Permit (195) CITY OF TIGARD MECHANICAL PERMIT
IIIII COMMUNITY DEVELOPMENT Permit#: MEC2018 00979
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2018
WARD g Parcel: 1 S136AD01100
Jurisdiction: Tigard
Site address: 6804 SW OAK ST
Project: WALTON Subdivision: VILLA RIDGE Lot: 1
Project Description: (1)tankless water heater,(1)range hood,and gas piping for heater,fireplace,and range.
Contractor: COST PLUS HEATING&AIR Owner: WALTON,ANDREW B
7132 N FESSENDEN ST 6804 SW OAK ST
PORTLAND, OR 97203 TIGARD, OR 97223
PHONE: 503-286-2009 PHONE:
FAX: 503-286-6552
FEES
Specifics: Description Date Amount
Water Heater 12/18/2018 $23.32
Type of Use: SF Flue Vent for Water Heater or Gas 12/18/2018 $23.32
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Range Hood/Other Kitchen 12/18/2018 $33.39
Stories: Fuel Piping 12/18/2018 $14.15
12%State Surcharge-Mechanical 12/18/2018 $11.30
Fuel
Fuel Types:
Gas Pressure:
Total $105.48
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.
y'
Issued By: 4•60r- ` 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 Folz oti'l i ISF.()NI.)
City of Tigard Received
Date/By:tif41) Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972 �{,
Phone: 503.718.2439 Fax: 503.598.1 " Plan Review Other Permit:
Inspection Line: 503.639.4175 Date By:
T I G A K D (� Date Ready/By: Jung: ® See Page 2 for
`
Internet: www.tigard-or.gov -0(6 Notified/Method: Supplemental Information
Mechanical permit fees*are based on the value of the work
❑New construction ction ®AddOther:on/alteratio performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other:
1316114° mechanical materials,equipment,labor,overhead,and profit.
% wa � tl ✓t s tY a5�, Value $
:. . ._ . ,r. y , .. ` � g 'I3 ' 1 s.' i
n
® l-and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
l o s a x '' 1'`, Y f!t Heating/cooling:
, amu ... . ,',,e =sue . .. :s.,, ,,<.
Air conditioning 46.75
Job site address:6804 SW Oak Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland or.97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Weie.A} 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 1 23.32 }-3.-,u
1 1 ,i o` v Gas fireplace/insert 33.39
'' .._ ..- ''_ : ,,.'' f... ,w,...,.. .,. 141'., ti.. .,s Flue vent for water heater or gas
Gas tankless water heater,hood vent,gas piping 3 80 C f I" N,.�t7a fireplace 1 23.32 23,
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
i Other: 23.32
.v+ ,.,_,. _. .r a := Environmental exhaust and ventilation:
Name:Andy Walten Range hood/other kitchen
equipment 1 33.39 33 31
Address: Clothes dryer exhaust 33.39
City/State/ZIP:6804 Sw Oat Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(408)307 2302 Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
�" ,.. .>.- {�ry ,. g. '� ` 1t .. .. �m,�j.'ttaa`t a7 *i�� �4c',..0"^_1.,.. _..mak ai .
Business name:Steve Sanderson Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater 1
Phone:(503't) 79/ _ go go Fax::( ) Fireplace I IL/.A--
Range
3Range 1
E-mail:stevecostplus@aol.com Barbecue
d r x,`tea -ti s 4 i e g. A r . rr aT ftV R Clothes dryer(gas)
Business name:Cost Plus Heating Other:
Address:7132 N Fessenden Subtotal GI ti /01
City/State/ZIP:Portland or 97203 Minimum permit fee($90.00)
Plan review(25%
Phone:(503)286 2009 Fax:(503)286 6552 of permit fee)
State surcharge(12%of permit fee) /1. 7v
CCB lie.:47978 TOTAL PERMIT FEE l d>Ale
This permit application expires if a permit is not obtained within 180
( � C. days after it has been accepted as complete.
Authorized signature: tTi�- C.t +� * Fee methodology set by Tri-County Building Industry Service Board
Print name:steve sanderson Date:12/18/2018
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)