Permit CITY OF TIGARD MECHANICAL PERMIT
111 : COMMUNITY DEVELOPMENT Permit#: MEC2015-00298
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2015
TIGARD Parcel: 2S111DB07500
Jurisdiction: Tigard
Site address: 15515 SW ALDERBROOK DR
Project: Eischen Subdivision: SUMMERFIELD NO.7 Lot: 369
Project Description: Install(1)range hood and(3)exhaust fans for kitchen and bath remodel.
Contractor: DANNYS HEATING AND COOLING INC Owner: EISCHEN ENTERPRISES LLC
16303 NE 36TH ST 15755 SW OAKHILL LN
VANCOUVER, WA 98682 TIGARD, OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 05/21/2015 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 05/21/2015 $69.96
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 05/21/2015 $12.40
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $115.75
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 7 —<_ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application i OR 0 1 1 1( 1 I 'NI ()NI 1
City of Tigard Received Date/B �j, •. Permit N.
• 13125 SW Hall Blvd.,Tigard,OR 97223 ►/�' 4.5-_491,702 q�
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
I I., \I:I) Inspection Line: 503.639.4175 Date Ready/By: Juns: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For spedal Information use checkilsi.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:15515 SW Alderbrook Drive Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
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
Other _
Subdivision: Lot no.:
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
((3 exhaust fans,1 hood fan fireplace 23.32
`4 G 9- N�/t2 2-
�ff?fS Log lighter(gas) 23.32
y 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, 1
toilet compartments,utility rooms) 9 _ 23.32 _
Phone:(503)4402095 Fax:( ) Attic/crawispace 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 1996 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 @ yaboo.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Dannys Heating and Cooling Other:
MECHANICAL PERMIT FEES*
Address:16303 NE 36Th st.Vancouver WA 98682 Subtotal
City/State/ZIP:Vancouver,WA 98682 Minimum permit fee($90.00)
Phone:(503)9148058 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:197549 TOTAL PERMIT FEE //5:- �f$
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: /)nn Jn • Fee methodology set by Tri-County Building Industry Service Board
Print name:Danny Zubanov ] Dater/19/15
1:1Building\Permits\MEC_PermitApp_0401 I3.doc 440-4617T(I 1/02ICOM/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
15515 SW ALDERBROOK DR, TIGARD, OR,
97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
July 16, 2015 at 11:47:23 AM
MEC2015-00298
George Heimos
Violation Summary:
Inspector Contractor