Permit (191) CITY OF TIGARD MECHANICAL PERMIT
IIICOMMUNITY DEVELOPMENT Permit#: MEC2018-00968
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2018
TIC.;ti i.Dg Parcel: 2S114BB17300
Jurisdiction: Tigard
Site address: 10236 SW STUART CT
Project: GLOVER Subdivision: RIVERVIEW ESTATES Lot: 19
Project Description: Replacing gas furnace.
Contractor: BULL MOUNTAIN MECHANICAL Owner: GLOVER FAMILY TRUST
13580 SW RHETT CT BY GLOVER,JASON&CRISTEN TR
TIGARD, OR 97224 10236 SW STUART CT
TIGARD,OR 97224
PHONE: 503-612-6677 PHONE: 503-713-8236
FAX: 503-692-3084
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 12/13/2018 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 12/13/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/13/2018 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtai a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 1
Issued By: �Zi� ittee Signature: .
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE LSE 011.1
City TigardE Received
of R E _. VE® Date/By: i �i I1iI► , `L .M
li - 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598 1901- n, Other Permit:
UL U 1 6 2018 Date/By:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: ]oris: 0 See Page 2 for
Internet: www.tigard-or.govNotified/Method: Supplemental Information
CITY Cr � GARD
,3 BUILDING I
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Mechanical permit fees*are based on the value of the work
❑New construction r Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
a Value:$
4 <)k 4 a. ' i of 6! ]q t+ i, 'r4,... ra 7_":, ros . :az
�,`',�_:. .. . "a.a: . ..,..:. . fid., 'M.. B P] .'. i 1 t �: tl N 1. �d n
Ey'1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
F: T .� :__ J Heating/cooling.
. ,:.,,'u�l ,_.'�•E:, k �' I .! , =.., 1 1 �..t f ' ;,.s �� k ::i � .:,
n Air conditioning 46.75
Job site address: tl 3nflUill Furnace 100,000 BTU(ducts/vents) 1 46.75 46.5
City/State/ZIP: '/ ,re( 0-y2- - 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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'',_-1-1.,,,,b,.): � : i , ,f Gas fireplace/insert 33.39
.,„ � • � t . Flue vent for water heater or gas
lifa / naL-ei— fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
it,-, e -, ` - .-° . .; Other: 23.32
t '"„, ° °„� '^° ;�` x„^ ventilation:Environmental exhaust and
j - / Q Range hood/other kitchen
3 equipment 33.39
Address: MIIMIII
Clothes dryer exhaust 33.39
City/State/ZIP: s k J q 1 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:f59 ) ' J 3 g 2 Fax:( ) Attic/crawlspace fans 23.32qrr s e s ' 23.32
Other•
. I d wffimwrmmi Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: \Tt lt_ / . Furnace,etc.
Address: 0 u/ i, t0 Yte w e t /1, Gas heat pump
Wall/suspended/unit heater
I.. Water heater
Phone: U )(p 1 2._. 6 6 Fax::( ) Fireplace
Range
Barbecue
Business name: / p Other: ';-
Address: f i p z , /u ', / Iiia - ! S -fa / 0 Subtotal ,
City/State/ZIP: lAX A % q 4- Minimum permit fee($90.00)
Phone: /� Plan review(25%of permit fee)
3 ) G L- , 4, Fax:( )
State surcharge(12%of permit fee)
CCB lic.: 5 gi AiiiiMEMEMEMIMIll i 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name: Darle n1 e 4-GIS e n Date: pi r
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)