Permit (160) CITY OF TIGARD MECHANICAL PERMIT
' 1 ' COMMUNITY DEVELOPMENT II
Permit#: MEC2019-00266
t t(,A I? f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2019
Parcel: 2S103DC00821
Jurisdiction: Tigard
Site address: 11290 SW FAIRHAVEN CT
Project: Kirkham Subdivision: VIRGINIA ACRES NO.2 Lot: 14
Project Description: Installing(1)heat pump.
Contractor: PETRA HEATING&AIR CONDITIONING Owner: KIRKHAM, TIMOTHY
15875 SE 114TH AVE SUITE F 11290 SW FAIRHAVEN ST
CLACKAMAS, OR 972015 TIGARD, OR 97223
PHONE: 503-253-3263 PHONE: 971-533-6320
FAX: 503-253-3261
FEES
Specifics: Description Date Amount
Heat Pump 04/29/2019 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 04/29/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/29/2019 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy,of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - / ermittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application : l OR 014 ICI. I,SI.O\I.I
City of Tigard Received L'"" (2. %JI ��
13125 SW Hall Blvd.,Tigard,OR 97223 "
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
' ` Date/By: Other Permit:
�-i c;ARD Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
irtr- t*0141.'',;• ,.n .v ,. ....:: �.:; :C QMIi'IER CIAi,rB *SCUEP) �t-,•; ST
Mechanical permit fees*are based on the value of the work
❑New constructionAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY off' CONSTR ....:.„ON ;
Value:$ 5ts co
r. x:,... . ... RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
JAI 1-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
JOB SITE INFORMATION AND LOCATION?Heating/cooling:
Air conditioning 46.75
Job site address: I)2 q 0 5%,) 114/46j/en Ct. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tl ffurA , R 7 7 -5 Furnace 100,000+BTU(ducts/vents) 54.91
pump f 61.06 �1.0`
Suite/bldg./apt.no.: Project name: hitt" L' y )nb ll
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
D` 4, ",t fro Gas fireplace/insert 33.39
:4:-'--. .t ��' '" fir , . Flue vent for water heater or gas
7.1.,Fa! 14u 'J e tr m p fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER.- 'TENANT Environmental exhaust and ventilation:
Name: 7-4 y!l Ohl u i<jr Range hood/other kitchen
n 1 f equipment 33.39
Address: IJ of�() 5 w �w:,4 Ge‘t CO, Clothes dryer exhaust 33.39
City/State/ZIP: 7i,!, tot. G 7 Single-duct exhaust(bathrooms,
°� ( / toilet compartments,utility rooms) 23.32
Phone:(5/1 ) S 3 — 02D Fax:( ) Attic/crawlspace fans 23.32
ju If ti i.,CONT-ACI('PERSON Other: 23.32
Fuel piping:
.x,.,. r .
Business name: 4 fki p p g
$14.15 for first four;$4.03 for each additional
Contact name: 5 Krile (4$ c iavt Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
y
Business name: 1 G 'I'w 14 ! it. e1//r C 4dt till► n
MECHANICAL PERMIT FEE
Address: 15-57S &E WV* Ave, Ste,f Subtotal
City/State/ZIP: Minimum permit fee($90.00)
�1acK api•s OK rj 015
(SO? ) 5 3 - 3).6 (SO)) ) 53-3a61 Plan revw(25%of permit fee)
Phone: � Fax: State surcharge(12%of permit fee)
CCB lir.: f 703 78 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: 7; O lh) K;Cit 401,11 Date: 0_d 9 i
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
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11290 SW FAIRHAVEN CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00266
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
No minor label or electrical permit for ac re connect.
Provide tamper resistant access port caps at heat pump. M1411 .6
Provide city of Tigard electrical permit for ac re connect and re schedule with
mechanical final.
Violation Summary:
Inspector Contractor