Permit CITY OF TIGARD MECHANICAL PERMIT
.14
I. COMMUNITY DEVELOPMENT Permit#: MEC2020-00015
T f c r1 Ft n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2020
Parcel: 2S103AA01600
Jurisdiction: Tigard
Site address: 10830 SW WALNUT ST
Project: Edwards Subdivision: ECHO HEIGHTS Lot: 3
Project Description: Replacing(1)water heater and adding(1)single duct exhaust.
Contractor: CREATIVE HOME REMODELING CO Owner: EDWARDS, LES M AND MARCIA L
7350 SW LANDMARK LN 10830 SW WALNUT
TIGARD, OR 97224 TIGARD, OR 97223
PHONE: 503-639-2411 PHONE:
FAX: 503-639-0950
FEES
Specifics: Description Date Amount
Water Heater 01/07/2020 $23.32
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 01/07/2020 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 01/07/2020 $10.80
Stories: Minimum Fee Adjustment-Mechanical 01/07/2020 $43.36
Fuel
Fuel Types:
Gas Pressure:
Total 5100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those ru s are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O by call' g 03.232.1 or .800.332.2344.
Issued By: :._. . .V nijttee Signature: r
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicap- g-- •> FOR OFFICE USE ONLY
City of Tigard °` Received I`%/_ /21 "' i
Date/By: I� i .�.�i �i i lig � 13125 SW Hall Blvd.,Tigard,OR 97223 II II q y�
■ Phone: 503.718.2439 Fax: SO3.598.1968'a�J / �fi Plan Review
" '' Date/By: ritWIMMIIMI
T 1 GA R D Inspection Line: 503.639.4175 t ,, Date Ready/By: Juds: :. See Page 2 for
Internet: www.tigard-or.gov ��+ + ? Notified/Method: Supplemental Information
BUILD! a. . .,. ,q
Mechanical permit fees*are based on the value of the work
0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
it Value:$
CATEGORY Oh C'ONSTR ..' -",as - a r a .<
thir
�I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
g c. p a d' iriatier0 Heating/cooling:
y j Air conditioning 46.75
Job site address: /Q .30 sa't I a /'� /h S'!- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: TI /y ti i.-ei 01 9 7213 Furnace 100,000+BTU(ducts/vents) 54.91
'/7 I g��,�d 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
Subdivision: Other: 23.32
`/� N e(I �ir�,. Lot no.: Other fuel appliances:
Tax map/parcel no Water heater 23.32 4
DESCRIPTION OF WORK 71[:: Gas fireplace/insert 33.39
---- Flue vent for water heater or gas 1
Ld ni/CY7 L /iVePJ I fr-cGin 1'A 'I% rri A 5ji,,,/v-- fireplace 23.32
b'C d4"P Or'1 M Ot/y/!r`a,,,i Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
NAN1
Environmental exhaust and ventilation:
Name: Le 5 i if,V C(n L�1�4 r L2 J S Range hood/other kitchen
Si- equipment 33.39
Address: /D v s WA/�,€f J Clothes dryer exhaust 33.39
City/State/ZIP: / ,1-0"d Q)? eI 7Zi3 Single-duct exhaust(bathrooms,
/ toilet compartments,utility rooms) 23.32 t
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
Business name: 'ANT:- bum ` N'FA�P PERSON '�r Other: 23.32
J 1 'Y Cl Fuel piping:
CrC/r Ca I c //7 F Mt / " O /r q $14.15 for first four;$4.03 for each additional
Contact name: V rAh t' fh 411 0 f C/f J Furnace,etc.
Address: 7 gbyjGYr Loth h d yytr-X Lit n e Gas heat pump
Wall/suspended/tmit heater
City/State/ZIP: fariltin f /jR 17'Z,LCl Water heater
Phone:(5Q .2.)f 2q �/ v Fax::(13) 03 7f Vi4 Fireplace
/ 1� Range
E-mail: rAnrs e ea h yr he m r cm o e /it, co Barbecue
1- 2� Clothes dryer(gas)
Business name: ere A,h a 1 ene7,e, /*in a 1,C /i n 4, Other:
Address: 735 a Sw L�i ¢more-k-Lail- J Subtotal
City/State/ZIP: /Doi t/it hd e'R et 7 2-2-1 Minimum permit fee($90.00)
5-3 4031 Z'/'Ii (�I p)67 39 q Plan reviewge(25%of permit fee)
Phone:( V ) Fax: �Jf/J Q State surcharge(12%of permit fee)
CCB lic.: ' 3 15 70 40 TOTAL PERMIT FEE
,,// �� This permit application expires ifs permit is not obtained within 180
Authorized signatllt 1/y * days after it has been accepted as complete.
V� Fee me[hodolo8y se[by Tri-County Building Industry Service Board
Print name: r 7 / q
GrJ.�lt.j, � S �✓1I1�i�, Date: / /� �I
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