Permit CITY OF TIGARD MECHANICAL PERMIT
= • COMMUNITY DEVELOPMENT Permit#: MEC2015 00029
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2015
Parcel: 2S111CC23000
Jurisdiction: Tigard
Site address: 10420 SW GREENLEAF TER
Project: Eischen Subdivision: SUMMERFIELD NO.5 Lot: 288
Project Description: (4)exhaust fans&(1)range hood
Contractor: DANNYS HEATING AND COOLING INC Owner: STANLEY EISCHEN
16303 NE 36TH ST 10445 SW GREENLEAF TER
VANCOUVER,WA 98682 TIGARD, OR 97224
PHONE: 503-914-8058 PHONE: 503-440-2095
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 01/21/2015 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 01/21/2015 $93.28
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 01/21/2015 $15.20
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $141.87
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questio o OU by ca .•g 503.232.1987 or 1.800.332.2344.
Issued By: / / Permittee Signature:
�C /t
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica t CE1VEP Jim II ()I I I t
City of Tigard Received �� / Permit No.: geAal��a
• 13125 SW Hall Blvd.,Tigard,OR 97223
9 9.\N 21 2015 Plan
DateBy18W
Phone: 503.718.2439 Fax: 503.598.1 Other Permit:
\It I Inspection Line: 503.639.4175 Date Ready/By: turfs: 0 See Page 2 for
Internet: www.tigard-or.gov
CITY F rr ARL Notified/Method: Supplemental Information
TYPE DIVISION
COMMERCIAL)FEE' SCHEDULE—USE CHEMIST
Mechanical permit fees'are based on the value of the work
['New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. f Total
JOE SIZE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10420 SW Greenleaf Terrace Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: X2 Heat pump 23.06
,/ V
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 Gas fireplace/insert 33.39
Flue vent for water heater or gas
4 exhaust fans,1 hood fan fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Stanley Eischen Range hood/other kitchen
equipment 1 33.39
Address:15665 SW Oak hill Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:(503)4402095 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name:TL Remodel&Construction Inc
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tim Labunsky Furnace,etc.
Address:PO Box 19% Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater
Phone:(503)984-2783 Fax::( ) Fireplace
Range
E-mail:TLRemodel @ yahoo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Dannys Heating and Cooling
MEGIANICAL PERMIT FEES*
Address: 16303 NE 36Th st.Vancouver WA 98682 Subtotal /01.0 .6
City/State/ZIP:Vancouver,WA 98682 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)9148058 Fax:( ) State surcharge(12%of permit fee) /5:490
CCB lie.:197549 TOTAL PERMIT FEE 1y 4 b7
This permit application expires if a permit is not obtained wfthfo 180
� days aster y has Coen accepted as complete Authorized Signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name:Danny Zubanov Date:1/19/15
I:1Building1Permitsi C_PermitApp_040I13.doc 440-4617r(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10420 SW GREENLEAF TER, TIGARD, OR,
97224
Record Type: Record ID:
Residential - Mechanical MEC2015-00029
Inspection Type: Inspector:
699 Mechanical final George Heimos
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10420 SW GREENLEAF TER, TIGARD, OR,
97224
Record Type: Record ID:
Residential - Mechanical MEC2015-00029
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Stop Work Order posted on site, no inspections prior to correction of stop work order.
Violation Summary:
Inspector Contractor