Permit (112) CITY OF TIGARD MECHANICAL PERMIT
` ' ' COMMUNITY DEVELOPMENT /�' <: /4'� Permit#: MEC2018-00788
•�4" S'*' ' Date Issued: 10/03/2018
T l(.1 A p ID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.243940: y
`'4' �� Parcel: 2S111CD04700
Jurisdiction: Tigard
Site address: 15980 SW BRENTWOOD CT
Project: MCCAULEY Subdivision: SUMMERFIELD NO.9 Lot: 506
Project Description: (1)bathroom exhaust fan for addition above existing garage. 4/8/19:REPRINT to add(1)heat pump.
Contractor: RENOVATE INC Owner: MCCAULEY, DEE M
8425 SW CHARLOTTE DR PARKER, RICHARD W
BEAVERTON, OR 97007 %CLOSE, HELEN, LIFE ESTATE
15980 SW BRENTWOOD CT
TIGARD, OR 97224
PHONE: 503-502-0323 PHONE:
FAX: 503-356-2338
FEES
Specifics: Description Date Amount
Heat Pump 10/03/2018 $61.06
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 10/03/2018 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/03/2018 $5.62
Stories: 12%State Surcharge-Mechanical 10/03/2018 $10.80
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the les adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: -14
-"OrrPermittee Signature: / �/
P
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.,,.77
Mechanical Permit Applicatt 1 :1-----J. '-'..-', V ----;-.1
City of Tigard APR - 8 2019 Received
Date/By: 4/ 77 Pio,fe-dsabp---- 711--
: 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
' I Phone: 503.718.2439 Fax: 503.598.1960 '1'7 .—..)s.: fl GARD Date/By: Other Permit:
Inspection Line: 503.639.4175
I Ic;Ant) BUILDAG DiVi3ION Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Me . •- Supplemental Information
TYPE OF WORK
fillp COMMERCIAL FEE* SCHEDULE,- USE CHEL'ICLIST
__ Mechanical permit fees*are based on the value of the work
, ,
1_1 New construction yr Addition/alteration/replacement 'N41111 performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
El Demolition El Other:
Value:$
' ".=• ' CATEGORY OF CONSTRUCTION •
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMeT10,'N Heating/cooling:
Air conditioning 46.75
Job site address: , 1-1(4--" l',Y OP Liti/17) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '17 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump S 61.06
Suite/bldg./apt.no.: 1 Project name:
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
1
Residential boiler(radiator or
hydronic) 23.32
1 t5;6, '1 I — c) ,--)---(5--t 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: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
HESCiHPFION OF WORK , ,li, 41:J;;;!4::-•411 Gas fireplace/insert 33.39
V1173'-'". * ' , frr,23,7 ' Flue vent for water heater or gas
M ) 1.--crt--r _
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
0 PROPERTY 0 4:I' ' JJ 'FEN 0- ••• •-•"'`..
- • •• --,•k•-•,, --?'",-, Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
'motrAPPLICAN'I' ''' " lj leOliTA&""FERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: M) v„) - 67 . Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/Z1P: Water heater
_,....,
Phone: 7/ ) -,•,t,'.7/1--..- £ ? 2- :( )
2-'3 Fireplace
Range
E-mail: Barbecue
- =
CONTRACTOR Clothes dryer(gas)
Business name:/2511 (r7le-16te->1.-4 ei'ltN. ene _...r - Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE :
This permit application expires if a permit is not obtained within 180
i - days after it has been accepted as complete.
Authorized signature:
Print name: Date: * Fee methodology set by Tri-County Building Industry Service Board
*ft,-
yi _ 4r/e/r7
I:\Building\Permits\MEC_PermitApp_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 MECHANICAL PERMIT
■, COMMUNITY DEVELOPMENT Permitil: MEC2018-00788
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2018
Tic ;L i<T) 9 Parcel: 2S111CD04700
Jurisdiction: Tigard
Site address: 15980 SW BRENTWOOD CT
Project: MCCAULEY Subdivision: SUMMERFIELD NO.9 Lot: 506
Project Description: (1)bathroom exhaust fan for addition above existing garage.
Contractor: RENOVATE INC Owner: MCCAULEY, DEE M
8425 SW CHARLOTTE DR PARKER, RICHARD W
BEAVERTON, OR 97007 %CLOSE, HELEN, LIFE ESTATE
15980 SW BRENTWOOD CT
TIGARD, OR 97224
PHONE: 503-502-0323 PHONE:
FAX: 503-356-2338
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 10/03/2018 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const:
12%State Surcharge-Mechanical 10/03/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/03/2018 $66.68
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'lies 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.
--7--
Issued By: Permittee Signature: !/1 it
i
nCall 503.639.4175 by 7:00 a.m.for the next available inspectio 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
Received
City of Tigard Date/By: Permit No.: o
's 13125 SW Hall Blvd.,Tigard,OR 97223 )����
Plan Review
503.718.2439 Fax: 503.598.19t Date/By: Other Permit:
5ls�
� (�}'
Inspection Line: 503.639.4175 EI E Date Ready/By:
® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
11 i -•3 1018
<, TYPE OF ' RK N COMMERCIAL FEE* SCHEDULE "USE CHECKLIST
*, ET 'O F.I,- 3ARD Mechanical permit fees*are based on the value of the work
❑New construction �Addition/alt_ . ,�' ( performed.Indicate the value(rounded to the nearest dollar)of all
,
mechanical materials,equipment,labor,overhead,and profit.
0 Demolition 0 Other:
CATEGORY OF CONSTRUCTIO$1 `: .' ' Value:$
v
,.. � �. RESIDENTIAL� aG �� :.
QIJIPMENT/SYSTEMS FEF ".
and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
"' , `` � Heating/cooling:
JOB SITE'046 r TION AND L CATION
„.i.,-;'!
" Q� """n - Air conditioning 46.75
Job site address: 1 6 1 v Ypirwf- or ��' Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:
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 23.32
�E PTI F WOE Gas fireplace/insert 33.39
" k. Flue vent for water heater or gas
tTli fireplace 23.32
/ Log lighter(gas) 23.32
CA /mi )- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
a Other
❑}PROPER -„NrER 3 •. ? IIANT '
Environmental exhaust and ventilation:
Name: t7,01 MO/ /' Yi//WI” Range hood/other kitchen
Address: `�� , f��j � equipment 33.39
� g f P feb`�'� Clothes dryer exhaust 33.39
City/State/ZIP: / Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32 1. . 3A
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPI �t a ., PERSON , ' Other: 23.32
Business name: Fuel piping:
�✓t'� S $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
,, 'r CONTRACTOR" �` Clothes dryer(gas)
./ k 0 G• Other:
Business name: ` `I I PRMIF FEES*
Address: g a •. 1\IE'� '.,vim.,�. . 4
�2 Subtotal 2:,3aCity/State/ZIP: V 4p:
Minimum permit fee($90.00) fl1.1-:..0
Plan review(25%of permit fee)
Phone: ).3 "--? 2—‘, 3 7 3 Fax:( )
State surcharge(12%of permit fee) /O..
CCB lic.: <f/ e Jr I TOTAL PERMIT FEE j t til..
1 v This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: // i * Fee methodology set by Tri-County Building Industry Service Board
Print name: M ,— g� V v � ' Date:I/s D 1 r f f
I.\Buildng\Permits\MEC_PermitApp_040113.doc vvv��_ 440JJ-4617T(1111/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Totalt ?aluation: 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
Tel: 503.718.2439
Location: Inspection Date:
15980 SW BRENTWOOD CT, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2018-00788
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor