Permit CITY OF TIGARD MECHANICAL PERMIT
' f• COMMUNITY DEVELOPMENT Permit#: MEC2019-00146
Date Issued: 03/12/2019
T i ,k IZ t7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S114A603600
Jurisdiction: Tigard
Site address: 16515 SW 93RD AVE
Project: 19R004 Subdivision: KNEELAND ESTATES Lot: 23
Project Description: Adding(1)range hood and(1)gas pipe.
Contractor: COST PLUS HEATING&AIR Owner: DOWLER, HAROLD C&GAIL K
7132 N FESSENDEN ST PO BOX 230301
PORTLAND, OR 97203 TIGARD, OR 97281
PHONE: 503-286-2009 PHONE:
FAX: 503-286-6552
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 03/12/2019 $33.39
Type of Use: SF Fuel Piping 03/12/2019 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/12/2019 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/12/2019 $42.46
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to C by. ing .232.1987 0 .800.332.2344.
Signature:
Issued By: / � Permitteete ,/:1/41�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati Ftnz()Fric t. t sE()Ni.)
,,,._,1 ;: D
Received
City of Tigard Date/By: MIAWAI 4iikar' _ lk L'
1111 " 13125 SW Hall Blvd.,Tigard,OR 97223
' I Phone: 503.718.2439 Fax: 503.598.1960 MAR 1 2 2019 Plan ReviewDate/By:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: ill ffl See Page 2 for
Internet: wvvw.tigard-or.govF Notified/Method: Supplemental Information
TYPE. 1r3woix
Mechanical permit fees*are based on the value of the work
0 New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
, •- , .. ,'..> . , -
Value:$
W , ..„"1„,i , ‘
• - .,,...,"-.- ,..1.'''-'-'' ' -' ' . ' -'RESIDENtlittltillIPIONIVSVIFIVAOPEES*- ,""
[E] 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
. ,- - •, , --.. -- "-..'"- Heating/cooling:
giitoSti ,:04*tOciimorc,= ,' ,, ,' „ -, -,,-
-`, , _,,,-,,',•-''., ., ',.i." Jow.srrE „ ,, ,„ „. ,,,- .,'. , .,. ... -,,' -,. ,''-', .,-,-.,-4,- 46.75
Air conditioning
Job site address:16515 sw 93 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:tigard or 97224 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'Dtscalmototw--woRx ., ' ,-......., , ,,,,,,,,,,,„...,:1-,-,..-. - Gas fireplace/insert 33.39
Flue vent for water heater or gas
Range hood installation fireplace 23.32
Gas pipe 1 out let Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
..,,,„,„,,,,,•,-,...„,,,,,,ii,,;..4,......„„,,,.,.....,,...,,,.::-- ,,,t.....-.1:.,...,,. ,..',.. k",---",,.,,,b,tet;imi Other: 23.32
ravkrr.r.ayi x-OWNER ' , ---••`;-.......',--i--.''. - ' ',' ''',.'. ' -' Environmental exhaust and ventilation:
Name:Gail Dowler Range hood/other kitchen
equipment 1 33.39
Address:16515 SW 93 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard Or.97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
02:App ut:ANT'f:':,- :,5'',,,,,,''S:Fr:''-:%!::;,..-;::. 1:1%Celkjrt4C4::rt'it§'aj;t:T''':- ''''' Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Steve Sanderson Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range 1
E-mail: Barbecue
',. .''''''-'•:.,' „. ''.'.'''''''':"..,''''' : ''', •4.titSTIltitj—Crelt. ,.. -. - ., -.4,,. :.-...,.... .. . ..., .-..- Clothes dryer(gas)
, ,, '". - , '"' --. '' - '
Other:
Business name:Cost Plus Heating&Air
-•';'''',:,:, MLPER
Address:7132 N Fessenden Subtotal
City/State/ZIP:Portland Or.97203 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)286 2009 Fax:(503)286 6552 State surcharge(12%of permit fee)
CCB lie.:47978 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:jilit4„,_ ,,i, (1— * Fee methodology set by Tri-County Building Industry Service Board
Print name:Steve Sanderson Date:5/ 2//,
I.\Building\Permits\MEC_PermitApp_040113 doe 440-4617T(11/02/COM/WEB)
_ 1
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16515 SW 93RD AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2019-00146
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor