Permit CITY OF TIGARD MECHANICAL PERMIT
111111 r ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00722
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2015
Parcel: 2S103CC11100
Jurisdiction: Tigard
Site address: 12285 SW WHISTLER'S LN
Project: Motta Subdivision: WHISTLER'S WALK Lot: 58
Project Description: Install(2)exhaust fans
Contractor: DANNYS HEATING AND COOLING INC Owner: MOTTA, KRISTY A&MARK J
16303 NE 36TH ST 12285 SW WHISTLER LN
VANCOUVER,WA 98682 TIGARD, OR 97223
PHONE: 503-914-8058 PHONE: 503-440-4095
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 10/26/2015 $46.64
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/26/2015 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/26/2015 $43.36
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No - ion Cen - Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire• questions to OUNC • : 513.232.1987 or 1.800.332.2344.
Iss d By: / illki/ / Permittee Signature:
_ _ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli 1 11V EP FOR OFFICE I SE 0\1.1
City of Tigard Received /Dat/By: Q Aa, /5- , Permit No.: j/L
Lw 0,10/s� a
• 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
•
a Phone: 503.718.2439 Fax: 503.5 94102 Other Permit:
2 6 2 015 Date/By:
II G A R D Inspection Line: 503.639.4175 Date Ready/By: kris H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
C1TY OF 1'fl.AKU
Tyatilifilii ui;VtSiO]S COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercialindustrial ❑Accessory building For special information use checklist
❑ Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12285 SE Whistler 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: H Ocrrei-
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: 23.32
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
2 exhaust 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
Other: 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:illiWalleilla Mat,r K Nt 04ka Range hood/other kitchen
equipment 33.39
Address: yl•R 1 A R S ( .z 9 S SE L/) ,t k v ('\ Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2 23.32
Phone:( )' Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:TL Remodel&Construction Inc
$14.15 for first four;$4.03 for each additional
Contact name:Tim Labunsky Furnace,etc.
Address:PO Box 19% Gas heat pump
WalUsuspended/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 Other:
MECHANICAL PERMIT FEES*
Address:16303 NE 36Th st.Vancouver WA 98682 Subtotal
City/State/ZIP:Vancouver,WA 98682 Minimum permit fee($90.00) 90. Q
Plan review(25%of permit fee) ------
Phone:(503)9148058 Fax:( ) State surcharge(12%of permit fee) / .'O
CCB lic.:197549
TOTAL PERMIT FEE I DC) grj
This permit application expires if a permit is not obtained within 180
l I days after it has been accepted as complete.
Authorized signature: _,. /„v,,) �[/�A.-6,— * Fee methodology set by Tri-County Building Industry Service Board
Print name:Danny Zubanov Y Date: 10/19/15
I:\Building\Permits\MEC_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
12285 SW WHISTLER'S LN, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00722
Chip Barnett
Violation Summary:
Inspector Contractor