Permit (74) CITY OF TIGARD MECHANICAL PERMIT
7
' COMMUNITY DEVELOPMENT Permit#: MEC201900377
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2019
Parcel: 2S106AD06600
Jurisdiction: Tigard
Site address: 12917 SW RIVER TERRACE BLVD
Project: River Terrace East Subdivision: RIVER TERRACE EAST Lot: 173
Project Description: A/C unit installation on side of house. Placement of A/C unit must comply with manufacturer's installation
requirements.
Contractor: RONS HEATING&COOLING INC Owner: WILLIAM LYON HOMES INC
13315 SW BARLOW RD 109E 13TH ST
BEAVERTON, OR 97008 VANCOUVER,WA 98660
PHONE: 503-708-6251 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 06/10/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/10/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/10/2019 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.2. •87 or 1 '0 44.
Issued By: .. ittee Signature: ,t 1���
...611111r—.! a..-ter� � ��r �"1u1"�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Af,prc,vcd pla..s are.ege:red e.,the j.,b site-et theetir,.e of each inspection.
Mechanical Permit Application FOR OFFICE I_SF (v' I.v
City of Tigard Received����Et) Date/By: , 4; C. 10:r. Permit No.: r - 1
13125 SW Hall Blvd.,Tigard,OR 97 � Plan Review
I Phone: 503.718.2439 Fax: 503.598. 9 Date/By: Other Permit: '14. -` V/
�-A G A R I) Inspection Line: 503.639.4175 ��N 1 1 0 2°'I9 Date Ready/By: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: EN
Supplemental Information
Y
GIT of
T,IGARD
TYPE Of ..t ' p»1,,1. IV1$ION cO RC.!AL FELE=: SCHEDL E.7, USE C UST.;
N ' -- .. Mechanical permit fees*are based on the value of the work
0 New construction Vf.Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMSVEES*
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
r JOB SITE INFORMATION AND LOCATION Heating/cooling:
G, Air conditioning / 46.75 I`°.7j"
Job site address:
/2 �e)3 '•'C t.,./ r,if e'r �t� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ta y- b 2 q 760 7 Furnace 100,000+BTU(ducts/vents) 54.91
P "_f 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
Subdivision: Lot no.: er' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION oIl wo Gas fireplace/insert 33.39
.�..., •:. ` /�1 A'4"6,-"' .n Flue vent for water heater or gas
N s •t` - a e s -row ( , K ►``r- 5([ 64-11 4:5444,,e fireplace 23.32
If- n ( r' fC WI. Log lighter(gas) 23.32
tr' laJGl Wood/pellet stove 33.39
4 fr e - b6 ave,S' • Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 lRRP RTY 9WNE ❑ TENAI�iT
Environmental exhaust and ventilation:
Name: �A-Q. /4077 frt/A-(,14 Range hood/other kitchen
eqAddress: 12733 Ci/ 12 LV T ee Clothes dryer
33.39
( !1 _ Clothes dryer exhaust 33.39
City/State/ZIP: t e v- J A Oe'--- 2')O J? Single-duct exhaust(bathrooms,
f toilet compartments,utility rooms) 23.32
Phone: .o ) —2q 2 5-51 Fax:( ) Attic/crawlspace fans 23.32
A.APPLICANT 0 CONTACTPERSON Other: 23.32
r Fuel piping:
Business name: R 6 N t S l " " i A.7
" C /l wf1 ....44/(;,, $14.15 for first four;$4.03 for each additional
ontact name: TA-)4_, t, / c �t. i(h _` "K Furnace,etc.
Address: > c " Gas heat pump
l/C
- ,( Y/r� �� Wall/suspended/unithlater
City/Sta(te/Zj1P: --f7� v� D(� Water heater
Phone:
7'3) z) .....6.2_,c-7 Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
_...\•..Business name: Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
42 5
City/State/ZIP: Minimum permit fee($90.00) . L..)�
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 4) i
CCB lir.: / 3 15 l TOTAL PERMIT FEE ta),.;fp
I This permit application expires if a permit is not obtained within 180
1
days after it has been accepted as complete.
Print name: 1 >
e''
. /4/41P r Date: T I,vE /4/AlA8(9
I:\Buildng\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\Petmits\MEC_PermitApp_040113.doc 2