Permit (157) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00613
T-f G AR E) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/19/2019
Parcel: 1S135CD02401
Jurisdiction: Tigard
Site address: 11945 SW 95TH AVE
Project: Del Rey Properites Subdivision::HERS ADDITION TO GREENBURG HE Lot: 8
Project Description: Replacing(1)furnace and adding(1)heat pump.
Contractor: DONS AIR CARE INC Owner: DEL REY PROPERTIES LLC
PO BOX 6408 1831 NE 9TH PL
ALOHA, OR 97007 HILLSBORO, OR 97124
PHONE: 503-642-5844 PHONE: 503-680-1136
FAX:
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 08/19/2019 $46.75
Type of Use: SF Heat Pump 08/19/2019 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/19/2019 $12.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.75
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.,c .1987 or 1.800.332.2344.
Issued By: /' A Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard 1 eceived
13125 SW Hall Blvd.,Tigard,OR 97223 I9ate/By: / 7 9 ...fa.; .111=1..
i , , ci Dan Review
Phone: 503.718.2439 Fax: 503.598.1960 b �l p Date/By: Other Permit:
Inspection Line: 503.639.4175 `' y
1 I G A K D P Date Ready/By: Juns: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
,. F
*are
:-::":;''''' ."----,_.4.":':
,.. a - P Mechanical
1peimit the value(rounded to the nearest on the value oftwr
❑New construction Addition/alteration/re lacement performed.ldollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
�.y.
Value:$
cgi CA ( �C SiUC16P4 or1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special
information use checklist.
❑Multi-family D Master builder D Other: Description P I Qty. I Ea. I Total
a Jl � NPf R1 ATI+I(A �S L&A� N " .. ,-..w....; 'u Heating/cooling:
..� , 7 .., - ,t x - ":'x.. .' Air conditioning 46.75
Job site address: !i CC �* -t,t.--,
��% j �� l Furnace 100,000 BTU(ducts/vents) F 46.75
City/State/ZIP: l t,e � Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt. ` Heat pump I 61.06
no.: 'J I Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
6-/-e.1-'
�) Residential boiler(radiator or
6 t-N�4-"the-1•'17 / 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
rAA , , DESC PTI0N AAA OF'w liK,.'" `az; f`` Gas fireplace/insert 33.39
i': A, rM= x* # + ,A4 I � § 7 -y Flue vent for water heater or gas
,- _.2( . 74./`?C i d?r s,�( _ /c t vx fireplace 23.32
iLog lighter(gas) 23.32
� � Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
VN . ", Q N 1, ' Other:
23.32t` ..' E 1iirA17 •, Y' - ' ' - Environmental exhaust and ventilation:
Range ood/other kitchen
Name:
v,_,./ L77 ',f equipment 33.39Address:
Clothes dryer exhaust 33.39
City/State/ZIP: t Single-duct exhaust(bathrooms,
ki/( c(/" � toilet compartments,utilityrooms) 23.32
Phone:( n^) ) � i - Fax: P
///3f i ( ) Attic/crawlspace fans 23.32
` Miliiiiira :; ;. .. . "4Is0y Other: 23.32
Fuel piping:
/
Business name: i -I77
� �`,
''1 PLitet-r- 1 it $14.15 for first four;$4.03 for each additional
Contact name: _`
/%`'tel/�'I Furnace,etc.
Address: . Gas heat pump
"� <74.,1 Wall/suspended/unit heater r Water heater
Phone:(5,p, ) "2 _ s, Fax::( ) Fireplace
Range
E-mail: / „
/!� t/ iz e•-c..7.. C2 Arlt Q' Barbecue
;',..,,,„.:,:j."..4„,,,:;:-,JY: . . .. . -. $ !"t , CT .`_.r sV °:,:,- �.. * Clothes dryer(gas)
Business name: f-. Other
) „ mss . ...t
Address: � '�,w
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: / y?!i TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signator /y * days after it has been accepted as complete.
' ` i ei /�fJJ Fee methodology set by Tri-County Building Industry Service Board
Print name: '/ T// -/` /:—(7-, iA`J Date: e/ <J
Tdr ?/,
I:ABuildingAPermits/MEC_PermitApp_040113.doc 44400--4617T(11//02/`C M/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
11.61
$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_PennitApp_040113.doc 2