Permit (69) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00382
j
i(_1 A r.-) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2019
Parcel: 2S102DD04500
Jurisdiction:
Site address: 8575 SW JOHN CT
Project: Chen Subdivision: BRIDGEPARK Lot: 5
Project Description: Replacing existing gas furnace and A/C.
Contractor: POLYTECH HEATING LLC Owner: CHEN,WEI WEI
11300 SE CASCADE VIEW DR 3 MONROE PKWY, STE P 159
HAPPY VALLEY, OR 97086 LAKE GROVE, OR 97035
PHONE: 503-888-7999 PHONE: 503-880-3949
FAX: 503-788-2688
FEES
Specifics: Description Date Amount
Air Conditioning 06/11/2019 $46.75
Type of Use: SF Furnaces<100K BTU 06/11/2019 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/11/2019 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC b •Iling 503.23 1987 or 1.800 .32.2344.
Issued By: / Permittee Signature:eitt
/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion .f •. project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE LSE ONl.l
City of Tigard Received /
IIII
41 13125 SW Hall Blvd.,Tigard,OR 97223 J li m.I -r 2019
Date/By:Date/By: �� �% '� ��
I Phone: 503.718.2439 Fax: 503.598.1960 # Plan Review Other Permit I
Inspection Line: 503.639.4175
T I G A K Q Ins p ry Date Ready/By: loris: ® See Page 2 for
Internet: www.tigard-or.gov Buss- I ,-tNotified/Method: Supplemental Information
TY.I'E OF. 'ORI£,. COMMERCIAL PEE* SCH}DULE - USE ZCKi,,I T
Mechanical permit fees*are based on the value of the work
❑New construction Er Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY 01? CONSTRUCTION RESIDENTI�iL E{ NT/SYS EMS
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LA CATION Heating/cooling:
Air conditioning I 46.75
Job site address: J1 , J`-)ki c--t— Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: {( t �A P,f), C (-}122,3 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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION F':IiVOIDC Gas fireplace/insert 33.39
'1 Flue vent for water heater or gas
Ke'\c.CP 61(1s-Ct Pre-( C0,5 •---. A4,Ace .
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
it,:: P1Y O e'''";,:°*":;- [ II 1'
-,y Other: 23.32
,
Environmental exhaust and ventilation:
Name: \ CV p\ -�u tJ /we` /` kC Range hood/other kitchen
Address: l' equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
qt.,-55' toilet compartments,utility rooms) 23.32
Phone:(- 0->
) 41 Fax ( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑", NTACT PERSOT+4 Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
v v
CONTRACTOR Clothes dryer(gas)
Other:
Business name: (�c7�x Cc'_G C'C'f t v\ LL L
t" �A� / �._ ) t� MECHANICAL'PERMIT
Address: l i 3 t7 0 5 L� C&S Cd Ck€ V i CJ f).r' Subtotal
Ci /State/ZIP: Minimum permit fee($90.00)
ty �. �p�( �/A.�t evk 97,)9(2
Plan review(25%of permit fee)
Phone:( O�) �(.�- Lk L4-
,
Fax:( ) State surcharge(12%of permit fee)
CCB lic.: I vv(_ Z Jg TOTAL PERMIT FEE
J This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodolo a set b Tri-Coon Buildin l Indus, Service B
'' �pr- I - •
Print name: n
t c li 1a Vel 9 Date: i t b
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WE:)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: *'ermit Feee
$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_PennitApp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
8575 SW JOHN CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00382
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Corrections from previous inspection complete.
Violation Summary:
Inspector Contractor