Permit (53) CITY OF TIGARD MECHANICAL PERMIT
IN COMMUNITY DEVELOPMENT Permit#: MEC2016-00257
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2016
TIGARD Parcel: 2S102CA01700
Jurisdiction: Tigard
Site address: 13515 SW ASH AVE
Project: Ashwood,Lot 4 Subdivision: ASHWOOD Lot: 4
Project Description: Install a/c,placement of a/c unit must comply with manufacturer's clearance requirements.
Contractor: INTEGRITY AIR LLC Owner: LF 4 LLC
7301 SW KABLE LN, STE 500 9700 SW FREWING ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-572-3594 PHONE:
FAX: 503-598-8498
FEES
Specifics: Description Date Amount
Air Conditioning 04/14/2016 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 04/14/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/14/2016 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
appl -.• - a"•. t I work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
suance. or if work suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Thg.se rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC call) 503.232.1987 or 1.800.332.2344. --411111%
Issued By: 1111„4„//4/„;„.." Permittee Sig ature: ,
Call 503.639.4175 by 7:00 a.m.for the next available •ection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application rori o► l is e I sl:ONI.l
City of Tigard J3ECEIVED ►may h/® � Permit No.:)**2evo,�d ag 7
II �
13125 SW Hall Blvd.,Tigard,OR 97 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
11,: 1;I, Inspection Line: 503.639.4175 APR 13 2016 Date Ready/By: Juris: ia See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Q�
CITY��� � OF fiGARQ
TYPE 01341A RIDINU DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
Job site address:13515 SW Ash Ashimit Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/venu) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Ashwood Estates Duct work 23.32
Cross street/directions to job site:Frewing Street 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.:4 Other 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
Installing AC fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth
® PROPERTY OWNER ❑ TENANTS 23.32
Environmental exhaust and ventilation:
Name:LF 4,LLC Range hood/other kitchen
equipment 33.39
Address:5285 Meadows Rd Ste 171
Clothes dryer exhaust 33.39
City/State/ZIP:Lake Oswego,OR 97035 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)657-3402 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:JTSC,LLC Fuel piping:
$14.15 for first four,$4.03 for each additional
Contact name:Jered Otey Furnace,etc.
Address:5285 Meadows Rd Ste 171 Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Lake Oswego,OR 97035 Water heater
Phone:(503)890-0840 Fax::( ) Fireplace
Range
E-mail:Jotey t@jtsmithco.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Integrity Air,LLC Other.
MECHANICAL PERMIT FEES*
Address:7301 SW Kable Lane,Suite 500 Subtotal
City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00)
Plan review(25%
Phone:(503)572-3594 Fax:( ) of permit fee)
State surcharge(12%of permit fee)
CCB lie.:203869 TOTAL PERMIT FEE /Z,Sd
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:John Wyland Date:04/11/2016
IaBuildingTermitalEC_PermitApp 0401 .doe 440-46171(11/02/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
13515 SW ASH AVE, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00257
David Young
Minor label #ELS 517570
Violation Summary:
Inspector Contractor