Permit (69) CITY OF TIGARD .
Permit#: MEC2016-00648
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT ' i
•
� ��
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2016
T f Parcel: 2S 111 BA06800
Jurisdiction: Tigard
Site address: 9541 SW INEZ ST
Project: Ban Subdivision: BUTLER TERRACE Lot: 2
Project Description: Replacement of(1)air conditioner,(1)furnace,duct work,(6)exhaust fans&relocate gas piping for furnace.
8/21/17,REPRINT to add(1)dryer vent,(1)tankless water heater with associated gas piping.
Contractor: SUNSHINE HEATING AIR CONDITIONING Owner: BAN, MIRCEA&DIANA
9325 SW DIAMOND VIEW WAY 9541 SW INEZ ST
BEAVERTON, OR 97007 TIGARD, OR 97224
PHONE: 503-720-8410
PHONE: 425-919-2705
FAX: 503-762-4311
FEES
Specifics: Description Date Amount
Air Conditioning 09/12/2016 $46.75
Type of Use: SF Furnaces<100K BTU 09/12/2016 $46.75
Class of Work: ALT Type of Const: Duct Work 09/12/2016 $23.32
Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 09/12/2016 $139.92
Stories: Utility Rooms)
Fuel Piping 09/12/2016 $14.15
12%State Surcharge-Mechanical 09/12/2016 $32.51
Water Heater 08/21/2017 $23.32
Clothes Dryer Exhaust 08/21/2017 $33.39
Fuel 12%State Surcharge-Mechanical 08/21/2017 $6.80
Fuel Types: Natural Gas
Gas Pressure:
Total $366.91
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By . .�i ,_ Permittee Signature: Ali-U
i
S f{t - i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the • oject.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli �tyion , / i ,, FOR OFFICE ESE ONE)
City of Tigard Received ONO-fine} Received / '/
�.d � l Date/By: • ii - / Pmint No.: Nie-d0/tF�t'� 67�
13125 SW Hall Blvd.,Tigard,OR 9 V*-•1- '' Plan Review
g Phone: 503.718.2439 Fax: 503.59 960 ,, SI/ / Other Permit:
J '�t f n Date/By: Ntirao �«
T I GARD Inspection Line: 503.639.4175 L F(Z` (11 1° Date Ready/By: Juris: BI See Page 2 for
Internet: www.tigard-or.gov : . . . r Notified/Method: Supplemental Information
,a ‘
TY4 -�* .. t ,/' 4 COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATIONvAND LOCATION Heating/cooling:
, Air conditioning 46.75 .75‘r
Job site address: O)c l.1/ S \V i t _2„- c7. Furnace 100,000 BTU(ducts/vents) ( 46.75 y[t.75
City/State/ZIP: f I C 4-i2 i) 0 P-- 9'722.4 Furnace 100,000+BTU(ducts/vents) 1
Heat pump 61.06
Suite/bldg./apt.no.: Project name: r‘ig( Q` Duct work 23.32 k.
Cross street/directions to job site: / .I`> 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: l Lot no.: Other: 23.32
Other fuel wiplianePC•
Tax map/parcel no.: CWater heater 1 23.32
DESCRIrtio4 91P=WORK Gas fireplace/insert _ 33 s9
ID --DYy K V ' - Flue vent for water heater or gas
oJ� fireplace 23.32
N k 5 S A-r-f 2 N-s�T12 �l Log lighter(gas) 23.32
f Wood/pellet stove 33.39
Pr4 Sp C.101-rib 0,A-5 P1 Pt hl Wood fireplace/insert 23.32
+(4-.1)-D TO /
fC a-O f 4-t�C!leg t Chimney/liner/flue/vent 23.32
41:1 PROPFRQW
TY hTER I p TENANE. Other: 23.32
Environmental exhaust and ventilatt ion:
Name: lCE t3,4-/\1 Range hood/other kitchen
t r:- ui ens ` 31.3
Address: (73-4(73-4 9 S 4</ I (V _2.
rt.:-
`! , Clothes dryer exhaust I 33.39
/� } / ., . ,tc .aa .. x
City/State/ZIP: "'r I G,4$ ) 0 iZ , 47 / a a / '."
• co :••••" - ' •rooms) 23.32
Phone:(1 .fl 614/ 2:70 S- Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT- ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: u . , c. •.>S-
Address: Gas heat pump
nom. c
City/State/ZIP: Water heater r�hJl�
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: ,
S t,(I�I J�I N C. t►t F 1 2 i A ft k
/y1/ • [,�. Other: MECHANICAL PERMIT FEES*
Address: 67325 W /t/lMGN �iL 1X.1 Subtotal
P,--7-6-,-8?
City/State/ZIP: 1?)_
A-1T>,- j O f 1 l/i'\/�> Minimum permit fee($90.00)
, 007
(J o 71 P 8? �Q ( - _ Plan review(22%%of permit fee
Phone: Fax: ) State surcharge(12%of permit fee) �1
CCB lie.: 42_7 Oil- rk, 1126((<g TOTAL PERMIT FEE a
This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: •'f * Fee methodology set by Tri-County Building Industry Service Board
p
Print name: rR,(I,i1- R' f} !.I Date: 9-! 12 �� �Upt-r70/�1f}1,,, FffS -= ��3, 5J
I:\Building\Permits\MEC_PermitApp_040 113.doc 440-4617T(11/02/COM/WEB)
/114 CITY OF TIGARD MECHANICAL PERMIT
'' COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2016-00648
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2016
.
Parcel: 2S 111 BA06800
Jurisdiction: Tigard
Site address: 9541 SW INEZ ST
Project: Ban Subdivision: BUTLER TERRACE Lot: 2
Project Description: Replacement of(1)air conditioner,(1)furnace,duct work,(6)exhaust fans&relocate gas piping for furnace.
Contractor: SUNSHINE HEATING AIR CONDITIONING Owner: BAN, MIRCEA&DIANA
9325 SW DIAMOND VIEW WAY 9541 SW INEZ ST
BEAVERTON, OR 97007 TIGARD, OR 97224
PHONE: 503-720-8410 PHONE: 425-919-2705
FAX: 503-762-4311
FEES
Specifics: Description Date Amount
Air Conditioning 09/12/2016 $46.75
Type of Use: SF Furnaces<100K BTU 09/12/2016 $46.75
Class of Work: ALT Type of Const: Duct Work 09/12/2016 $23.32
Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 09/12/2016 $139.92
Stories: Utility Rooms)
Fuel Piping 09/12/2016 $14.15
12%State Surcharge-Mechanical 09/12/2016 $32.51
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $303.40
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y+u may obtain a copy of the rules
or direct questis to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued C d/ ` !atI Permittee Signature: -
ifi
gligli
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion . the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application , , ,, , , FOR OFFICE USE OM.l
City of Tigard Received 7
Date/By: AA_/4 MO i Permit No.: ivferde,/4_..60 6 eig
q:
1 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review 111 111 Phone: 503.718.2439 Fax: 503.59g1I960 I ,;, .,, A , Date/By: Other Permit:)1147----,9e2frtbriV
TIGARD Inspection Line: 503.639.4175 ' -
Date Ready/By: Juris• 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Tytiii.4,- 1444itit):);1,'1,S1()1‘ COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
1=1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
, Air conditioning it 46.75 44.7
Job site address: Orifl c ‘1(/ I NE.2_ C7. Furnace 100,000 BTU(ducts/vents) i 46.75
I
City/State/ZIP: •Ti C 4-1Zi> 0 la_ 9'72.24 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: tvl t illQ€4 He a SHeat pump 61.06t Duct work 1 23.32
Cross street/directions 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
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
1PROPERTY OWNER TENANT
Environmental exhaust and ventilation:
_i
Name: (xi I Z.Ce4- 11,41,1 Range hood/other kitchen
I equipment 33.39
Address: 4S) 9 \v N c ST,
Clothes dryer exhaust 33.39
City/State/ZIP: T1 G A-ItZ 6 CR. , 477a 2-4 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:( 2.1.--)- 941 a7 0 s-- Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
I NJ
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP:
Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
o t ,..,
Business name: ‘i(/•IS/1-'f N c 14-betTi fkici 4.1 K (-t-,m. LQ Other:
MECHANICAL PERMIT FEES*
Address: C-7.32,5- Vcif /' 1/4 MON ktiEw IX/4-y Subtotal 60N-765 f 8?
City/State/ZIP: /.. L4-VERN_TO1 ok c72007 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(Sti 72-Q 84 io Fax:( )
State surcharge(12%of permit fee)
CCB lie.: 42.7 flir t/24/N TOTAL PERMIT FEE 363.et/e
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: MIR:C-4- RA' f`f Date: 09/197 ,if
1:\Buildtng\Pemuts\MEC_PermitApp_040113 doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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\Permits\MEC_PermitApp_040113.doc 2