Permit Support Document (20) CITY OF TIGARD MECHANICAL PERMIT
. 1%, Permit#: MEC2019-00517
2 COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 Date Issued: 07/17/2019
TIGARD g rt ,��� Parcel: 2S103DC03000
act Jurisdiction: Tigard
Site address: 11270 SW VIEWMOUNT CT
Project: BATHOLOMEW Subdivision: VIEWMOUNT Lot: 18
Project Description: GAS PIPE FOR TANKLESS WATER HEATER,INSTALLMENT TANKLESS WATER HEATER 7/17/2019:
REPRINT to remove gas pipe for tankless water heater.
Contractor: TRI COUNTY TEMP CONTROL INC Owner: ZIEMER, DENNIS V
13150 S CLACKAMAS RIVER DR BARTHOLOMEW, KAREN A
OREGON CITY, OR 97045 11270 SW VIEWMOUNT CT
TIGARD, OR 97223
PHONE: (503)557-2220 PHONE:
FAX: 503-557-0919
FEES
Specifics: Description Date Amount
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $0.00
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility. Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: \\. \s_A__,\._ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
'11. `1 K
City of Tigard --1 i "=t � � Date/By:
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k :f t>�,. �. -.-i'll b,� ., . DateABy: �\\�� S Permit No.: �,� �vi.J� f
Illi
ar 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
ri 711 Date/By:
TIGARD Inspection Line: 503.639.4175 1. t / u Date Readytliy: Tuns: Bi See Page 2 for
Internet: www.tigard-or.gov ( t �p Notified/Method: Supplemental information
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b _ e vxq ` 8 m s" q " ,r&- ,r @.: :r "m '' -- �
2,17.'":'42-7j,1,--''',44:11-1,-,4,4;"=",— ` '" Mechanical permit fees*are based on the value of the work
❑New construction iN Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
�� p �,j y {y �y}� /y Value:$
ii IPnlii I n(iii '"'I���I,1 J 1'1� t ip i' laIIfl �i'i"Y5<,#,rFCONSTRUCTION 4'`1-fi 6 gi N ": '16
�i X' to MEM' Y f 1 _
i-and 2-family dwelling ❑Commercial/industrial 0 Access() :Eng For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
w �i Heating/cooling:
JOB SITE-^NPO ti �ii ? Lt)�f ION . a„, MIT Air conditioning 46.75
Job site address: I(Z.,(CI bk@Y Vi I 1 um Vl ofitu ( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1 tic4722s Furnace 100,000+BTU(duels/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
���i�ev ),'1„@;,t i QIP t�,.. DESC RIFTioN o1K e il'� i Gas iireplace/insert 33.39
' O'1�j � Flue vent for water heater or gas
`0�' ++J fireplace 23.32
i i Ctl yyr i f t 6( St i, Log lighter(gas) 23.32
t+H.xa t U 11 '�l{JJ�, t Wood/pellet stove 33.39
b i a n VV az i ,{ Wood tireplace/insert 23.32
in C k JJJ Chimney/liner/flue/vent 23.32
11 ` ` 11 __ °*- Int �III - ,� Other: dventilation: 23.32
1OPEI2TIr: Environmental exhaust and
Name: 141yril ;III YUV Range hood/other kitchen
equipment 33.39
Address: e Clothes dryer exhaust 33.39
Cify/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(906)sq3 2103+ Fax:( ) Attic/crawlspace fans 23.32
n alp lm ,,,i — m ioil 23.32
Business name:Same as Contractor Fuel iping:
$14.15 for first four;$4.03 for each additional
Contact name:Diane Mason Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
iC`fy/StateZTP: Water heater
Phone:( ) Fax::( )
Fireplace
Range
E-mail: Barbecue
pm ( 4 .
.. _ f4;7.6,1,11���U11 a 4`2'"CONT t�AC�. DRPi$ppl1,, - 4,"` - Clothes dryer(gas)
Business name:Tri County Temp Control Other:
" .*M ",(fc RMITFE1 S'.:"--
Address: 13150 S Clackamas River Drive Subtotal
City/State/ZIP:Oregon City,OR 97045 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)557-2220 Fax:(503)557/0919 State surcharge(12%of permit fee)
CCB lie.:72623 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: G7 [[ "---- • Fee methodology set by Tri-County Building Industry Service Board
Print name:Diane Mason Date: 1/11114
14
I.ABuildine\PennitslMEC Permit Ann(14011A<Me 44f1.461 rr Ii I/M!rlMAriVpA1
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
11270 SW VIEWMOUNT CT, TIGARD, OR, 97223 July 31 , 2019 at 9:54:23 AM
Record Type: Record ID:
Residential - Mechanical MEC2019-00517
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor