Permit illi p CITY OF TIGARD MECHANICAL PERMIT
II COMMUNITY DEVELOPMENT Permit#: MEC2015-00559
T II GiARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2015
Parcel: 1S 136AA08600
Jurisdiction: Tigard
Site address: 10047 SW 70TH PL
Project: Subdivision: VENTURA ESTATES Lot: 8
Project Description: Install radon fan on exterior of house. Electrical under separate permit.
Contractor: XAVIER ENVIRONMENTAL INC Owner: TOM& ELISSA BOYD
11300 SW CAHALIN RD 10047 SW 70TH PL
SHERWOOD, OR 97140 TIGARD, OR 97223
PHONE: 503-209-4408 PHONE:
FAX: 503-682-9506
FEES
Specifics: Description Date Amount
Other,Exhaust/Ventilation 08/13/2015 $23.32
Type of Use: SF 12%State Surcharge-Mechanical 08/13/2015 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/13/2015 $66.68
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N. . on Cen - Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir- questions to OUNC •y c. • 503.232.1987 or 1.800.332.2344.
I- ued By: —� / -l1 74 t� • Permittee Signature;l�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic FOR OFFICE USE ONLY
City of Tigard �CEIVE RDaleyd (/ Permit No f�'I )C (3-....00 -5----)
• 13125 SW Hall Blvd.,Tigard,OR 97223 b ��
= Plan Review
Phone: 503.718.2439 Fax: 503.598.1�• G 1 3 2015
Date/By: Other Permit:
T I G A R I Inspection Line: 503.639.4175 Date ReadyBy: orris ® See Page 2 for
Internet: www.tigard-orgov Notified/Method: Supplemental Information
CITY OF"f16ARu
IIIIOIIMIMIIIIIIIMMIIIIIIM
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement rr performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: uckAll �t,,Zrw F47tr` mechanical materials,equipment,labor,overhead,and profit.
Value:$ OD
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
Heating/cooling:
Air conditioning 46.75
Job site address: 100147 5w -704.t P L• Furnace 100,000 BTU(ducts/vents) _ 46.75 ,
City/State/ZIP: �
�l`ct `L , oti Q,Z Z 3 Furnace 100,000+BTU(ducts/vents) 54.91 .
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: Duct work 23.32
Cross street/directions to job site: "L Lac us+ 54• 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: 23.32
Subdivision: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
•
DESCRIPTION OF WORK Gas fireplace/insert 33.39
� (( ( o I_ _ - (
Flue vent for water heater or gas
.1.IA5A�. etztt* K c.if. all e.'!CkeirY'W` dF Ineus.2. ( 5-vo.S+,_ fireplace 23.32
/ ri Log lighter(gas) 23.32
tr) JtAk-k. aVerk54 LO f c/rve et 5 t"U'^'∎ e i— Wood/pellet stove 33.39 .
l tv i lo' C-rUW v N Lt C1..7, CtPCkj' 4k.w -be, e......,..%4 Wood fireplace/insert 23.32
ri�-L Chimney/liner/flue/vent 23.32
w,te't Iii't'� Other: 23.32 _
PROPERTY" R-ail. Environmental exhaust and ventilation:
Name: /f1Y‘A 4' E t i 5 Range hood/other kitchen
equipment 33.39
Address: .samte_ 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
Other: Co.&Art t 23.32
Business name: , II Fuel piping:
l+�l �vIJE JUh unA�'�wJf $14.15 for first four;$4.03 for each additional
Contact name: blo r — Furnace,etc. .
Address: 1 Ic ( •t k Gas heat pump
l'co J"� t Wall/suspended/unit heater
City/State/ZIP: 5 ctJoi, j a)2_ 1
- 7(tt0 Water heater
Phone:() Zen—C.4(..4 Q$' I Fax::(9)) (?Z.c(50(p Fireplace
Range
E-mail: YiANI lQ.,r c.r(J ma..)l r CA/l Barbecue
Clothes dryer(gas) .
Business name:
Other:
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) 91. 0
Plan review(25%of permit fee)
Phone:( ) Fax:( ) (12% 40
State surcharge(12 of permit fee) ley
CCB lic.: '' `5()g`` TOTAL PERMIT FEE /110,$0
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
Print name: cy,„, Date: g{ 13/?o t 5
I:1 Building\Permits\MEC_Permitxpp_0401I3.doc 440-4617r(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1Building\Permits\MEC_PermitApp_040113.doc 2
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
10047 SW 70TH PL, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
FAIL
MEC2015-00559
David Young
No access for inspection, no one home. 10:51 am
Provide access for inspections.
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
10047 SW 70TH PL, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00559
George Heimos
NOTE: Minor Label posted in electrical panel
Violation Summary:
Inspector Contractor