Permit CITY OF TIGARD MECHANICAL PERMIT
-k COMMUNITY DEVELOPMENT Permit#: MEC2020-00804
1G A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2020
.-A _ Parcel: 2S112CD03700
Jurisdiction: Tigard
Site address: 7720 SW BOND ST
Project: Falgout Subdivision: BOND PARK Lot: 17
Project Description: Install new ductless convertible vent hood in kitchen
Contractor: OWNER Owner: FALGOUT, DUSTIN A
ROBINSON,JULIANNE J
7720 SW BOND ST
TIGARD,OR 97224
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 12/11/2020 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 12/11/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/11/2020 $56.61
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. �p
Issued By: C60104 Permittee Signature: al ( pip\i Czo 1
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.
ID220
N.ItichanlCiii Permit 1 '{) ,s .IVE.i I(lit(II fir! t si s)\11
City or Tigard Received �p_ i 7 Perrtar No a. # ,
t3125 SW oust Blvd Tigard.OR 9722J ry 2�2 U,aetBy:
�a r Pion mi Review Othrr nit.
a Phony. s0�71B�aa9 Fax, s(►a s9x f9(itl 17utasy.
r + <<..:a I, llr pri llrna fine SQ:{.is t9 d 173 r O T 1 u R G t7atr ReadyBy lure )a See Page 2 for
(nkttttot: wtva.n ufll sw./t.» L'BLIP DING UI111SiC� Nadic"edatt 9uppleeeaW lafernua for
G[
rYPt: OF WORK- - -- — -lacetrtent COMMERCIAL.ME*SCtlaie[TLE IIS7r;CItFCI►L1�,f
Q'yew cot`tructiot tddition/altenrtion/re Mechanical permit fees"are based the value of the workP performed.Indicate the value(roundede d to the nearest dollar)of all
F 0 Demolition 0 Other mechanical materials,c ui ununt,labor,overhead,and F alit.
- - Value:S Co, ...L.•
z CATEGORY OF CONSTRUCTION -
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
fg 1 idol'-family dwelling 0 Cotnmercial/industrial El Accessory building For special info nerrion sere checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty.^ Ea. 1 Total -
y �� 90B SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: � � �� , / Furnace 100.000 BTU)(ducts/venial 46.75
City/StatealP:"i 'd 4-4 I (I R (,i 1 tf g C 1 — Pomace l00,00)+BTU(daetslventtl SA.91
Suite/bldgJapt.no.: Projectname: r ii `, r Heat pun,{, 61.06
F a I L 7iJ kJ 11x' Duct work 23.32
-Cross street/directions to job site: (1 Hydronic hex water sy-.ten 23.32
Residential boiler(radiator or
hydsnnici 23.32
Unit heaters(fuel-type.not electric),
in-wall,in-duct,suspended.etc. 46.75
Flue/vent for any of above i s- )
—
Lotno.:
Subdivision: Other: 23.32
r Other fuel appliances:
Tax map/parcel no.: Water heater _ 23.32
DESCRIPTION OF WORK Gas fireplace/insert - 33.39
� I- • Flue vent for water beater or gas
'I n v 4-ct1 i N-to b i.:c- de.�) 't y rl �t lie44- ha ' r,i fireplace 23.32
14/1
Log lighter(aas) 23.32
Wood/pellet stove 33.39
Wood Emplace/insert 23.32
Cbimnev/linerlflue/vent 23.32
k -14 PROPERTY OWNER I 0 TENANT Other. z3 32
Environmental exhaust and ventilation:
Name: + . ,1,� Rangehood/other kitchen -
Address: s ` 2 etnripment � 33.39 -.�3+��
1 lam' ct,l] 5 4 Clothes dryer exhaust - 33.39
-7- .I� ' 0(D q 2 g.. Single-duct exhaust(bathrooms.
City/State/ZIP: t u f j(! l� 1 T F` toilet companmcnts,utility rooms) 23.32
Pbone:(503)551/-.5'11 5- Fax:( I Attidcrawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
.. Fuel piping:
} Business name: $14.15 for that four:$4.03 for each additional
Contact name: t . 1^ Furnace.etc.
T.-Ives 9-t/l A Gas heatpunr - --I
Address: 14 St;/ ,r S+- Wall/susp+cnd�unit heater
City/State/ZIP: "( r p,. / O 1-4-004-/ Water heater
(� Fax::( ) _Furpl,ur
Phone:t�!'� Fr
) ri71'r - �1� Rangenge
Ermail:daV ht 5 0fe, at e 6 +1/, CArA Barbecue
• I' `CON W-CTOR Clothes dr)cr tz e4
Other.
Business name MECHANICAL PERMIT FEES'
pddtetis. '--(3""\E 1 ---- CSty State:AP- Minimum permit feesubtotal 33 r
(590.00)
Plan review(25%of permit fee)
Phnstc ( l - Fax:( 1 State surcharge(12%of permit fee)
iL'GB fir-. — -- TOTAL PERMIT FEE
L ..� >� ll This pemit application expires If a permit n not obtained within 18Y1
- i diva after it liar beep accepted its complete.
, signature- ( { �j y Fee methodology set by Tn-County Building Industry Service Board
•- aY` 1� "Lj_ 19 L Date: kt JC al!
oar•is.ant.+rP '-'Ka l t' 440-1617T t11Al2COM vTBi