Permit (29) CITY OF TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT Permit#: MEC2019-00004
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2019
Parcel: 2S103AA01801
Jurisdiction: Tigard
Site address: 10685 SW FONNER ST
Project: Anderson Subdivision: ECHO HEIGHTS Lot: 2
Project Description: (1)NC unit,(1)furnace,duct work,and fuel piping for furnace,water heater,and range. Placement of NC unit
must comply with manufacturer's installation requirements.
Contractor: WILLAMETTE HEATING&AIR CONDITIONING INC Owner: ANDERSON, JOSH
4760 SW HAMILTON 10685 SW FONNER ST
PORTLAND, OR 97221 TIGARD, OR 97223
PHONE: 503-284-3740 PHONE: 360-606-8688
FAX: 503-284-2821
FEES
Specifics: Description Date Amount
Air Conditioning 01/03/2019 $46.75
Type of Use: SF Furnaces<100K BTU 01/03/2019 $46.75
Class of Work: ALT Type of Const: Duct Work 01/03/2019 $23.32
Occupancy Grp: Fuel Piping 01/03/2019 $14.15
Stories: 12%State Surcharge-Mechanical 01/03/2019 $15.72
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $146.69
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332. 44.
Issued By: tt't-•Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio >.te.
This permit card shall be kept in a conspicuous place on the job site until c mpletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE 1 SE ONE)
Received
City of Tigard � jI Permit No.: J_ t
13125 SW Hall Blvd.,Tigard,OR 97� � Plan Revie
II eb Phone: 503.718.2439 Fax: 503.598.1960 c� 2.OV Date/By: / Other Permit:
rq� Date/By:
T I G A R D Inspection Line: 503.639.4175 .�1ADate Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov . r-yY � y� Notified/Method: .r Supplemental Information
TYPE OF COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction Q Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
[kr1-and 2-family dwelling CICommercial/industrial 0 Accessory building For special information use checklist
' ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Y..
Job site address: Air conditioning j, 46.75 tie,.2 L�
06Furnace 100,000 BTU(ducts/vents) / 46.75 16,7 j
City/State/ZIP: D� Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: !! [[ j Project name: Heat pump 61.06
ti t/ Duct work , 23.32 )3 .'5.4,,
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
DESCRIPTION` OF WORK•, Gas fireplace/insert 33.39
Flue vent for water heater or gas
ifireplace 23.32
)( F " ,F/ /'^' Log lighter(gas) 23.32
L �J ` Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER TENANT Environmental exhaust and ventilation:
�.�
Name: / Range hood/other kitchen
—" equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ 'CONTACT Pft ON Other': 23.32
Fuel piping:
Business name:
c,444---
6+ $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
/
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater /
/41-i 5
Phone:( ) Fax::( ) Fireplace
Range
3
E-mail: Barbecue
ONTRACTO R Clothes dryer(gas)
Other:
Business name: C �� MECHANICAL PERMIT FEES*
Address: Lj 20.0) /z?4, i /�1 Subtotal ric.`7
City/State/ZIP: ((-" Ste`r l Minimum permit fee($90.00)
Phone:( VFax:( ) Plan review(25%of permit fee)
,27-T7,74/4) State surcharge(12%of permit fee) /c"-. 7,2.
CCB lic.:`59 1/ TOTAL PERMIT FEEL/.14,•,(i5
This permit application expires if a permit is not obtained within 1 0
days after it has been accepted as complete.
Authorized signature:_ J _• / * Fee methodology set by Tri-County Building Industry Service Board
Print name: / .Q I> - Date f/�'./l 9
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;, Permit Fee:
$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
f
rrmi
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10685 SW FONNER ST, TIGARD, OR, 97223 January 15, 2019 at
11 :41 :34 AM
Record Type: Record ID:
Residential - Mechanical MEC2019-00004
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Gas line test 30 psi, 15 min.
Green tagged at meter location.
Gas furnace only appliance installed at this time.
Violation Summary:
Inspector Contractor