Permit (41) CITY OF TIGARD MECHANICAL PERMIT
g COMMUNITY DEVELOPMENT Permit#: MEC2016-00236
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/04/2016
Parcel: 2S104AC09400
Jurisdiction: Tigard
Site address: 13234 SW BOUNEFF ST
Project: Thomas Subdivision: MORNING HILL NO.9 Lot: 237
Project Description: Replace&relocate furnace,add ductwork to addition/remodel and install(1)exhaust fan&(1)dryer vent in
relocated laundry room.
Contractor: B&S HEATING&AIR CONDITIONING LLC Owner: THOMAS, BRIAN D& KATHLEEN M B
PO BOX 1623 13234 SW BOUNEFF ST
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503-720-5608 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 04/04/2016 $46.75
Type of Use: SF Duct Work 04/04/2016 $23.32
Class of Work: ALT Type of Const: Clothes Dryer Exhaust 04/04/2016 $33.39
Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 04/04/2016 $23.32
Stories: Utility Rooms)
12%State Surcharge-Mechanical 04/04/2016 $15.21
Fuel
Fuel Types:
Gas Pressure:
Total $141.99
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 • - ion • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B . . ( 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 A li LIVti
FOOI I "I: I sl: o'l.
\
13125 SW Hall Blvd.,Tigard,OR 97223City of Tigard l
. Phone: 503.718.2439 Fax: 503.598,1960 Received 04,Date/By'
Plan Review ,/ Permit No.: E
e.v1/ /6--00,Yrj
Date/By: Other Permit:11./ 1-:4, 4,0, 7•
Inspection Line: 503.639.4175 F'- 1 ' r--'..1
I I c, \I I) p Date Ready/By: Juris: ia See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
011'Of 11(TARU
t. If -,M ,_,, '"''A'x, ,,, ....3 ' ¢hS ,r$6 �:.zh 5 #. r;x I C'., %, ' ''-
A/f C ue of the work
El New construction Addition/alteration/replacement I_f /441 99 nearest dollar)of all
❑ Demolition ❑Other: _ head,and profit.
A .e e{t r i tw a Ori !CO
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑ Accessory building . eckltst.
❑ Multi family ❑ Master builder ❑Other: 'Jlj t2 4/3\,7? Ea. Total
46.75
Job site address: p )
�Z- t„„) D Cl V 11 '9 Fumace 100,000 BTU(ducts/vents) / 46.75 41/14
City/State/ZIP: 4_tiet,,,,-4 Furnace 100,000+BTU(ductsivents) 54.91
Heat pump 61.06
3.5yCSuite/bldg./apt.no.: I Project name: Duct work / 23.32 23.5?--
Cross
ross 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: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF VI'ORK Gas fireplace/insert 33.39
' ,.. i Flue vent for water heater or gas
MO ues ¢ r Lwe_e_ Finch i Litz fireplace 23.32
adtk /y� v4 P1/. h) Lamer Log lighter(gas) 23.32
(/ Wood/pellet stove 33.39
of c c\ gcr> ---5 ze Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�'f PROPERTY OAR' 1 Q 1TNAM' Other: 23.32
Environmental exhaust and ventilation:
Name: 'ria A. S Va�( _ r Range hood/other kitchen
equipment 33.39
Address: t r� Q�
r 3 z 3 y 5 GO gO U L&1/4Q. IF- Clothes dryer exhaust / 33.39 53.57
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) I , 23.32 33. 39
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
' APPRLiC�1T _ Q CONTACT PERSON
Other: 23.32
Business name: {� , c� �� Fuel piping:
NG 1'7ILR�1� ��h ✓ rpt V�� /
�" $14.15 for first four;$4.03 for each additional
Contact name: gj`t a, ��- Furnace,etc.
Address: �feJ L 5� /el 0 � `/ 5 "� Gas Wall/heat p ndp
[iWalsuspended/unit heater
City/State/ZIP: ."/ /Q v e__ 1-7bi5_3 Water heater
Phone:(9-63) 5--33 1 soicti Fax::( ) Fireplace
Range
E-mail: r e v I...a-7- f/ViaI l 1(C��A._ Barbecue
t * ii 1 i`t re a Clothes dryer(gas)
Business name: 4, Other
Address: pO Bch 16 3 Subtotal /A8.Y.
City/State/ZIP: 0 re A et-V 0g 97095- Minimum permit fee($90.00)
U*7
i Plan review(25%of permit fee)
Phone:( 3) 7 ZP' 5-p0t g Fax:( )
State surcharge(12%of permit fee) /S'94
CCB lie.: Fri-2.:2/0 TOTAL PERMIT FEE /9/.?2
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur ' -40", * Fee methodology set by Tri-County Building Industry Service Board
Print nam / ' - - Date: �g7l
y i r w III
I BuildingPermits MEC_PermitApp_040113.doe C 440-46 7T(I 102 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit P+ ,
$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: Building Pennits MEC_PennitApp_0401 13.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
13234 SW BOUNEFF ST, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00236
Chip Barnett
Violation Summary:
Inspector Contractor