Permit (79) CITY OF TIGARD MECHANICAL PERMIT
1III . ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00420
T I i;;1 R.n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2019
Parcel: 2S115AB01400
Jurisdiction: Tigard
Site address: 16293 SW 113TH AVE
Project: Willow Brook,Lot 18 Subdivision: WILLOW BROOK SUBDIVISION Lot:
Project Description: Adding(1)AC unit. Placement of NC unit must meet Manufacturers requirements.
Contractor: AREA HEATING&COOLING INC Owner: MISSION HOMES NORTHWEST LLC
2721 NE 65TH AVE PO BOX 1689
VANCOUVER,WA 98661 LAKE OSWEGO, OR 97035
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: ;;:r• Permittee Signature:
c�� //� � �
ASIZidd —
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 USE ONEI
- City of Tigard Received
Date/By: t "
13125 SW Hall Blvd.,Tigard,OR 97223 � ���_' I I �,
Phone: 503.718.2439 Fax: 503.598.1960 :FIVE Plan Review / �
TI G A R D Inspection Line: 503.639.4175 Date/By:
Date Ready/By: kris: la See Page 2 for
Internet: www.tigard-or.gov
J U N 2 0 2 01 Notified/Method: Supplemental Information
' ;�,'',T 11 {^
, „ ';4 T7 '7 � f ? } ;` .. ..,i.iB t y t' ,.
®New constructionllw l�t� e phe work
�if. -•t errfformed Indi at the value(rounded to thes;ae .eri ihe value ofbe0 dollar)of all
❑Demolition ❑Other: mechanical materials,
equipment,labor,overhead,and profit.
$r rhrrrrr l,�r'f r'r,r1 r{r y�, t'i,6
ValuaC $(1 .1'#'i :, � iff lg;t.0 fktgg,g ; f
i1te'ri, t!,V:Vtteefa /r ;. t® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
❑Multi family 0 Master builder
❑Other Description I Qty. I Ea. I Total
f f
k rr r r�Y"'3;: �,flfc Heating/cooling:
. „i G fi4 o;.Ei&V,:'✓/.
Job site address: I r _ 1 C / . / Air conditioning 46.75
l Ct f �itJ / Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: , 1/e / n\. Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06
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: V) I tO��,' x, Lot no.: r Other: 23.32
Other fuel appliances:
Tax map/parcel no Water heater
23.32
lir r i Y �` t f .�
t 1 r, r,*r��a� �fra r`'��r rrrk;r 3/ Gas fireplace/insert 33.39
.fir;,,.. ..r,. y ,.,r,est,
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
23.32
.. ,5„r,.,.r K„.,.+J+,u ir' Is.i P6 ,G ,.,11ru•'i.r,.c., ? .,1r.,.,�:r .ei ..,x'`.r ,.r. ',' fs, �
EnvirOther:onmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
Other
ryrfJar 23.32
fixr:
. .
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 Fax::(360)574-6401 Fireplace
E-mail:permits@buildplh.com Range
Barbecue
r«/ '".r� � ,-'';er,� `h*`��.� �”�"r rr �.rgr r r /rl k ,' r'.r%r' f,�fr f N "' rr x�" x" r:
l f%fir. f,,r 1l . f .F�%,�rr'°f f . W l..: ,; Y!� F ff rf rt '% rr r'� fr r�r, Clothes dryer(gas)
Business name:Area Heating+Cooling Other:
tAteg"ft .,t' a tN , t -#YItr y rerar ,fAddress: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 ., l.,J * Fee methodologyb Tri-t'rnmw
set y Building industry Service Board
Print name: SLJnh)ia'rtit Date: J
I:\Building\Permits\MEC_PermitApp_0401I3.doc 440-4 7T(I1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
44,4
$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
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16293 SW 113TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2019-00420
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor