Permit (4) IN ■i
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT , Permit#: MEC2019 00692
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 10/07/2019
Parcel: 2S110AB01700
l AM;
— ,b• Jurisdiction: Tigard
Site address: 14220 SW 114TH AVE
Project: Ornelas Subdivision: COLE'S ACRES Lot: 4
Project Description: Replace furnace, install new A/C and replace ductwork. A/C unit to be placed per manufacturer's requirements.
11/18/19: REPRINT to repipe(1)water heater and (1)range.
Contractor: ALL TIME HEATING LLC Owner: SAMSON CONSULTING LLC
PO BOX 1341 PO BOX 23966
LAKE OSWEGO, OR 97035 PORTLAND, OR 97281
PHONE: 503-208-2276 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 10/06/2019 $46.75
Type of Use: SF Furnaces< 100K BTU 10/06/2019 $46.75
Class of Work: ALT Type of Const: Duct Work 10/06/2019 $23.32
Occupancy Grp: 12%State Surcharge-Mechanical 10/06/2019 $14.02
Stories: Fuel Piping 11/18/2019 $14.15
12%State Surcharge-Mechanical 11/18/2019 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $146.69
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of ,. S ecialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if w rkl i t started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to foil w1 th les adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. 9u obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-
Issued By: 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.
Sep 2719,08:20a office 5033726639 p.1
Mechanical Permit Applica n- ��
City of Tigard NOV 1 ��s9* Received Permit.
■ 13125 SW ball Blvd.,Tigard,OR 97223 DataBc: , I-' `-'-' l�''DC�E 9
IPII0 Phone: 503.716.2439 Fax: 503.598.1960 Cd.a
I f i Plmt ltcvicw ONec i'enntt
'Inspection Line: 503.639.4175 IVI! r.,, o .—
l'I CO R D Date Ready By: 'ter: El see Page 2 for
Internet: www.tigard-or.gov Notified/Metbad: Sepplenaentsi Ietnrmatien
TYPE OF WORKIti-.4Zrm ,4 COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction COAddition/alteration/repl'•I.ent •J performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment labor,overhead,and profit
Value:$$7,600.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® I-and 2-family dwelling 0 CommerciaUtndustrial ❑Accessory building For speciaf information use ebeckllsr.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION lleatinglcooling:
Air conditioning I. 46.75 46.75
Job site address:14220 Sw 114'"Ave Furnace 100,000 BTU 6fueta.euu) 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(dims/vent 1 54.91
_Beat pump 61.96
Suite/bldg./apt.no.: Project name: ;/ r`mct work 2332 23.32
Cross street/directions to job site: jdronic hot water sv in 23.32
. 'esidential boiler r' .or or
avdronic) 23.32
I Unit heat" (6 .,ype,not electric),
1—
in-wall a.suspended,etc. 46.73
t ,r any of above 2332
Subdivision: Lot a 2332
ftael appliances:
Tax tnap/parcel no.: ,ter hearer 2332
•
DESCRIPTION OF WORK 's fineplacclinsert 33.39
��c-G oe vent for water beaux or gas
_ e t l lse t �
)(':-'- 1 -1 20/•�_cei ci 2- fireplace 2332
New AC system Loa lighter(gas) 2332
— Wood/pellet stove 33.39
Replace ductwork — _I Wood fireplacc/insert 23.32
1 Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER r Environmental exhaust and ventilation:
Name:Jeremy Oraelas ,/ • P9nge hood/other kitchen
.aptnent 33.39
Address: ,
—
Oodles dryer exhaust 33.39
City/State/ZIP: J� Single-duct exhaust(bathrooms,
— - — — toilet compartments,utility rooms) 23.32
Phone:(503)840-7088 '
f Attic/crawlspace fans 23.32
El APPLICANT I CONTAu.T PERSON t Other _ 2332
Fuel piping:
Business name:AU Time Heating LLC S14.15 for Grst four,S4.03 for each additional
Contact name:Aaron Svohoda Furnace.etc.
Address:Po Box 1341 Gas heat pump
Wall/suspended/unit healer
City/State/ZIP:Lake Oswego,OR 97035 Water healer '
Phone:(503)430-5947 Fax::(503)372-6639 Fireplace
— Range 0
E-mail:alltimeheatiug@agmail.co Barbecue CONTRACTOR Clothes dryer(gas)
Business name:Same as ap leant Other _ _
MECHAV ICA I.PERMIT FEES'
Address:
Subtotal 116.82
City/State/ZIP: Minimum permit fee($90.00) I
Plan review(25%of permit fee)
Phone.( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 1O'fAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
'r` days after it has been accepted as complete.
Authorized signature: .0 s ' Fee methodologyset g-----_.�- by T n-Coanh•&rtldin Industry Service Board
IPrint name:Aaron Svroboda Date:9/26/2019
1:`Buildrm'J lnils`MEC_PamitApp_o90.13.doc 443.46 t,I t 1I4412/C(0.7.M1VMS)
CITY OF TIGARD MECHANICAL PERMIT
Ill ill
I COMMUNITY DEVELOPMENT Permit#: MEC2019-00692
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2019
T t '�R O 9 Parcel: 2S 110AB01700
Jurisdiction: Tigard
Site address: 14220 SW 114TH AVE
Project: Ornelas Subdivision: COLE'S ACRES Lot: 4
Project Description: Replace furnace,install new NC and replace ductwork. NC unit to be placed per manufacturer's requirements.
Contractor: ALL TIME HEATING LLC Owner: SAMSON CONSULTING LLC
PO BOX 1341 PO BOX 23966
LAKE OSWEGO, OR 97035 PORTLAND, OR 97281
PHONE: 503-208-2276 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 10/06/2019 $46.75
Type of Use: SF Furnaces< 100K BTU 10/06/2019 $46.75
Class of Work: ALT Type of Const: Duct Work 10/06/2019 $23.32
Occupancy Grp: 12%State Surcharge-Mechanical 10/06/2019 $14.02
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
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 1.8 0.332.2344.
Issued By: Permittee Signature: /`pC4;
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.
Sep 27 19,08:20a office 5033726639 p.1
Mechanical Permit ApplicatielEcEIVED FOR OFFICE USE ONLY
City of Tigard Received��,, , ` Permit1,19‘.../E61,20/9,..4704..,e `
= ° 13125 SW 1-lall Blvd.,Tigard,OR 97223 SEP 2 7 2019 Date�By. .3 r/ .> jF1"-�` ,2
• Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 , DateBv. Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateReady.By: oris' PJ See Page 2for
Internet: www.tDgard-or.gov BUILDING DIVISION NotifiedtAettwd: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 11 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment.labor,overhead,and profit
Value:$$7,600.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMSFEES*
® I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building Far special information use checklist.
111Multi-familyy ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATIONHeating/cooling:
Air conditioning I 46.75 46.75
Job site address:14220 Sw 114'"Ave Furnace 100.000 BTU(ducts/vents) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vent. 54.91
j Heat pump 61.06
Suite/bldg./apt.no.: Project name: / { n,ct work I 23.32 23.32
Cross street/directions to job site: ltt ydronic hot water sv -0 23.32
. 'esidentialboiler( .or or
.wdronic) 23.32
I Unit hearts IF ,.ype,not electric),
t`
in-wall ,i.suspended,etc. 46.75
Fir- ,r any of above 23.32
Subdivision: Lot 23.32
. fuel appliances:
Tax map/parcel no.: .ter heater 23.32
DESCRIPTION OF WORK 's fireplace/insert 33.39
oe vent for water heater or gas
Replace furnace and system fireplace _ 23.32
New AC system Loa lighter(gas) 2332
- Wood/pellet stove 33.39
Replace ductwork Wood fireplace/insert 23.32
Chimneylliner/flue/vent 23.32
® PROPERTY OWNER - r 1 tomer. 2132
I Environmental exhaust and ventilation:
Name:Jeremy Ornelas - Purge hood/other kitchen
Aipmcnt 33.39
Address:
__ _ ,2lothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
-- - toilet compartments,utility rooms) 23.32
Phone:(503)840-7088 Attic/crawlspacc fans 23.32
® APPLICANT I CONTAS2T PERSON -°F Other. 23.32
Fuel piping:
Business name:.All Time Heating LLC
S14.15 for first four,$4.03 for each additional
Contact name:Aaron Svnhoda Furnace.etc.
Address:Po Bax 1341 Gas heat pump
Wall/suspended/unit healer
Cit;/State/ZIP:Lake Oswego,OR 97035 Water healer
-Phone:(503)430-5947 Fax::(503)372-6639 Fireplace
Range
E-mail:alltimeheating@gmail.co B ubrcue
CONTRACTOR Clothes dryer(gas)
Business name:Same as ap learn Other:
MECHANICAL PERMIT FEES*
Address: Subtotal 116.82
City/State/'LIP: Minimum permit fee(590.00)
Plan review(25%of permit fee) _i'
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 14.02
CCB lie.: TOTAL?I R1411T YEE ,.....L6U.45
This permit application expires if a permit is not obtained within 180
• days after it has been accepted as complete.
Authorized signature: �� * Fee methodology set by'tn-Counri Building Industry Service Board
Print name:Aaron Svoboda Date:9/26/2019 l
L'Builde1 PBlnitsiMEC-PtxmitApp_og0;l3.doc 44461,1{I IitIVCOM.'WF.ts)
14220 SW 114th Ave
Please place a parcel hold on this address and add 3 investigative fees for plumbing, electrical
and structural work without permits. A mechanical permit will also be required at a later date. A
stop work order will be placed 9/25/19 if permits are not submitted for by the end of our working
day. Let me know if you have any questions.