Permit (29) CITY OF TIGARD MECHANICAL PERMIT
'11111 11111: COMMUNITY DEVELOPMENT Permit#: MEC2019-00541
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2019
Parcel: 2S 112B D00600
Jurisdiction: Tigard
Site address: 7643 SW CORNUTT ST
Project: Elderberry Ridge, Lot 36 Subdivision: ELDERBERRY RIDGE Lot:
Project Description: A/C installation. Placement of A/C unit must comply with manufacturer's installation requirements.
Contractor: PRO HEATING AND COOLING INC. Owner: RIVERSIDE HOMES LLC
2095 NW ALOCLEK DR, SUITE 1103 17933 NW EVERGREEN PL STE 370
HILLSBORO, OR 97124 BEAVERTON, OR 97006
PHONE: 503-443-5692 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 07/25/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 07/25/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/25/2019 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is n• started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t " ru -s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y.• may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 .; .
Issued By: mss— Permittee Signature: •
A001. 1111111111
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application Ftti-t twFict. t SE()\L\
i
III City of Tigard Received
: - , '., ,__ ate/By:
13125 SW Hall Blvd.,Tigard,OR 97223 ,-di r--,t „,‘- .,. ,., -• • ----- 1
I I Phone: 503.718.2439 Fax: 503.598.1960 1 ,.., Plan Review
Date/By: Permit N o
Other Permit:7y-1 i, , ,),..?),
liGARI) Inspection Line: 503.639.4175
1';j'i 2 4 ,'di j Date Ready/By: iftrIll FZ1 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
OF WO' g. # * , ists3N_ cowaRam.,Wt.* ,CBE, i ,..U.SE CHECKLIST
_ - - - -— - -- ' ---"'-' Mechanical permit fees*are based on the value of the work
piewN
construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
- ' RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
,141_and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
,
JOB SITE INFORMATION AND LOCATION ,- Heating/cooling:
Air conditioning 0 46.75 Yea,75
Job site address: 7 c., 5/3 5-,) C cat(N.,_.) ,..\._ 34r- Furnace 100,000 13Th(ducts/vents) 46.75
City/State/ZIP: -\—:3„,Ac.SV.--.— Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 1 -A./ 2-sxf-c-y 11-- •• ..,._ Duct work 23.32
Cross street/directions to job site: / 3 C,, Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
Prt 54- 2 ove -0,:,3---1.- — 56c.r- / e_. 7<1,i/c;/J in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: 1 Lot no.: 6-
- Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCI°N 9p;:."101 t "... ; -74,-; '' , Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
p •
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:
PROPERTY OWNER I ' '' '. d TENANT 1j
Environmental exhaust and ventilation:
Name: 31.. NJ'21(;' ,42 V%.2L,C-‘,-)..) Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust . 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 ApNieANT ,,,, :*.i, , 1:1 CONTACT PERSON ' Other: 23.32
Fuel piping:
Business name: 1.2._:Oei 5, — - $14.15$14.15 for first four;$4.03 for each additional
Contact name: f)e,‘ .3?ti Furnace,etc.
c._ Gas heat pump
Address: i''' 's 33
A....)(--- 2 t)-"te&li"c--"-4^- 73)‹`----) 5L.>-:\f`jiht Wall/suspended/unit heater
n - Cii*S1ate1211): tte/ktiv . M. 176456 warerteater -
Phone:(5_1>) 6 /5- 0?s-c_ Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR .. Clothes dryer(gas)
Other:
Business name: ple-6 L( ' 1
i-r ec..-As,v") gar C__.-JL) A.,5 -i-le.._ ' MECHANICAL PERMIT FEES, '',-
Address: 2.c,5 ,,,(...., /1 fracc,€IL k)NT Subtotal
City/State/Z1P: ii •(( (Z'f) (....) c...... 2.- Minimum permit fee($90.00) e
Plan review(25%of permit fee)
Phone:(53) a_R, of z / Fax:( )
State surcharge(12%of permit fee) ici-ft
CCB lic.: e_(_)5 c)-ei( / TOTAL PERMIT FEE /GJ-p.
This permit application expires if a permit is not obtained within 180
• days after it has been accepted as complete.
Print name: Date:
Authorized sign re: * Fee methodology set by Tri-County Building Industry Service Board
7_47_i
es,..t,..... ...,
I:\Building\Permits\ C_PermitApp_040 13.doc 440-4617T(I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Toil 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\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
7643 SW CORNUTT ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2019-00541
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Minor label ELS 730395
Violation Summary:
Inspector Contractor