Permit (85) CITY OF TIGARD MECHANICAL PERMIT
111 -2 COMMUNITY DEVELOPMENT Permit#: MEC2019-00068
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2019
T f c.;y I'C� g Parcel: 1S134BD09300
Jurisdiction: Tigard
Site address: 11627 SW WOODLAWN CT
Project: Birran Subdivision: PENN LAWN ESTATES NO.2 Lot: 21
Project Description: Replacing existing gas furnace.
Contractor: ACE ALL CLIMATE ENGINEERING LLC Owner: MICHAEL BIRRAN
PO BOX 3733 11627 SW WOODLAWN CT
SALEM, OR 97302 TIGARD, OR 97223
PHONE: 503-991-5580 PHONE: 503-539-5573
FAX: 888-296-0121
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 02/06/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 02/06/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 02/06/2019 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / y Permittee Signature:
ff VVV c.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicpiUn''77'' ' ;7r--) FOR OFFICE USE ONLY
1City of Tigard
. u 13125 SW Hall Blvd.,Tigard,OR 972f37L1 0 q Date/By 3 201111 , Received
/AL
Plan Review 7 /AM P. ,tr, ---0 _., -•1-
I
Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit:
Inspection Line: 503.639.4175
TIGARD Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction E Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
121 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address:11627 SW Woodlawn Ct Furnace 100,000 BTU(ducts/vents) 1 46.75 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:
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
Replace Gas Furnace 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
El PROPERTY OWNER D TENANT
Environmental exhaust and ventilation:
Name:Michael Birran Range hood/other kitchen
equipment 33.39
Address: 11627 SW Woodlawn Ct Clothes dryer exhaust 33.39
City/State/ZIP:Tigard Or 97223 Single-duct exhaust(bathrooms,
-- toilet compartments,utility rooms) 23.32
Phone:(503)539-5573 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT El CONTACT PERSON Other: 23.32
" -- Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Mike Dudycha Furnace,etc.
._...
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(503)400-1877 Fax: :( ) Fireplace
- -
-- Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Ace All Climate Engineering LLC
MECHANICAL PERMIT FEES*
Address:4785 Sunnyside Rd SE Subtotal
City/State/ZIP:Salem Or 93213 7236-) Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)209-8757 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:194023 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: /es- - ,
AA
4...„.
(9 (,97/Q-. days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Mike Dudycha Date:2/4/ 9
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11627 SW WOODLAWN CT, TIGARD, OR, 97223 February 15, 2019 at
10:13:23 AM
Record Type: Record ID:
Residential - Mechanical MEC2019-00068
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Minor label #ELS 698683
Violation Summary:
Inspector Contractor