ' ��� 4•1" FOR OFFICE I SL Oy1.1
City of Tigard Recei
13125 SW Hall Blvd.,Tigard,OR 9722 f 7 2018 DateBvedy: 4�17 Permit Nq�tG'C",20�f Oct /
0 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R i) Inspection Line: 503.639.4175 3/ OF.f y y ij'�sqr"�
Internet: www.tigard-or.gov �'�� � "n�1Y f�I'�Sl' Date Ready/By: auris: H See Page 2 for
Notified/Method: SupplementalInformation
I
BILDINC DIVISION
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Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JU18 � t141 e1 Heating/cooling:
Air conditioning 1 46.75 44.75
Job site address:9590 SW Anna Belle Court
Fumace 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 95th 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.: Other. 23.32
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Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
*,1t flfN y, 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
Other: 23.32
Environmental exhaust and ventilation:
Name:Sage Built Homes,LLC. Range hood/other kitchen
equipment 33.39
Address:1815 NW 169th 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
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'r; " ,. ��"�:+��1�'�►t '��t?�I • 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@sagebuilthomeslle.com Barbecue
Clothes dryer(gas)
Business name:All Time Heating&Cooling Other:
Address:PO Box 1341 Subtotal 9 eiZ
City/State/ZIP:Lake Oswego,Oregon 97035 Minimum permit fee($90 00)
Plan review(25%of permit fee)
Phone:(503)208-2276 Fax:( ) State surcharge(12%of permit fee) /0,eh7
CCB lir.:184575 TOTAL PERMIT FEE / ,eo
This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
,r. .,__ * Fee methodology set by Tri-County Building Industry Service Board
Print name:Ben Cooper Date:6/27/2018
i.\Buildrng\Pemsits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
A
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation; Permit Fees
$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\Perrnits\MEC_PermitApp_0401 I3.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9590 SW ANNA BELLE CT, TIGARD, OR, 97223 July 24, 2018 at 10:39:13 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00494
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Contractor to level ac pad.
Violation Summary:
Inspector Contractor