Permit (185) 111,, ,, CITY OF TIGARD MECHANICAL PERMIT
$i COMMUNITY DEVELOPMENT Permit#: MEC2018-00963
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2018
Parcel: 2S 106 DA00500
Jurisdiction: Tigard
Site address: 13335 SW 169TH AVE
Project: River Terrace East,Lot 5 Subdivision: RIVER TERRACE EAST Lot: 5
Project Description: A/C installation. Placement of NC unit must comply with manufacturer's installation requirements.
Contractor: PRO HEATING AND COOLING INC. Owner: WILLIAM LYON HOMES INC
2095 NW ALOCLEK DR, SUITE 1103 703 BROADWAY ST STE 510
HILLSBORO, OR 97124 VANCOUVER,WA 98660
PHONE: 503-443-5692 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 12/12/2018 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 12/12/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/12/2018 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: G .ra -- ee Signature: , /
Call 503.639.4175 by 7:00 a.m.for the next available i s ction date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application Folz mu ICE USE ONLY
CityReceived of Tigard nate/By: `T'^' PermitNo.:
II '" 13125 SW Hall Blvd.,Tigard,OR 97223r h��
it Phone: 503.718.2439 Fax: 503.598.1960 IV 1Ms. Other Permit: .....
TI G A R L) Inspection Line: 503.639.4175 Date Ready/By: Page
Internet: www.ti and-or. ovSee 2 for
g g Notified/Method: ®..Supplemental Information
DEC 1 � 2018
TYPE OF WORCITY OF TIGARD COMMERCIAL FEE* SCHEDULE-USE pCHECKLIST
#ia9e�/SIt�P Mechanical ermit fees*are based on the value of the work
❑New construction ❑Addition/alterat11c4i# performed,Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials.equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION - „
_Air conditioning ( 46,75 14(,.'71
3
Job site address: , J Furnace 100,000 BTU(ducts/vents) 46.75
�V
City/State/ZIP: ?:¢p uj ILL 0 R. c\"1-4304 ,Furnace 100.000+BTU(ducts/vents) 54.91
1 � Heat pump 61.06
Suite/bldg./apt.no.: Project name: KE "R..1 u l a/�..-17'ar / iDuctwork23.32
Cross street/directions to job site: Ilydronic hot water system 23.32
Residential boiler(radiator or
_. � 17
, hydropic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75 ,
.
Flue/vent for any of above 23.32
I Other: 23.32
Subdivision: ma� '`f I v T Lot no.: 5
��'` Other fuel appliances:
SL
map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
1"` \6 AC— F-fireplace 23.32
' Log lighter(gas) 23,32
Wood/pellet stove 33.39
Wood fireplace/insert23,32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment33.39
Address:
„„,,,,,„„,,_„,„, _ Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
-- i toilet compartments,utility roams) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
M APPLICANT lit CONTACT PERSON Other: 1 23.32
Fuel piping:
Business name:-PDLit,D�.k w
_ $14.15 for first four;$4.03 for each additional
Contact name: � 55,� ( Furnace,etc.
Address: I Del t 13Th 2 s�. Gas heat pump
-- . v� �.- 3t.ri..i----.-••---•.•--.-,------ Wall/suspended/unit heater
City/State/ZIP: Y9q b Water heater
—�+k�l,`.�IXL.�.Up PA,_.�_�..___15 to 1p
Phone:( ) Fax::( ) Fireplace
b3 3.4 t-.'Sb S�
Range ,
E-mail: Chi 1�,¢n seal ��n .COeZ
i
Barbecue
CONTRACTOR Clothes dryer gas)
Business name:Pro Heating and Cooling,Inc Other:
-_.. -» MECHANICAL PERMIT FEES*
Address:2095 NW Aloclek Dr,Suite#1104 Subtotal
City/State/ZIP:Hillsboro Oregon 97124 Minimum permit fee($90.00) 161,,,
Plan review(25%of permit fee) —
Phone:(503)443-5692 Fax:(503)941-5075 State surcharge(12%of permit fee) ( k0.,. +
_ m_
CCB lie.:209001TOTAL PERMIT FEE l-
CJi`r 4 .i t: pa.'D 0 rte:
'Phis permit application expires if a permit is not uhtas"rted within ISO
days after it has been accepted as complete.
Authorized signature: ,p...,-," � a Fee methodology set by Tri-County Building Industry Service Board
Print name:Elia Duran Date:12)12118
t:\BuitdinglPermits\M EC._PermitApp_040113.dec 440-4617T(11102/COMAYEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13335 SW 169TH AVE, BEAVERTON, OR, 97007 December 13, 2018 at
2:08:53 PM
Record Type: Record ID:
Residential - Mechanical MEC2018-00963
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor