Permit (190) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00594
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2019
T t i" Iz.i' g Parcel: 1S133DB08900
Jurisdiction: Tigard
Site address: 13381 SW SUMMERWOOD DR
Project: Walker Subdivision:iCHOLLS FERRY ROAD TOWNHOMEE Lot: 15
Project Description: Install new NC. Unit must be placed per manufacturer's requirements.
Contractor: D&R HEATING&AIR Owner: WALKER, RONALD V
12220 SW GRANT AVE 13381 SW SUMMERWOOD DR
TIGARD, OR 97223 TIGARD,OR 97223
PHONE: 503-678-2517 PHONE:
FAX: 503-387-5827
FEES
Specifics: Description Date Amount
Air Conditioning 08/12/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/12/2019 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 08/12/2019 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i
,+ jar 0.• Permittee Signature: Util
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicationi,...! i -,, - - ;(--`r. FOR OFFI('F l SI.ONLN
Received
City of Tigard
Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
111A G 1 2
?0 19 Plan Review 4 I Phone: 503.718.2439 Fax: 503.598.1960 U - - Date/By: Other Permit:
Inspection Line: 503.639.4175
Anis 0 See Page 2 for
TIC;A R I) .k.,,,.,1- v 5:, , 't..,.;, ..,;,:, Notified/MDate ethod:Internet: www.tigard-or.gov
Supplemental Information
i! '-'' ' , S, .1,: --.::',:-:, •1
,,,, ,y_pE.,9tfsli ,,,,,,,,,,,,, ,,,,,,,.,- , ___,.,w„,,. :„„.4,-._ __ __SPNINIERCW-Ogs!,,K.WAYIA-TAM-SM4NAUT
,_:- --7---- ''''' -''''''''' - '' .-- Mechanical permit fees*are based on the value of the work
U New construction W Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
1:1 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning
. .
..„...._ Air conditioning I 46.75
Job site address: I„3-6ce,‘ ally\triN Q.,..kk 4.:(706, ' Dr . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:<rn et csiedt. 0\R 9-I-as; Furnace 100,000+BTU(ducts/vents) 54.91
••••1 Heat pump 61.06
Suite/bldg./apt.no.: Project name: iq- 1- - ...4
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: Lot no.:
Other fuel appliances:
Tax map/parcel no.:
Water heater 23.32
DESCRIBTION9F iy:ORk ''.:•i',:', -4 --'-,-%- 4 -,.., Gas fireplace/insert33.39
,,, Flue vent for water heater or gas
V 0 lArk- ( r \ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
JJ PROPERTY OWNER d flNANOther: 23.32
Environmental exhaust and ventilation:
Name: 2. 1 \\ Range hood/other kitchen
equipment 33.39
Address: 10-,3,....(-, S\Z SjoliN VWv-i u.,''f,2:171.-.c-.. IN— Clothes dryer exhaust 33.39
City/State/ZIP:- 3 \c,c.kse-ct \ C)f2,... 41-„ 3 Single-duct exhaust(bathrooms,
Phone:( ) ‘.. Fax:( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans
23.32
eirmtueMqr- ' ,': _.., Cr4:eXittrAcir PW074-'' Other: 23.32
Business name: D ;,_‘p.. ‘._ve c,4-1
$14.15 for first four;$4.03 for each additional
Contact name: 1.....44, -
.4:_ •,'LL Furnace,etc.
Address: I 194.0 SC hear\v ow,_ Fuel piping:
Gas heat pump
Wall/suspended/unit heater
CState/Zak— ty.v,* CAt—Cr3-?,4„S
(50) 64- 2,.- 160-
eTkil
Fax::( )
E-mail: ke..4-"A"\,, 641\eCAJ\' rCi.
Water heater
Phone:
Fireplace
Range
Barbecue
CONTRACTOR , ' Clothes dryer(gas)
Business name:([) sr V?.... V:\tc,$) ' .,0 i A rr
Address: ) 0 Sv1/4.\.) (:\,(0_,:e\N- liSsqle.s_ Other:
MECHANICAL PBRNITT FEES*
Subtotal qo ca
City/State/ZIP: -4,8r-ok q7fg;)S Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(64) b 9Zf5 i-7. Fax:( )
State surcharge(12%of permit fee) (C1 .k i....'
CCB lic.: .-..3 - TOTAL PERMIT FEE /a) ,-$;)
This permit application expires if a permit is not obtained within 180
Authorized signature:
124114A-54-- days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: Ke( L(....4 1--eiv,V,_t_ Date: eio (n
I:\Eiuilding\Permits\MEC_PernutApp 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\Pennits\MEC_PermitAPP_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13381 SW SUMMERWOOD DR, TIGARD, August 28, 2019 at
OR, 97223 8:54:25 AM
Record Type: Record ID:
Residential - Mechanical MEC2019-00594
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Minor label #ELS 734644
Violation Summary:
Inspector Contractor