Permit (194) CITY OF TIGARD MECHANICAL PERMIT
I
■' ' COMMUNITY DEVELOPMENT Permit#: MEC2018-00980
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2018
T t i A I.Z.Cr g Parcel: 1S133CD05000
Jurisdiction: Tigard
Site address: 13645 SW FEIRING LN
Project: WARNER Subdivision: COTSWALD MEADOWS Lot: 48
Project Description: Replacing existing gas furnace and NC.
Contractor: AIR MASTERS HEATING&AIR CONDITIONING INC Owner: WARNER, HAROLD E&BETTE K
2858 LIVINGSTON ST NE 13645 SW FEIRING LN
SALEM, OR 97301 TIGARD, OR 97223
PHONE: 503-244-8880 PHONE: 503-804-3258
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 12/18/2018 $46.75
Type of Use: SF Furnaces<100K BTU 12/18/2018 $46.75
Class of Work: ALT Type of Const: FlueNent For Any of Above 12/18/2018 $23.32
Occupancy Grp: 12%State Surcharge-Mechanical 12/18/2018 $14.02
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ay obtain copy of the rules
or direct questions to OUNC by calling +3.232.1987 or 1.800.332.2344.
Issued By: L., ,. , /`/ itteeSig nature: `^ii` r%%lam
71
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
Mechanical Permit Application Q FOR OFFICE USE ONLY
Cityof Tigard DEC 1 S 2018 Received -MAI�j
g Date/By: I�/l /e �, i A i7�
13125 SW Hall Blvd.,Tigard,OR 97223 CITY Tyr Plan Review
• i r �� p Other Permit:'
Phone: 503.718.2439 Fax: 503.598.1960 S Date/By:
Inspection Line: 503.639.4175
BUILDING ����`��`� Date Read/B Juris: ® See Page 2 for
l'IGARD Ready/By:
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
tet/8W. RCIAL FEE* SCHEDULE - USE CHECKLIST
4 . ,. ,, E OF WORK ;,
Mechanical permit fees*are based on the value of the work
O New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
w ."RESIDENTIAL EQUIPMENT/SYSTEMS FEES* $rs
-12 -1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
O Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: (?3(/ y -,7 S s IA) ,�.e , re....(N& L Ai ; Furnace 100,000 BTU(ducts/vents) ( 46.75
City/State/ZIP: •-r-j & , (pre..., ct 7 z 2.3 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: vs.e._ sc.44-6CL ,2( Hydronic hot water system 23.32
r.'(/L
Residential boiler(radiator or
77j J 3 S-1-(k 1 I ).Z I 01/416- i11- ) hydronic) 23.32
Unit heaters(fuel-type,not electric),
(LT'. J•{-i L. L (LT-+ in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above i 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
t Gas fireplace/insert 33.39
• SCRiPTION OF`5 ,e ..,m _ �•*'' ^<�::'.
Flue vent for water heater or gas
P'vA- -c £x J ST1 t J(�- Alt4-7-,, Cr fireplace 23.32
i p A+ Log lighter(gas) 23.32
,
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
i�VNER TENANT~ Other: 23.32
.p7'19 RIO
•,-t"'` ^ A Environmental exhaust and ventilation:
Name: l `d --2 -.- ' w44-e._JJ P-4f Range hood/other kitchen
- equipment 33.39
Address: ( '3(o 5 lig.) �1 IJ( L xf 1 Clothes dryer exhaust 33.39
City/State/ZIP: /� GSingle-duct exhaust(bathrooms,
�j (� ` (7„ ` j Z�3 toilet compartments,utility rooms) 23.32
Phone:(fj5O ) ?v I _ 37....5-i( Fax:( ) Attic/crawlspace fans 23.32
- Other: 23.32
; . a {APPLICANT .ry r 0CONTACT PERSON 6.• `'
n _ Fuel piping:
Business name: l4i I2_ im k.e rcA ,-�(- .�-A_c_
S $14.15 for first four;$4.03 for each additional
Contact name: 2` v4 (Ain.-e jri\J Furnace,etc.
Address: 4 7 1,4 (74-t- C 14 5 - N,E , Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: ..fruAni
C L , 173OS Water heater
Phone:( 3) z`4 ( ) Fireplace
/ _ c( � Fax::
Range
E-mail: Barbecue
r¢ CONT iCT( Clothes dryer(gas)
Business name: A- "4 A-.4- S T 06._ .-4-e Other:-
MECHANICAL PERMIT FEES*
Address: 4 7 I (74-ra-1 C-i 4 s+ A..),67- Subtotal
City/State/ZIP: $ 0 2 , 9 7 3os' Minimum permit fee($90.00)
T Plan review(25%of permit fee)
3
Phone:(, ) Z eiq r g'�gv Fax:( ) State surcharge(12%of permit fee)
CCB lic.: I 7 q (p� TOTAL PERMIT FEE
Authorized signalre: J0 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
.,..e.„6/,:
* Fee methodology set by Tri-County Building Industry Service Board
Print name: 'RA C14-kkfuj Cyt t,esC,e, J Date: (7l i 1 e
\ \ \M
I.BuildingPermitsEC_PermitApp_040113.doc 44'0`-4411617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
To :Valuation: ' Permit Feer
$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:
13645 SW FEIRING LN, TIGARD, OR, 97223 February 15, 2019 at
8:02:53 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00980
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
No permit for ac reconnect.
No inspection done at this time.
Violation Summary:
Inspector Contractor