The URL can be used to link to this page

Permit 1y 44 CITY OF TIGARD /W I MECHANICAL PERMIT 111 r - COMMUNITY DEVELOPMENT Permit#: MEC2015-00470 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2015 Parcel: 1 S133DD02200 Jurisdiction: Tigard Site address: 12878 SW VILLAGE PARK LN Project: Bull Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 61 Project Description: Remodel:add gas line for range,add dryer vent&add(2)bath fans. 8/6/2015 REPRINT permit to add(1)bath fan. Contractor: MARK DAWSON CONSTRUCTION LLC Owner: O'LOUGHLIN, MICHAEL 41290 SW SANDSTROM RD 12878 SW VILLAGE PARK LN GASTON, OR 97119 TIGARD,OR 97223 PHONE: 503-805-0814 PHONE: FAX: 503-357-9590 FEES Specifics: Description Date Amount Clothes Dryer Exhaust 07/15/2015 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 07/15/2015 $46.64 Class of Work: ALT Type of Const: Utility Rooms) Occupancy Grp: Fuel Piping 07/15/2015 $14.15 Stories: 12%State Surcharge-Mechanical 07/15/2015 $11.30 Single Duct Exhaust(Bathrooms,Toilet, 08/06/2015 $23.32 Utility Rooms) 12%State Surcharge-Mechanical 08/06/2015 $2.80 Misc Administration Fee 08/06/2015 $45.00 Fuel Fuel Types: Gas Pressure: Total $176.60 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 callin. 503.232.1987 or 1.800.332.2344. Issued By: a 4. Permittee Signature> re-e 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. � n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015 00470 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2015 Parcel: 1 S133DD02200 Jurisdiction: Tigard Site address: 12878 SW VILLAGE PARK LN Project: Bull Subdivision:'ILLAGE AT SUMMER LAKE PARK NO. Lot: 61 Project Description: Remodel:add gas line for range,add dryer vent&add(2)bath fans. Contractor: MARK DAWSON CONSTRUCTION LLC Owner: O'LOUGHLIN, MICHAEL 41290 SW SANDSTROM RD 12878 SW VILLAGE PARK LN GASTON, OR 97119 TIGARD, OR 97223 PHONE: 503-805-0814 PHONE: FAX: 503-357-9590 FEES Specifics: Description Date Amount Clothes Dryer Exhaust 07/15/2015 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 07/15/2015 $46.64 Class of Work: ALT Type of Const: Utility Rooms) Occupancy Grp: Fuel Piping 07/15/2015 $14.15 Stories: 12%State Surcharge-Mechanical 07/15/2015 $11.30 Fuel Fuel Types: Gas Pressure: Total $105.48 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi - .- --.ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dire .uestions to OU s by •- ing 503.232.1987 or 1.800.332.2344. Iss ed By: • Permittee Signature: / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit App1146EI%EJ) I I l,l OI I 11 I I •, 11\, 1 City of Tigard Received 1 S / • Permit No.: � Ili H f 09.a S-ba 1.17.0 13125 SW Hall Blvd.,Tigard,OR 7 Plan Review Phone: 503.718.2439 Fax: 503.5 2015 Date/By: Other Permit: 1 1 -A 1\t� Inspection Line: 503.639.4175 u Date Ready/By: Jig B See Page 2 for Internet: www.tigard-or.gov CITY OF 1'I(ARD Notified/Method: Supplemental Information BUILDING IRiV /lt TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST ❑New construction Mechanical permit fees*are based on the value of the work ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:12878 SW Village Park Lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard OR 97223 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 Subdivision: Lot no.: � 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 add gas line for range,add dryer vent,add two bath fans 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 I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Curt and Diana Bull Range hood/other kitchen equipment 33.39 Address:13822 SW 162nd Ter Clothes dryer exhaust I 33.39 33.99 City/State/ZIP:Tigard OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 2 23.32 46.64 Phone:(503)3139637 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name:Mark Dawson Construction LLC Fuel piping: $14.15 for first four,$4.03 for each additional Contact name:Mark Dawson Furnace,etc. Address:41290 SW Sandstrom RD Gas heat pump Wall/suspended/unit heater City/State/ZIP:Gaston,OR 97119 Water heater Phone:(503)805-0814 Fax::( ) Fireplace Range 1 14.15 E-mail:sbdawson @att.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:Mark Dawson Construction LLC Other: MECHANICAL PERMIT FEES* Address: Subtotal 94.78 City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) *,-2919"- Phone:(503)805-0814 Fax:( ) State surcharge(12%of permit fee) 11.3D CCB lic.:187209 TOTAL PERMIT FEE -1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri County Building Industry Service Board 7 - V yoard Print name:Mark Dawso I Date:7-14-15 /(J 5' I:\Building\PermitalMEC_PermitApp_040113.doc 440-4617T(1 l/02/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 12878 SW VILLAGE PARK LN, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical ﬁnal FAIL MEC2015-00470 David Young Provide shut off for range for ﬁnal inspection, no shutoff or ﬂex connector on site for ﬁnal. G2420.5 Violation Summary: Inspector Contractor 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 12878 SW VILLAGE PARK LN, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00470 David Young Violation Summary: Inspector Contractor