Permit t CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00326
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2019
Parcel: 2S111 DC10900
Jurisdiction: Tigard
Site address: 15760 SW OAK MEADOW LN
Project: MASON Subdivision: SUMMERFIELD NO.11 Lot: 605
Project Description: A/C installation. Placement of NC unit must comply with manufacturer's installation requirements.
Contractor: COST PLUS HEATING &AIR Owner: MASON, LAURA
7132 N FESSENDEN ST HUGHES, PAUL
PORTLAND, OR 97203 15760 SW OAK MEADOW LN
TIGARD, OR 97224
PHONE: 503-286-2009 PHONE:
FAX: 503-286-6552
FEES
Specifics: Description Date Amount
Air Conditioning 05/21/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 05/21/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/21/2019 $43.25
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 . . 32 23
Issued By: Permittee Signature:
JO" er
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.
Mechanical Permit Application lO R 01 l l( I I l S I:()y I
City of Tigard may: A g,
13125 SW Hall Blvd.,Tigard,OR 97223
, 1 ..�1 1Plan Review
g Phone: 503.718.2439 Fax: 503.598.19( (� Date/By: Other Permit:
1 i(,A 1 I) Inspection Line: 503.639.4175 Date Ready/13y:
Fill Internet: www.tigard-or.gov nama Notified/Method: HSupplemental Information
,1AY q 1
. .-' '- ^1n, p , - Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratio 4 li¢Cm "i performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Othermechanical materials,equipment,labor,overhead,and profit.
Value:
3 a„
. ...., ...._ u.. r...�.... .�., ,. ,'.
- . ms ,A A.. '-. as .�1
1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
i"` a-tF k: ', uj ,a 7 ,. .. ' '. " c;. ... Heating/cooling: �---�
.
w.. �_ - Air conditioning 1 46.75 ' 46.75
Job site address:15760 SW oak Meadows Ln. 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.: I 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
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater . 23.32
f F 3 P4-71.yg �aM,,--.r.,,.� ,1 _= Gas fireplace/nsert 33.39
Flue vent for water heater or gas
Rorfessoraietiffrave Add A/C fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent _ 23.32
5 Other: 23.32
x,' r',. } ''45, '' I,;cam
, ' \ , :i."7:1'1, •, ,t.si.. a . .... _ ._., „. ..
Environmental exhaust and ventilation:
Name:Lora Mason/Paul Hughs Range hood/other kitchen
equipment 33.39
Address:15760 SW Oak MeaDows Ln. Clothes dryer exhaust 33.39
City/State/ZIP:Tigard Or.97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)530 0808 Fax:( ) Attic/crawlspace fans 23.32
" s Other. 23.32
Fuel piping:
Business name:Steven Sanderson
$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 beater
Phone:(503)7819090 I Fax::( ) Fireplace
Range
E-mail: Barbecue
6C r < .,,, :+ 'i-c tY-s/ '.!'i.�'i7 i'`f.,kye t - f c ' Clothes dryer(gas)
Business name:Cost Plus Heating
Address:7132 N Fessenden Subtotal 90
City/State/ZIP:Portland Or.97203 Minimum permit ($90.00) le
Plan review(25%of permit fee)
Phone:(503)286 2009 Fax:(503)286 6552 State surcharge(12%of permit fee) H722 AI Sc"
CCB lie.:4797851 j
TOTAL PERMIT FEE 494922 IOU'$'
/�� This permit application expires if a permit is not obtained within 180
P days after it has been accepted as complete.
Authorized signature: /p t� �) /I r.,�•••` • Fee methodology set by Tri-County Building Industry Service Board
r
Print name:Steve Sanderson Date: 21_f 9 I
I:\Building\Permits\MEC PermitApp 040113.doe 440-4617T(I1/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
15760 SW OAK MEADOW LN, TIGARD, June 18, 2019 at 8:32:47 AM
OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2019-00326
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Minor label #ELS 714230
Violation Summary:
Inspector Contractor