Permit CITY OF TIGARD MECHANICAL PERMIT
e : COMMUNITY DEVELOPMENT Permit #: MEC2013 -00299
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 06/04/2013
Parcel: 2S 111 AB03800
Jurisdiction: Tigard
Site address: 9205 SW VIEW TER
Project: Zadow Subdivision: PENMAR TERRACE Lot: 10
Project Description: Move (2) heat ducts in crawl space and install (2) bath fans
Contractor: ALDERCREST DEVELOPEMENT INC. Owner: ZADOW, MARK D & DIANE S
5911 SW SOUTHVIEW PL. 9205 SW VIEW TER
PORTLAND, OR 97219 TIGARD, OR 97224
PHONE 503 - 452 -9893 PHONE: 503 - 348 -2695
FAX
FEES
Specifics: Description Date Amount
Duct Work 06/04/2013 $46.64
Type of Use: SF Single Duct Exhaust (Bathrooms, Toilet, 06/04/2013 $46.64
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12% State Surcharge - Mechanical 06/04/2013 $11.19
Stories:
Fuel
Fuel Types
Gas Pressure
Total $104 47
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- 90. may obtain a copy of the rules
or direct questions to OUNC by calling 503.232 1987 or 1 800.332.2344.
Issued By: - 11 ►�/'i' - 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 ApplicatioRECEI r E, l:t)ll Mil( I: 1 SE t) ::l.1
City of Tigard R e y . tb y � ; Permit No/ l / — e0- 1'
I 2 13125 SW Hall Blvd., Tigard, OR 97223 JUN - 4 2013 Plan Review
^"
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
. 1 i c . ` R f) Inspection Line: 503.639.4175 CITY OF TIIGAR Date Ready/By: 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DI'VISK Named/Met : Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
• 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 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 , - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
It For specialInjornwtion use checklist
Multi- family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
_ _ Air conditioning 46.75
Job site address: oil \ S v 1 -'E 94 �.ct Furnace 100,000 BTU (ducts/vents) 46.75
City/ State/ZIP: T\ b AjQ ng- (f 1- ),J Furnace 100,000+ BTU ( ducts/vents) 54.91
t 1 Heat pump 61.06
Suite/bldg. /apt no.: I Project name: - 7^ 'W Duct work 23.32
Cross street/directions to job site: V 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
"4?S'1 /- b� i * ? � fireplace 23.32
� �(- A) SQl}G -t `t V-( - MC- Log lighter (gas) 23.32
•y�t � T Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner /flue/vent 23.32
Other: 23.32
PROPERTY OWNER I ❑TENANT Environmental exhaust and ventilation:
Name: V"' hi, ic., .A 16 Range hood/other kitchen
C equipment 33.39
Address: cillos c_, U tt.L) _ rr PGr Clothes dryer exhaust 33.39
City/State/ZIP: 'T \ ( o '1`1 Single-duct exhaust (bathrooms, !!��
O 1 _1_`'' toilet compartments, utility rooms) 19. - 23.32
Phone: ) 7311 . A Fax: ( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
_ r � "�' _ Fuel piping:
t
�:
Business name: �� (Luz_ (�, E ST )t n (�� r T�� $14.15 for first four, $4.03 for each additional
Contact name: A50 ��.. ` Furnace, etc.
Address: gilt _c w VLfiteS. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: ? ,-rr )0 1011(_ n'-))--lg Water heater
Phone: (%) 1 - 9 s---- I Fax: : (11 4 s"1_ n
-J ) f.. Fireplace
`� Range
E -mail:
Barbecue
,7 CONTRACTOR Clothes dryer (gas)
Business name: / + �� J� V v I Q 0-- �t 4 F-_,...3%-- F-_,...3%-- ..�y�� ar MECHA NICAL PERMIT FEES*
IP
Address: it !i 551,....., �n^'i --)1 1( f r y . Subtotal
City/State/ZIP: �, 4 9 n �T 0 ft Minimum permit fee ($90.00)
Plan review (25% of permit fee)
Phone: ( 5 t � 5). r / 3 ta , • rS (?
n C^ State surcharge (12% of permit fee)
CCB lic.: 1� t . \ lO s / f '7/ 1 TOTAL PERMIT FEE ie f) y, 'f7'
� ( This permit application expires if a permit is not obta nrd within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri -County Building Industry Service Board
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9205 SW VIEW TER, TIGARD, OR, 97224
Residential - Mechanical
615 Mechanical rough-in
06/05/2013 00:00
MEC2013-00299
FAIL
1. Provide minimum 5" flex or 4" smooth ducts for both bathroom fans. Table M1507.3.
Recall
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9205 SW VIEW TER, TIGARD, OR, 97224
Residential - Mechanical
615 Mechanical rough-in
06/05/2013 00:00
MEC2013-00299
FAIL
1. Provide minimum 5" flex or 4" smooth ducts for both bathroom fans. Table M1507.3.
Recall
Violation Summary:
Inspector Contractor