Permit (113) CITY OF TIGARD MECHANICAL PERMIT
: COMMUNITY DEVELOPMENT Permit#: MEC2018-00796
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2018
T r ' �`Dg Parcel: 2S103DA06500
Jurisdiction: Tigard
Site address: 10985 SW MIRA CT
Project: Sullivan Subdivision: MIRA PARK Lot: 3
Project Description: Installing(1)wood burning fireplace insert and(1)chimney vent.
Contractor: OWNER Owner: SULLIVAN, SEAN P
SEAN SULLIVAN 10985 SW MIRA CT
10985 SW MIRA TIGARD, OR 97223
TIGARD, OR 97223
PHONE: PHONE: 503-701-6342
FAX:
FEES
Specifics: Description Date Amount
Wood/Pellet Stove 10/04/2018 $33.39
Type of Use: SF Chimney/Liner/FlueNent 10/04/2018 $23.32
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/04/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/04/2018 $33.29
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: �
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City TigardE v�"� V' Received r��/
of ��`� �y, f .>t�I/1�/�i '�/I�• _. �/l� /_' � i
- '.', Date/By: f
III q 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Revi
Phone: 503.718.2439 Fax: 503.598.1960Other Permit:
InspectionLine:
503.639.4175 OCTC4 2018 Date/By:
T I GARDDate Ready/By: Juris: Ei See Page 2 for
Internet: www.tigard-or.gov a Notified/Method: Supplemental Information
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,ter ^`"� `"��" fir" Mechanical permit fees*are based on the value of the work
❑New construction [V]^Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
'1,
j P % ..t ;; Q ,, fir`, /'l ,'r. :�'y yf:,;(2,.i' '. ,'�rr,i,46/ir/rF;^f�'d ,.'r,�, ,'f,;,s-'
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4-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
'F' / j;�='.f' ' rJ,fi ,/,‘,..#/,x,,,,,„,_ /4, �}i /..-'14:7;`%/".<0.//i' fox r'J�/ �= Heating/cooling:
��/ rf fFs� ;�. 41;'11'',A."7" ! '' mo i/ '';/ .` /
Air conditioning 46.75
Job site address: , 01 sS C>w ',At cAou,g,-C Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 'A ,e__0 • O R 011-1-1.3 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
1, {
f(/1. Q-A .0 J 9-"'r 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
fir' rd //'``'�i`''`/'/�i'� ! ":`1✓ rii�iir�r� /�:``.'-` ''';';''.:°:"/"/ '
:/.,',/�/1�,�%i/ ,,F//'! / '41 ot, /,�,.
, '''' ;•t d g i/ ' � 1 r ''2 Gas fireplace/insert 33.39
p Flue vent for water heater or gas
L1n.S �V1 tv O loVcr.:nh c y 2 1 _ fireplace 23.32
Log lighter(gas) 23.32
t1' 't- `,,,Q J ch l V44--• Wood/pellet stove 33.39
Wood fireplace/insert 1 23.32 1 S.3 .
Chimney/liner/flue/vent i 23.32 •Z3-3L
4e //err r,, ..4•...,,44,4,,,, ,, ///0.47,,,,,,,,,y4:4,-'/ ri / Other: 23.32( / ,d ., r�,,v , 1 /;;;",,S', /":7;-,.//t/ f//.f " ,
1,, Environmental exhaust and ventilation:
Name: '. S J 1,1_,IvANI Range hood/other kitchen
� equipment 33.39
Address: e Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5-0-S) '(-O' • Cv 7,.`-V2_, Fax:( ) Attic/crawlspace fans 23.32
,, 'rfi / // ?14" Q1 "�r ,. / 4f " 4r7 / rrr %
Other: 23.32
// .4 4,4rr, 'i ,/r ,,,. r. ,,444. 4,,,,,,,,,444:7,44,,r ,,, 4: f'f rir � ;
44
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: d `' "G Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
r///e a ® Y/ e�r f r 7 d// %/
��,�.rr o �/� �����irrrrr', � - �,r�,r��,,rrr; %f �,�'��j� :�� ��/ a� Clothes dryer(gas)
Ocow rd Other:
Business name: f ` r T [�
! !
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:C2-1r).------------
* Fee methodology set by Tri-County Building Industry Service Board
Print name: 6k(4 K, V 1-,L,l t!ftp Date: (J id H 114'b
I:ABuilding\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:
�%/�'/l// � ry/F�/�4`��/ � ?."Gf��'%"
!?+ ��H '':,r /r•'.,.,:
$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\Pernuts\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10985 SW MIRA CT, TIGARD, OR, 97223 October 19, 2018 at
10:30:19 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00796
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor