Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
74 ' I
COMMUNITY DEVELOPMENT ��� MECHANICAL
MEC2019-00479
Date Issued: 07/08/2019
T I(,;A Iz F) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S133AD03100
Jurisdiction: Tigard
Site address: 10680 SW SUMMER LAKE DR
Project: installation Subdivision: AMART SUMMER LAKE Lot: 5
Project Description: installation of gas furnace and air conditioner. 7/16/19: REPRINT to add(1)gas line.
Contractor: MIDWAY HEATING CO INC Owner: DYCHES, RONALD S
12625 SE SHERMAN 13784 SW FERN ST
PORTLAND, OR 97233 TIGARD, OR 97223
PHONE: 503-252-4003 PHONE:
FAX: 503-252-5881
FEES
Specifics: Description Date Amount
Air Conditioning 07/08/2019 $46.75
Type of Use: SF Furnaces<100K BTU 07/08/2019 $46.75
Class of Work: ADD Type of Const: 12%State Surcharge-Mechanical 07/08/2019 $11.22
Occupancy Grp: Fuel Piping 07/16/2019 $14.15
Stories: 12%State Surcharge-Mechanical 07/16/2019 $1.70
Fuel
Fuel Types: Gasoline
Gas Pressure:
Total $120.57
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 ••1 by calling 503 32.1987 or 1.8 0.332.2344,
1 ,. --7 ge, 4
Issued B Permittee 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 ApplicationI [()R 01.1 R i1 I Oy►.1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 J�r L g I>ax�By' All ..�VgA��v F
s Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit
Inspection Line: 503.639.4175 s DatelRy.
T 1[ a R D / Date Ready/By: /aria: 55 See Page 2 for
Internet: www.tigard-or.gov CU;.,- t.; .," "_F E' Nolified/Method: Supplemental Information
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ne� .�-• � .."�"has nw r^R ' " „; -.:41.`;::::i!,:-z. ..w.o __Cta_ to. 1.. o qx 1 .i:: e)_a "e4:I N
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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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
i _ if x CATEGORY OF CON,S'TP tCTIO�Y Value S
r % :. .. .. .r , ;z, ��'��;tE�Erl'IIAT. itE1V1S1+'EES'!4
►:4 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spedal information use checklist
❑Multi-family 0 Master builder 0 Other: Description I qty. Ea Total
1 11 ORMATIO SVD Lock-9 Heatingicoolfng:
Air conditioning 46.75
Job site address:10680 SW Summer Lake Dr. 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: 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: J Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Pg t '17 t QP.kl 43 ` ; : I: 4 Gas fireplace/insert 33.39
*** lease add onegas line forgas furnace to
Flueventfor water h a gas
p permit#MEC2019-00479 fireplace 23.32
***please add gas line pressure check as well which is included in the final mac Log lighter(gas) OF23.32
Wood/pellet stove 3339
Wood fireplace/insert 2332
Chimney/lincr/flue/vent 23.32
''''''' g_1, � 3 � .. nl .z rr ,+q_t f.,u .p... cit rd g:?.ya t.w , ',
Environmental exhaust and ventilation:
Name:Ron Dyches Range hood/other kitchen
equipment 33.39
Address:13784 SW Fern St. Clothes dryer exhaust 3339
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2332
Phone:(503)234-9691 Fax:( ) Atticf rawlspace fans 2332
a s> m 4 ). p1 GAP t :;.23.''''-; F-: . 3 `s.;"). .:W.1 +-` Other. 23.32
Fuel piping:
Business name:Midway Heating Co. $14.15 for first four,$4.03 for each additional
Contact name:Alex Fackrell Furnace,etc. 1
Address:12625 SE Sherman St. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97233 Water beater
Pfione:(503)IS2-30n �___. }-F—ax::-503)252-5881
E-mail:midwayheatingda eomcast.net RangeBarbecue
! , t v'` o z 0 .7 ., a Clothes dryer(gas)
Oth
Business name:Midway Heating Com
Address:12625 SE Sherman St. Subtotal
City/State/ZIP:Portland,OR 97223 Minimum permit fee(390.00)
Plan review(25%of permit fee)
Phone:(503)252-4003 Faac(503)252-5881 State surcharge(12%of permit fee)
CCB lic.:24044 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: nier; * Fee methodology set by Tri-County Building Industry Service Board
Print name:Alex Fat II i'tDate:7/16/19
I:\Building\Pmrit EC PermitApp 040113.doc 4404617r(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10680 SW SUMMER LAKE DR, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00479
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Appears to be leak at line set fitting at furnace at re connection. Condensate leaking on
garage floor.
Owner to Seal existing line set penetration at foundation vent.
Minor label ELS 73309, 683966
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
10680 SW SUMMER LAKE DR, TIGARD, July 30, 2019 at 10:12:28 AM
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00479
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor