Permit II p CITY OF TIGARD MECHANICAL PERMIT
I I COMMUNITY DEVELOPMENT Permit#: MEC2015-00065
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2015
Parcel: 2S 104AB00900
Jurisdiction: Tigard
Site address: 13335 SW CHIMNEY RIDGE CT
Project: BASSINE Subdivision: MORNING HILL NO.1 Lot: 8
Project Description: Gas line to fireplace and barbecue.
Contractor: VENNE PLUMBING LLC Owner: BASSINE, GREGREY A&CHARLENE G
15145 SW DIVISION ST 13335 SW CHIMNEY RIDGE CT
SHERWOOD, OR 97140 TIGARD, OR 97223
PHONE: 503-624-9309 PHONE:
FAX: 503-684-0940
FEES
Specifics: ( Description Date Amount
Fuel Piping 02/09/2015 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 02/09/2015 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 02/09/2015 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.
Issued By: �!r ee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application hOIt ()FFI( r l si O\I
City of Tigard C Received BByy: - 9 /r Permit No.: MG _ • S a ,;an
13125 SW Hall Blvd.,Tigard,OR 9722Rr,` EIVEP f F�
g�,/r`✓ Plan Review Other Permit:
• Phone: 503.718.2439 Fax: 503.598.1 Date/By:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov FEB 9 2015 Notified/Method: t. Supplemental Information
TYPE OF mon OF TIG,ARD COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 15eAddition/alareMIVISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition - ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORYUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
EJ t-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB StfE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: , ?,G> w Gkwmhty 12-1(11R, C} • Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ti ctdrd j e R-. 011 7-2 3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: 13A-5s
%N Heat pump 61.06
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
lw 9\-14 Mt or QT (,) N(AA) 4r.co link, 4v fireplace 23.32
_yam. c rat. Pi r Rn I p8 Q Log lighter(gas) 23.32
—))�a�t^ �t Wood/pellet stove 33.39
"c'i` 4V A C C($ y •{/r- Wood fireplace/insert 23.32
t Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ CONTACT PERSON Other: 23.32 _
Fuel piping:
Business nam V si∎IN E Pump 1 NCa
S14.15 for first four;$4.03 for each additional
Contact name: _l V E'3 N e- Furnace.etc.
Address: 15 i 4 c, 5.1/) A�' 'slow St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: S rtAw 00 D/ 0It— II I y 0 Water heater
� 0 Phone:(4;>011 i C 41 0 Z Fax::(561 6pla y-. 001 y 0' Fireplace I I u.� —
�j Range
E-mail: c y a n �n i `� 1 ovimkxyll ,gym Barbecue I 1 •15 —
CONTRACTOR Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES'
Address: POI,G A30 Subtotal 2t
City/State/ZIP: Minimum permit fee($90.00) q 0.t
/� Plan review(25%of permit fee)
Phone: (Zy G Fax:(S0, 6 8 y OG)y 0 State surcharge(12%of permit fee) 10.g°
CCB lie.: ,01 Z ti q 4 0,f 4/i b TOTAL PERMIT FEE 00.$6
// This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signaturof * Fee methodology set by Tri-County Building Industry Service Board
Print nantr. ------::__ 4 Date: 2. 4. 2,0 1 5
1:\BuildingTermils\MEC_PermitApp_t•1113 dce U.1 I owl)440-46I7T(1 I/01/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13335 SW CHIMNEY RIDGE CT, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
February 27, 2015 at 9:54:29
AM
MEC2015-00065
David Young
Gas shutoffs installed at appliance locations.
Violation Summary:
Inspector Contractor