Permit (56) CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT
Permit#: MEC2019-00466
Date Issued: 07/03/2019
T I t;!4 R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104DA09800
Jurisdiction: Tigard
Site address: 13119 SW MERLIN PL
Project: Quail Hollow West Subdivision: QUAIL HOLLOW-WEST Lot: 84
Project Description: Replacing(1)electric furnace in attic(1)NC with a new heat pump.
Contractor: SPECIALTY HEATING&COOLING Owner: PATRUSEVICH, JOSEF N
7500 SW TECH CENTER DR STE 13119 SW MERLIN PL
PORTLAND, OR 97223 TIGARD, OR 97223
PHONE: 503-620-5643 PHONE: 321-948-8916
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Furnaces<100K BTU 07/03/2019 $46.75
Class of Work: ALT Type of Const: Heat Pump 07/03/2019 $61.06
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/03/2019 $12.94
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 1
Appliances
Vent Fans: Vent Systems: Total $120.75
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC b .•Iling 503.232.1983 or 1.800.332.2344.
Issued By: /� ` �J 'ermittee Signature: ``' i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application _ FOR OF ICE l SE 011.\
City of Tigard r�.i EGI V: iBeyd
7 ���
ligRI 13125 SW Hall Blvd.,Tigard,OR 97223 � •�
■ 3 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 J U L 201': Date/By: Other Permit:
I
I C A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov CITY OF TI GA'DNotified/Method: Supplemental Information
BUILDING DIVISI:
TYPE OF WORK COMMERCIAL * 5I! -USE .:, k
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
❑ 1-and 2-familydwelling
RESIDENTIAL EQUIPMENT/SYSTEMS FEES* "
. Commercial/industrial 0 Accessory building For special information use checklist.
tiff:Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
v JOE SITE'INFORMATION AND LotA oN Heatinp/cooling:
It
G f Air conditioning 46.75
Job site address: /3 _t 514/ /1�, 1.100 P C�
Furnace 100,000 BTU(ducts/vents) i 46.75
City/State/ZIP: {�!440.0 /drz- 11- 2 -?...3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: �j ,*�d Hydronic hot water system 23.32
77 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.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESRIYON w`3H.. x Gas fireplace/insert 33.39
/ Flue vent for water heater or gas
P 10/A<.e Ls/- t.,9 r A f 41"°be N ti• 1N A -fit i-G fireplace 23.32
Z..ep 43 G IJIrt- �N al�/3,-,CIL 4.to fit' "/ Log (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
BPRTY RE `. ';'`i.: -I ,*1: A 4.. ' -%T.,.,k Other: 23.32
'
Environmental exhaust and ventilation:
Name: ....TD,--e ,t? r 0.+ Y use,/s-G. * Range hood/other kitchen
Address: 17)/5' �n G, L1�„ P` equipment 33.39
co, Clothes dryer exhaust 33.39
City/State/ZIP: -S 4 Alt...p0 0;2_ 14.2Z 3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( )7 Z/_ /p 40g- .zyC//4, Fax:( ) Attic/crawlspace fans 23.32
... . ,r.44rApputeANT 0 ciN'rACr"1ERSON Other: 23.32
Fuel piping:
Business name: S peC.A4 i ��4 /41,"t coo hi,y Li,c -
$14.15 for first four;$4.03 for each additional
Contact name: JA/4,41 Mi4n 7,/,1- Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
te/ZIP:
Weer heater
Phone:(S 1►3 ) ,(z,., 6.y r Fax::( ) Fireplace
Range
E-mail: 1-iv At de �'lp.� ,t I� /.j.//.,,47; Gd II,t, Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: L G Other:
tee: f��G/4� �A1-� �L MECHANICAL PER ; ES#,,Address:I�p sW 7� G i+- 1�-'too
3> /
1./ ?C/' Subtotal
City/State/ZIP: 4j b/2-. 5 L Z 3 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Sb.,
Phone:( ) 6 Z 0 ,s-b jQi Fax:(03 )S'5 07/4-
State surcharge(12%of permit fee)
CCB lie.: Z.7441 .79 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
...Adays after it has been accepted as complete.
Authorized Signature: / * Fee methodology set by Tri-County Building Industry Service Board
Print name: 44.ke MA,L,t / Date:7-3.../j
l:\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:
Totgl Valuation; Per Fete:
$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.
BBuildingTermits\MEC_PermitAPP_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13119 SW MERLIN PL, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00466
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Minor e1s729571
Violation Summary:
Inspector Contractor