Permit CITY OF TIGARD MECHANICAL PERMIT
14 ...„2--' COMMUNITY DEVELOPMENT Permit#: MEC2019-00458
ilk;A I:r 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/01/2019
Parcel: 2S103DD00424
Jurisdiction: Tigard
Site address: 10945 SW FAIRHAVEN WAY
Project: Heidt Subdivision: FAIRHAVEN COURT Lot: 9
Project Description: Adding(3)gas lines for fireplace,range,and clothes dryer.
Contractor: OWNER Owner: PHILIP HEIDT
PHILIP HEIDT 10945 SW FAIRHAVEN WAY
10945 SW FAIRHAVEN WAY TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 971-329-8405 PHONE: 971-329-8405
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 07/01/2019 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 07/01/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/01/2019 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344.
Atift
Issued By: Permittee Signature: 411°Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati*r -'-' !7 ' '! :il FOR OFFICE USE ONLY
71 City of Tigard
III!
is 13125 SW Hall Blvd.,Tigard,OR 97223 J U L
I Phone: 503.718.2439 Fax: 503.598.1960 1 2019 Date/By:Received Arard a, .., ,. 1g
Plan Review
Date/By: Other Permit:
Inspection Line: 503.639.4175
TIGARD - Date Ready/By: Juris. gi See Page 2 for
Internet: www.tigard-or.gov LL!" : .. . .. 7. N Notified/Method: Supplemental Information
,c91+PgKIAIritt*.sPflflP.P4 iAFSHAMPT.,.,
,_,.. Mechanical permit fees*are based on the value of the work
U New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY 9#!,.:"Oi1iC'rION
RESIDENTIAILIOMENT/SYSTEMS FEES*
-and 2-family dwelling CI Commercial/industrial El Accessory building
For special information use checklist.
g31
Multi-family 0 Master builder D Other: Description
Qty. Ea. Total
JOB SITE INFORMATIO!AND f.,OCATION .41l'':. ' Heatingkooling:
Air conditioning 46.75
. i
Job site address: /0 /If 5 314( rairiArevi Weir Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: TI laril . 0 k. , 7.-7- 1 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
...iyM4C-tilii-' hydronic) 23.32
Inifift Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Ci4134474' Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater __ I 23.32
''. .''''•,."...r.'•1'.1- „, -,-, Gas fir lace/insert 33.39
• DESCRIPTION OP I 1 t,$4.=.11.4.,"r'-, '.., .,*', ,1.-.",, 0 fireplace/insert
1 ' /.1 ' l''' *I''''''' '''" ''''''''''''t' ''''''r4"' Flue vent for water heater or gas —
ti..5 /MG tV ' Hit?let c . fireplace 23.32
Log lighter(gas) 23.32
lea n rt 1 Wood/pellet stove 33.39
..c to Is otrilot- Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
--- 'q' 040.ictitiroVE4-or---.•:-r' '. -- '-'«,?•,.;!•;: 4-4.11:"'“/“W., . ' • Other:
, ... :,,_ , 'Z,... .. . ,-, '...--'-,' •-S14), ., 0.,,.., Environmental exhaust and ventilation:
Name: rh.bp Hei•olf Range hood/other kitchen
equipment 33.39
Address: 10 Gillis 5W N;rAaken W Clothes dryer exhaust 33.39
City/State/ZIP: Di,004 pit cry2„ Single-duct exhaust(bathrooms,
f toilet compartments,utility rooms) 23.32
Phone:(91„() ;+, , 2_7 - g-yo S Fax:( ) Attic/crawlspace fans 23.32
AICANT 1:':'' ' 1:tj'CONTA i'l F:I e ' *ON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: phqpi, ii.,-41 Furnace,etc.
Address: 1,03,._, s s-,A, 1(/4 veil We-) Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: i,aro(i (5t., '77Z/5 Water heater
Phone:(47() 32_411- ( Lf0 5 Fax: :( ) Fireplace i
Range
1
E-mail: the. extd;5 hi 1,,,,,$ice, jc.,101.4c4. co tin Barbecue
CO • , •v):::;/# ; 44, ,,,,,:its*:„,, Clothes dryer(gas) I
Other:
Business name:
0 iketi t r
-4', 44o''Tor4Wit'JiANICAL PERMIT
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 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: *' d Fee methodology set by Tri-County Building Industry Service Board
Print name: Pk i iH
p 1-64t
, Date:7 1 1 1 1 Cf
I:\Building\Penults\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:
a,,
TQ luation• f ' e
$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:
10945 SW FAIRHAVEN WAY, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00458
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Gas lines to appliance locations only, ok.
Permit for fireplace required at time of installation.
Violation Summary:
Inspector Contractor