Permit (85) CITY OF TIGARD MECHANICAL PERMIT
` 1 COMMUNITY DEVELOPMENT Permit#: MEC2019-00427
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2019
T I(.1+1 It ng Parcel: 2S115AB00500
Jurisdiction: Tigard
Site address: 11147 SW GABRIEL ST
Project: Willow Brook,Lot 26 Subdivision: WILLOW BROOK SUBDIVISION Lot:
Project Description: Adding A/C unit. AC unit must comply with manufacturers placement requirements.
Contractor: AREA HEATING&COOLING INC Owner: PACIFIC LIFESTYLE HOMES
2721 NE 65TH AVE 11815 NE 99TH STREET SUITE 1200
VANCOUVER,WA 98661 VANCOUVER,WA 97682
PHONE: 360-737-0811 PHONE: 360-573-8081
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 06/24/2019 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/24/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/24/2019 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . i` Permittee Signature:
,),AZ
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE LSE ONLY
IO Cityof Tigard �`'� s +,. ,; Received ��
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IM13125 SW Hall Blvd.,Tigard,OR 97223" "� m Date/By: i %/1 /�M` ' „/ /�
Plan
111111 ° Phone: 503.718.2439 Fax: 503.598.1960 2 0 1 0 1 9 Date By Review C. er ea.
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T I G A R D Inspection Line: 503.639.4175 j u Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov g 11:4 Notified/Method: Supplemental Information
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Mechanical pennit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑ Demolition ❑Other:
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Value:$
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® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
� f !/r f r Heating/cooling:
, , 0',. s,� �, .! ,,.. ,. « .2,,..20, M. r,a„
Air conditioning I 46.75
Job site address: Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 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: L c h+1I CLL., t L.� , Lot no.: /��/ Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
f ,,k.,a s► i MrS a arfrr /r# frz
Gas fireplace/insert 33.39
,` -,y r ;; , . , ( -) fil r., ,„ ,. Flue vent for water heater or gas
All fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
r ry
Other: 23.32x r w F a . szrR`r3: itfOxn , Pz. : ro,, / =
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
E;: r' o "rt:: z s/ f, N*4 rEf �; r>q s *r�gr�,tlry,4 fr
Other: 23.32Y', , r „.:, „• F4 vf �
Business name:Pacific Lifestyle Homes Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Permit Coordinator Furnace,etc.
Address: 11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)573-8081 I Fax: :(360)574-6401 Fireplace
Range
E-mail:permits@buildplh.com Barbecue
w `j , .vo : r14A f 17 , • ' ltI; if f I Clothes dryer(gas)fr � " x
Business name:Area Heating+Cooling Other:
FP ';: r 90 ar. 1, .7 1 ,, 1'1:
Address:2721 NE 65th Ave Subtotal
City/State/ZIP:Vancouver,WA Minimum permit fee($90.00)
Phone:(360)737-0811 Fax:(360)737-6946 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:64801 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature' elf • Fee methodology set by Tri-County-Building-Industry Service Board
Print name: Y yi Aix,r f t ( Date: Li C q / ,
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$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:
11147 SW GABRIEL ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2019-00427
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Mechanical final for ac installation ok.
Violation Summary:
Inspector Contractor