Permit CITY OF TIGARD MECHANICAL PERMIT
s' COMMUNITY DEVELOPMENT101
Permit#: MEC2018 00570
T IGr1,it D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/24/2018
Parcel: 1 S 136CA90651
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL 65
Project: Searles Subdivision:GARD WOODS,A CONDO COMMUNI1 Lot: 65
Project Description: Replace A/C.
Contractor: BULL MOUNTAIN MECHANICAL Owner: SEARLES,WARREN & JACKIE
13580 SW RHETT CT 10900 SW 76TH PL#65
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503-612-6677 PHONE:
FAX: 503-692-3084
FEES
Specifics: Description Date Amount
Air Conditioning 07/24/2018 $46.75
Type of Use: MF 12%State Surcharge-Mechanical 07/24/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/24/2018 $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 UNC by callingng503.232.1987 or 1.800.332.2344.
Issued By: LjY Permittee Signature: ebivr �� 7�f
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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 Applicati F I ,FOR Of URI: 4l ON l z
City of Tigard Received
Date/By: 7/ // Penni'NO(C �I—IV-570
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax 503.598.1960 J U L. 19 2018 Other Permit:
Date/By:
T t cC A it 1) Inspection Line: 503.639.4175 Date Ready/By: �� Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF TI ARD Notifed/Method:7X-`l'I>"off Supplemental Information
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wr m� „F x ' Tt'Peiii'srti,oil ® 9 t A1kiri1i° . UXEMechanical
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0construction ®Addition/alteration/replacement . - v .
anical permit fees*arc basedon thevalue of the work
Newperformed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0
Other: S mechanical materials,equipment,labor,overhead,and profit.
1Xit jOyL �7l UCIO e *.,.. ..„74.7.,r�"z x— -1 i,� r ,Y . ,, ...T , h � i\ . .. � . . , . n ..- .. > j 93Wm �U \ (,o ,--ft
o 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
lI4 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. ] Total
' e• M itiiivrS81F YO-i,V, g A Ct P Heatin:coolie_
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Air conditioning 1 46.75 46.75
Job site address:10900 SW 76th Place Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100.000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:65 Project name:Searles,HVAC 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
r..z' , x All• l �� i -><,W N.'X��„,4r, WI: Gas f •lac&insert 33.39
Flue vent far water heater or gas
Replace AC,existing. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
t t z13 �" ' 4'- ta , Other: 23.32
. d ' - ,4 * . , l' 4' ° '
Environmental exhaust and ventilation:
Name:Warren&Jackie Searles Range hood/other kitchen
equipment
Address:109000 SW 76th Place#65 33
Clothes• er exhaust 33399
City/State/ZIP:Tigard OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)907.7203 Fax:( ) Attic/crawispace fans 23.32
4 .,--. i� ,; ivg,%0,�,If v 1 ..alwa `„l� I ; ', Other: 23.32
Fuel piping:
Business name:See Contractor 514.15 for first four;$4.03 far each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Walt/suspended/unit heater
City/State/ZIP: • Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue _
- s7t�.«gc..c' �F ,gn 4'„r,.,e � , �' �a.+z,�.- z.r .;^r q a ., Clothes d t- •as
Other
Business name:Bull Mountain Heating t t s „
lid
Address:16968 SW 65th Avenue#144 Subtotal 46.75
City/State/ZIP:Lake Oswego OR 97035 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee)
Phone:(503)612.6677 Fax:( )none State surcharge(12%of permit fee) . 10.80
CCB lie.: 157814 TOTAL PERMIT FEE 100.80
��.-- This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Authorized signalirmir' . Fee methodology set try Tri-County Building Industry Service Board
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10900 SW 76TH PL 65, TIGARD, OR, 97223 July 26, 2018 at 10:22:30 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00570
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Minor label # ELS 661082, 649706
Replace ac in existing location.
Violation Summary:
Inspector Contractor