Permit (154) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00873
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2018
I l` Dg Parcel: 1S125DA06400
Jurisdiction: Tigard
Site address: 9580 SW 69TH AVE
Project: ANDERSON Subdivision: KINGS VIEW Lot: 50
Project Description: Converting to gas furnace and adding gas piping and NC. Placement of A/C unit must comply with manufacturers
requirements.
Contractor: QUO!TRAN Owner: ANDERSON, ERIC C&KRISTEN G
5720 NE GLISAN ST 9580 SW 69TH AVE
PORLAND,OR 97213 TIGARD, OR 97223
PHONE: 503-750-9612
PHONE: 503-960-4910
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 11/06/2018 $46.75
Type of Use: SF Furnaces<100K BTU 11/06/2018 $46.75
Class of Work: ALT Type of Const: Fuel Piping 11/06/2018 $14.15
Occupancy Grp: 12%State Surcharge-Mechanical 11/06/2018 $12.92
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $120.57
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 OUN by calling 50 '32.1987 or 1.%00.332.2344.
Issued By: 41 /
�. 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 RECEIVE' Received FOR OFFICE USE ONLY'
City of Tigard
Date/By: -
91 13125 SW Hall Blvd.,Tigard,OR 97223 NOV «-6 2018AMI ���� ���
1C Plan Review ,
.1111 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 r`
Internet: www.ti and-or. ov CITY OF TIG Date Ready/By: funs. 10 See Page 2 for
g g BUILDING DIVISIONotified/Method: Supplemental Information
TYPE j OF WORK, COMMERCIAL FEE*SCHEDULE -y CHECKLIST
Mechanical permit fees*are based on the value of the work
1:1 New construction � Kddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY QF CQNSTRUCTION �' Value:
$
RESH)EN 1AL EQUIPMENT/SYSTEMS FEES*
Ell-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Q
= e Heating/cooling:
4JOB SITE IN�C�RMATIQN,.AND;LOCA'I'��� �.
Air conditioning A 46.75
Job site address: 9c-e0 ,_, cl, ) GCI( Ay Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I Ci 1� cy„O l 61/ Q .. Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: tyj r Heat pump „ 61.06
T VO E '1 �.J�(1f u( '{-Y 414,.....fitiuct work 23.32
Cross street/directions to job site
hot water system 23.32
�� 1 Residential boiler(radiator or
tYW) �97CI 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
"� ��` Gas fir lace/insert33.39
/%;,,,
`_ . Isi F WO eP
Flue vent for water heater or gas
NVQ,-fi •tc:DEsout
(x, .�
fQ ' C: . _4 f,� T-O fireplace 23.32
Log lighter(gas) 23.32
' h�1(%4C 4, 4 i) J r 1 b - Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
P...-41',> 6 FEgTY OWN it <, .• ,r ,,.v.. Other: 23.32
Environmental exhaust and ventilation:
Name: E"V k L AIN (A e.�s 0 Range hood/other kitchen
�i,� !!�� equipment 33.39
Address: q s('i S ) V 2- Ave__ Clothes dryer exhaust 33.39
City/State/ZIP: 1- 4-� 1;ria Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(So3) 9'6 -4q/0 Fax:( ) Attic/crawlspace fans 23.32
4 APPL C 1 Y'` Other: 23.32
v., y,,r ❑ :. nwra" „° ACI' ,, „,
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc. (3 1
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CO . f OR Clothes dryer(gas)
Business name: Other:
t 1
�v^I e" I` .CCS i 1..'1 C(U 1 . d ECHANICA R I T FEE '
Address: 5-1'..0 „ _ is U n Cir.' Subtotal
City/State/ZIP: p Nk b {' . "\1 ', Minimum permit fee($90.00)
Phone:(Jt) ,) -1( 'i _tcf� ( Fax:( ) Plan review(25%of permit fee)
Ali l State surcharge(12%of permit fee)
CCB lie.: `sig( c-747TOTAL PERMIT FEE
l 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: VA T 0 Date: (, ( C r)
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: w; Permit Fed:'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\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9580 SW 69TH AVE, TIGARD, OR, 97223 December 13, 2018 at
11 :09:16 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00873
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Correction complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9580 SW 69TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00873
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
FA I L
Comments:
M1411 .8 locking access portcaps required
Violation Summary:
Inspector Contractor