Permit Support Document (2) CITY OF TIGARD MECHANICAL PERMIT
a.. COMMUNITY DEVELOPMENT Permit#: MEC2020-00036
Date Issued: 01/16/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Z..„, 'c^ •<_Oi. Parcel: 2S109AD08800
fle
Jurisdiction: Tigard
Site address: 12725 SW BUGLE CT
Project: 20154.99 Subdivision: ELK HORN RIDGE ESTATES Lot: 32
Project Description: Replace furnace, replace ac. 1/22/2020: REPRINT permit to add duct work. 1/23/2020: REPRINT permit to add
(3)exhaust fans.
Contractor: BULL MOUNTAIN MECHANICAL Owner: PALOMINO,ANDRES S &JENNIFER M
13580 SW RHETT CT 12725 SW BUGLE CT
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-612-6677 PHONE:
FAX: 503-692-3084
FEES
Specifics: Description Date Amount
Air Conditioning 01/16/2020 $46.75
Type of Use: SF Furnaces>= 100K BTU 01/16/2020 $54.91
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/16/2020 $12.20
Occupancy Grp: Duct Work 01/23/2020 $23.32
Stories: 12%State Surcharge-Mechanical 01/23/2020 $2.80
Single Duct Exhaust(Bathrooms,Toilet, 01/23/2020 $69.96
Utility Rooms)
12%State Surcharge-Mechanical 01/23/2020 $8.39
Fuel
Fuel Types:
Gas Pressure:
Total $218.33
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:
T Permittee Signature: ervi 1/7/"t� 6e
ft
/// 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 Folz 01.I.Ic1. (S1:om.,
City of Tigard Received Permit No. 9
.111111 ' 13125 SW Hall Blvd„Tigard,OR 97223 JAN 2 `3 2020 Date/By: /`��`G 44 �C� aC L G r-� r�`
Phone: 503.718.2439 Fax: 503.598.1960 Date/By,
an By,RevOther Pennit:
Inspection Line: 503.639,4175 w �, 1, Date Ry:
I I G A R D (��, g Date Ready/By: loris: 65 See Page 2 for
Internet: www.tigard-or.gov d p �� t{ Notified/Method: Supplemental I oform ation
BUILDING
I'YP.E OF'WORK_� : ' - t COMMERCIAL FW'SCHEDUIL T7SEt�8EtCK Sr.
' .. 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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CS Value $
. Y5 sATEG,ORY DFONTRUCTION : rxi QIkE
c 4E$DEN7ALEUME
4.
T1SYSTPW,}"XES . ,
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JCIB S.0.; VFOI IVIA,0 II(AND LpCATjON O Heating/cooling:
Air conditioning 46.75
Job site address: 12725 SW Bugle Court ..
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suitebid ./a i.no.: I 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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK z ' Gas fi lace/insert 33.39
...' " Flue vent for water heater or gas
Add to existing permit, #MEC2020-00036. Bath Fans. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insen 23.32
Chimney/liner/flue/vent 23.32
ta''PROPERT!'OVr 1E't, S 7'EN ` Other: 23.32
" .T Environmental exhaust and ventilation:
Name:Jenna Palomino Range hood/other kitchen
equipment 33.39
Address:12725 SW Bugle Court Clothes dryrexhaust 33.39
City/State/ZIP:Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32 69.96
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
p APPLICANTCONTACT.P ON -Other: 23.32
Business name:See Contractor Fuel piping:
514.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
,CONTRACTOR.; Clothes dryer(gas)
Business name:Bull Mountain & Cooling Other:
MECHANICAL PEIl urr FEES` '
Address:17300 SW Upper Boones Ferry Rd Ste 110 Subtotal 4•47 '1,.,,,
City/State/ZIP:Durham Oregon 97224 Minimum permit fee($90.00)
Phone:( )503-612-6677 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee) ,,, 3 v-
CCB tic.:157$14 TOTAL PERMIT FEE 2f, 3S
Tbis permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: '‘I--.1... p-......________. ' Fee methodology set by Tri-County Building Industry Service Board
Print mine Jack Hansen'----';'' Date:1/23/20
J
/
1Anuiiding'-.PermitsMEC_perniitApp_"0!0113 don 440.4617T(l i 024.'OM.WTn)
Mechanical Permit Application _ _ ioiz orrict:: ESE ONE).
}v r A�'T i Received //2
7 rYvJ,.,
CI of Tigardid., .11E
'J Date/By: �vZ �{0 Permit Nat ce'`/t.��c `tit 3l,
14, u 13125 SW Hall Blvd.,Tigard,OR 97223 /• /I
Plan Review
• I Phone: 503.718.2439 Fax: 503.598.1960
J �J 2O�;i n Date/By: Other Permit:
JAN 2�+
T 1 Ci,11,U inspection Line: 503.639.4175 HIV Date Ready/By: JJuris: 0 See Page 2 for
Internet: www.tigard-or,gov Notified/Method: w�,�/u2er r� I I Supplemental information
CITY OF ,- ; 69.-74-�C_ z.- tig I
t ,
r : �< << 0 Jvn� IAI, iffJ1� CJs CHECKI:ISI'
s �'� .:;. iCO.. RC,.. FEEt�.'SCHE . . E
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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
f ` : CATEGOIW;;OF+CONST ZJCTIOPj. 5 „ . ,,,.. 1 Value $
SImoirlAL£Qpirwr ow.r MSTEESN .
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
❑ Multi-family 0 Master builder ❑Other Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION ' • ifeating/cooling:
Air conditioning 46,75
Job site address:12725 SW Bugle Court Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducisrvents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:
Duct work 1 23.32 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
DESCRIPTION OF WO,IiK' ", r Gas fireplace/insert 33.39
Flue vent for water heater or gas
Add to existing permit,#MEC2020-00036. Ductwork. fireplace 23.32
Log lighter(gas) ~23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
.0.:PROPERTY(:WNER 3 'TENANT;;; ,r. .., :. `.
Environmental exhaust and ventilation:
Name:Andres & Jennifer Palomino Range hood/other kitchen
12725 SW Bugle Court
equipment 33.39
Cl
Address: g Clotheess dryer exhaust 33.39
City/State/ZIP:Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
is APPLICANT :`:. fl CONTACT PERSON...;''•;:'M.'1:::, Other: 23.32
Business name:See Contractor Fuel piping:
514.15 for first four:54.03 for each additional
Contact name: Furnace,etc.
Address: Gas heatpuinp
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR. • Clothes dryer(gas)
Other
Business name: Bull Mountain & Cooling
• • MECHANICAL PERMIT FEES!,
Address:17300 SW Upper Boones Ferry Rd Ste 110 Subtotal
City/State/ZIP:Durham Oregon 97224 Minimum permit fee($90.00)
Plan review(25%
Phone:( )503-612-6677 Fax:{ } of permit fee)
State surcharge(1./u of permit fee)
CCB lie.:157$14 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 • Fee methodology set by Tri-County Building Industry Service Board
Print name:Jack Han en Date:1/22/2020
1,11uildingPermitsuMFC..Pern1 App 040111.doc 440-16171'111,02:COM,WEB)
CITY OF TIGARD MECHANICAL PERMIT
NI X • COMMUNITY DEVELOPMENT Permit It MEC2020-00036
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2020
Parcel: 2S109AD08800
Jurisdiction: Tigard
Site address: 12725 SW BUGLE CT
Project: 20154.99 Subdivision: ELK HORN RIDGE ESTATES Lot: 32
Project Description: Replace furnace,replace ac.
Contractor: BULL MOUNTAIN MECHANICAL Owner: PALOMINO,ANDRES S&JENNIFER M
13580 SW RHETT CT 12725 SW BUGLE CT
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-612-6677 PHONE:
FAX: 503-692-3084
FEES
Specifics: Description Date Amount
Air Conditioning 01/16/2020 $46.75
Type of Use: SF Furnaces>=100K BTU 01/16/2020 $54.91
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/16/2020 $12.20
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $113.86
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: 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.