Permit (32) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PeCOMMUNITY MEC2019-00406
T I(;A It.p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2019
Parcel: 1 S133AC12400
Jurisdiction: Tigard
Site address: 10860 SW HUNTINGTON AVE
Project: MCGEE Subdivision: HAWK'S BEARD TOWNHOMES Lot: 42
Project Description: Adding compressor to existing furnace. All electrical and plumbing is preinstalled. compressor will be outside
attached to existing electrical and plumbing piping. Electrical and refrigerant lines passed with original inspection.
Contractor: OWNER Owner: MCGEE,ANNA M
10860 SW HUNTINGTON 10860 SW HUNTINGTON AVE
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-307-1081 PHONE: 503-307-1081
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 06/18/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/18/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/18/2019 $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 140.33 44.
Issued By:
"0,/./...
'� Permittee Signature: �3
A '''
(›s72)J
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 Applicata \/F FOR OFFICE USE ONLY
City of Tigard C E I Y `® Received
DateByII
ML .a� _ ,
13125 SW Hall Blvd.,Tigard,OR 97223 JUN 1 Plan Review
Date/By:
C Phone: 503.718.2439 Fax: 503.598.1960 g 2 O 9Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
:-,--,-;41- 7,7::::::, : ! ..OF,W ','..',,i-51A.,,„,,,,,„,,,,,,„;,, I,O L FEE*..5C'I EAUF.,1 USE C'II + IST
Mechanical permit fees*are based on the value of the work
❑New construction ®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:$$2,646.00
CATEGORY QFCONsflWCIION
•.,, •. ': • RSIDR, lOi)IPM•I"N /SYSPIYS FEES'''
❑ 1-and 2-family dwelling 0 Commercial/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:
Air conditioning 1 46.75
Job site address:10860 SW Huntington Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:McGee AC Duct work 23.32
Cross street/directions to job site:WoodRidge Lane Hydronic hot water system 23.32
Scholls Ferry to 135th Residential boiler(radiator or
Hawks Beard to Huntington 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:Autumn Park Townhouses Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DE N "! R • • Gasfireplace/insert 33.39
• •,•, O ,WOM
'
Flue vent for water heater or gas
Add compressor to existing furncace.All electrical and plumbing is preinstalled fireplace 23.32
Log lighter(gas) 23.32
Compressor will be outside attached to existing electrical and plumbing/piping. Wood/pellet stove 33.39
Electrical and refridgerant lines passed with original inspection Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
ry ®dRQPE12T', Qw,_;NFR -• I� NANT '-
Environmental exhaust and ventilation:
Name:Anna McGee Range hood/other kitchen
equipment 33.39
Address:10860 SW Huntington Ave Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP:Tigard,OR 97223 toilet compartments,utility rooms) 23.32
Phone:(503)307-1081 Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
1® APPLICANT: ,, y' W❑ CONTACT•PRSOIS
uel iping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name:Same as above Furnace,etc.
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater
Fireplace
Phone:( ) Fax::( ) Range
E-mail: Barbecue
1_CONT ICTOR 1 '':,,x,_ Clothes dryer(gas)
Other
Business name:Homeowner ,MFCHAI cAI,PE MIT FEES*
Address: Subtotal
Minimum permit fee($90.00)
City/State/ZIP:
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/,7/41,471_____J /) // days after it has been accepted as complete.
AtttltoriZed_clgnatttre' 6/- /7�- v6.LV__ * Fee methodology cet by Ti-County Building rnri,. Sea.,in<Jzpard
Print name:Anna McGee Date:6/14/19
I.\Building\Permits\MEC_PermitApp_040113,doc 440-46171(11/02/COM/WEB)
r 4
Property Owner Statement
Regarding Construction ResponsibilitiesJG''`' 1 2019
Oregon Law requires residential construction permit applicants who are not licentild,with the
Construction Contractors Board to sign the following statement before a building permit can be "
issued. (ORS 701.325 (2))
This statement is required for residential building,electrical, mechanical,and plumbing permits.
Licensed architect and engineer applicants,exempt from licensing under ORS 701.010 (7), need not
submit this statement.This statement will be filed with the permit.
Please check the appropriate box:
INI own, reside in, or will reside in the completed structure and my general contractor is:
1\ 'iyv r(L
Name CCB# Expiration Date
I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
IV at /6-L.C.,(
Print Name of Permit Applicant
PV1 /t/(Xj/ / 3), /
Signature of Permit Applicant Date
Permit#:
Address:
Issued by: Date: 1-1.
This Copy for Permit Offices
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10860 SW HUNTINGTON AVE, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00406
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide locking/ tamper resistant access port caps. M1411 .6
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10860 SW HUNTINGTON AVE, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00406
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Correction complete.
Violation Summary:
Inspector Contractor