Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020-00323
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2020
T I c-A It . 9 Parcel: 1 S 126 DC 03002
Jurisdiction: Tigard
Site address: 9250 SW LEHMANN ST
Project: Perry Subdivision: LEHMANN ACRE TRACT Lot: 8
Project Description: Installing vent for bath fan.
Contractor: OWNER Owner: PERRY, STEPHEN W
STEVE PERRY 9860 SW 92ND AVE
9860 SW 92ND AVENUE TIGARD, OR 97223
PORTLAND, OR 97213
PHONE: 503-407-1115 PHONE: 503-451-1115
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 06/01/2020 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/01/2020 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 06/01/2020 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80_
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC ailing 503.23 87 or 1.800 .2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cl of Tigard Received /
t • 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIVED Dale BY: �L �J / p t N f►1�,'O'
Plan Review `�-0(L�l
Phone: 503.718.2439 Fax: 503.598.1960 Date/8y Other Permit:
ee Page 2 for
1'I c;A R I) inspection Line: 503.639.4175 MAY 2 0 2020 Date Ready/By: Juris:
Internet: www.ligard-or.gov Notified/Method: S Supplemental Information
CITY OF TGARD
E OF WORK
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESH)ENTIAL EQUIPMENT/SYSTEMS 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For spectral informafion use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. ha. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: G j A,,,,` Air conditioning 46.75
��, Furnace 100,000 BTU(dints/veins) 46.75
City/State/ZIP: "--c e_rii-.1 (3Q �`1'--j74 5, Furnace 100,000+BTU(ducts/vents) 54.91
O� r t Heat pump 61.06
Suite/bldg./apt.no.: Project name: . Ph-CZNa L kW Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
(� �7 Residential boiler(radiator or
"�,C�+'-Nf� �i-�„- 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 2332
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
1- >g s.y 2. �-c - ,-3 :�, fireplace 23.32
��J�7� Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ROPERTY OWNER ❑ TENANT Other 23.32
Environmental exhaust and ventilation:
Name: e cov w._ Range hood/other kitchen
equipment 33.39
Address: St~1 �Z,,"„N _•-11._..- Clothes dryer exhaust 33.39
City/State/ZIP: c---,— k._,1/4_ , )R Single-duct compartments,
(bathrooms, r. 3 Z
s toilet compartments,utility rooms) `i, 23.32
Phone: ) l t 5 Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other 23.32
Fuel piping:
Business name:
�..{�p � $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
WalUsuspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Cju..1Z-^ — �i-k.,b— 'V, L�j Other:
�4f 9 �_`� CM:,
MECHAN[CALPERMITFEo
Address: t -v
Subtotal
City/State/ZIP: -r..,s, ��� .-"ti` 2 Minimum permit fee($90.00)
� ) , �^`_ ` t ( ) Plan review(25%of permit fee)
(
Phone: 3 --\ S Fax: State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE 1
This permit application eapires if a permit is not obtained within 180
—�' days after it has been accepted as complete.
Authorized signature:e`` �,, _ �� ` * Fee methodology set by Tri-County Building Industry Service Board
Print name: ^ 1 a - ,sk Date: 1 cj -7_3-4.
1:IBuilding\PemdtsIMEC PemdtApp_040113.doc 440-4617r(I l/02/COM/WEB)