Permit •
1 • n CITY OF TIGARD MECHANICAL PERMIT
11 1 COMMUNITY DEVELOPMENT Permit #: MEC201300318
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/11/2013
Parcel: 1 S 126DB05800
Jurisdiction: Tigard
Site address: 9161 SW MONTAGE LN
Project: BROPHY Subdivision: MONTAGE Lot: 29
Project Description: NC installation. Placement of NC unit must comply with manufacturer's clearance requirements.
Contractor: SANDU INC Owner: BROPHY, MEGAN L
2101 NE 387TH AVE 9161 SW MONTAGE LN
WASHOUGAL, WA 98671 TIGARD, OR 97223
PHONE: 503 - 740 -1333 PHONE:
FAX: 888 - 340 -6548
FEES
Specifics: Description Date Amount
Air Conditioning 06/11/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 06/11/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/11/2013 $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: 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.
•
Jun 10 13 07:55p ABSOLUTE TEMP CONTROL 8883406548 p.1
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard ∎ a i I D • Received ii
I Date/By: ii._ . ,,
• 13125 SW Hall Blvd., Tigard, OR •�• Plan Review i
• 1 3 .' Phone: 503.718.2439 Fax: 503.598.1960 2 13 Datc1BY• Other Permit:
T I G .n l; D
Inspection Line: 503.639.4175 J Date Ready /By. lens 0 See Page 2 for
rn
Inteet: www.tigard -or.gov Nm . ifed,Methed: ( Supplemental Information
C i „. . ' TIGARD
TYPE Mil ‘0, GDNISIUN COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
0 New construction ® Additionialtera �i r performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other. � mechanical materials, equipment, labor, overhead, and profit
Value: $
CATEGORY OF CON$;(RUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For spedal information use checklist
® Multi- family 0 Master builder ❑ Other: Description I Qty. I Ea_ I Total
JOB SITE INFORMATION A' 'LOCATION Heating/cooling:
Air conditioning
• Job site address: 9161 SW MONTAGE LN. I I (requires site plan showing placement) 1 46.75 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
CityiState/ZfP: TIGARD, OR 97223 ; I' I Furnace 100,0004- BTU (ductslvc its) 54.91
Suite/bldg /apt no.: I Project name:: I Heat pump •
(requires sire plan showing placement) 61.06
Cross streeddirections to job site: I I Duct work 23.32
Hydronic hot water system , 23.32
Residential boiler (radiator or
' hydronic) 23.32
Unit heaters (fuel -type, not electric),
nn -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: . _ I I Lotno.: Other. 23.32
Tax map/parcel no.: I : Other fuel appliances:
DESCRIPTION Q WORK Water heater 23.32
I INSTALL NEW A/C UNIT I I I Gas Replace 33.39
Flue vent for water healer or gas
: II fireplace 23.32
Log lighter (Ras) 23.32
III 1�'otrdm'polet stove 3339
Wood fireplace/insert 23.32
83 PROPERTY OWNER I I I III ❑ TENANT Chimney/liner/flue/vent
Other 23.32
Name: MEGAN BROPHY ' I I I Environmental exhaust and ventilation:
Address: 9161 SW MONTAGE LN. : I I' I Range hood/other kitchen
equipment 3339
City /State/ZIP: TIGARD, OR 97223 ' II 1 Clothes dryer exhaust 3339
i Single-duct exhaust (bathrooms,
Phone: (503)819 -0279 Fa ( I ) toilet compartments, utility rooms) 2332
® APPLICANT I I I ; ❑ CONTACT PERSON Attic/crawlspace fans 2332
Business name: ABSOLUTE TEMP CONTROL I I I ; Other. _ 23.32
Fuel piping:
Contact name: JOHN SANDU I I $14.15 for first four, S4.03 for each additional
Address: 2101 NE 387 AVE I I Furnace, etc.
Gas heat pump
City /State/ZIP: WASHOUGAL, WA 98671 : 11'1 i Wall /suspended/unitheater ,
Phone: (503) 740 -1333 Far :1: (888) 3404548 Water heater .
Fireplace
E -mail: sandu.ine@gmail.eom III I Fange
CONTRACT,OKI j Barbecue
Business name: ABSOLUTE TEMP CONTROL III Clothes dryer (gas)
Other:
Address: (same as above) . I I.! : MECHANICAL PERM IT FEES'
City/State /ZIP: . III Subtotal
I I Minimum permit fee (590.00) 90
Phone: ( ) Far: �( I )
I I � Plan review (25% of permit fee)
CCB lie.: 166011 I State surcharge (12% of permit fee) 10.8
�I TOTAL PERMIT FEE 100.80
Authorized signature: This permit application expires if a permit is not obtained within 180
III days after it has been accepted as complete.
Print name: JOHN SANDU II 1 Date: 6/10/2013 • Fee methodology set by Tri- County Building industry Service Board
I: 1Buitdirg %Pamits \MEC- Panit.App.coo OWOt' /IO 4444617r(IIiOflco t/tYEB)
•
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9161 SW MONTAGE LN, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/18/2013 00:00
MEC2013-00318
PASS - No C of O
Minor label ELS368078
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9161 SW MONTAGE LN, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
06/18/2013 00:00
MEC2013-00318
PASS - No C of O
Minor label ELS368078
Violation Summary:
Inspector Contractor