Permit CITY OF TIGARD MECHANICAL PERMIT
` •. ' COMMUNITY DEVELOPMENT Permit#: MEC2021-00282
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/3/2021
TIGARD Parcel: 2S103BB10800
P.!-c- L/2t (5 '' Jurisdiction: TIG
Site address: 12105 SW 123RD CT
Project: LIANG Subdivision: Lot:
Project Description: Additional mechanical associated with MST2006-00163: (1)furnace,duct work,(1)water heater, (1)gas fireplace,
(1)range hood. (1)clothes dryer exhaust, (3)exhaust fans,and gas piping for fireplace and range. 5/6/2021:
REPRINTED permit to include A/C unit.
Contractor: OWNER Owner: CIMIN LIANG
JUAN LIU
12105 SW 123RD CT
TIGARD, OR 97223
PHONE:
PHONE: 503-524-6015
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 05/03/2021 $46.75
Type of Use: SF Duct Work 05/03/2021 $23.32
Class of Work: ALT Type of Const: Water Heater 05/03/2021 $23.32
Occupancy Grp: Gas Fireplace 05/03/2021 $33.39
Stories: Range Hood/Other Kitchen 05/03/2021 $33.39
Clothes Dryer Exhaust 05/03/2021 $33.39
Single Duct Exhaust(Bathrooms,Toilet, 05/03/2021 $69.96
Utility Rooms)
Fuel Piping 05/03/2021 $14.15
Fuel 12%State Surcharge-Mechanical 05/03/2021 $33.32
Fuel Types: Furnaces< 100K BTU 05/06/2021 $46.75
Gas Pressure: 12% State Surcharge-Mechanical 05/06/2021 $5.61
Total $363.35
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: 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.
CITY OF TIGARD MECHANICAL PERMIT
'' COMMUNITY DEVELOPMENT Permit#: MEC2021-00282
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5!3/2021
Parcel: 2S103BB10800
Jurisdiction: TIG
Site address: 12105 SW 123RD CT
Project: LIANG Subdivision: Lot:
Project Description: Additional mechanical associated with MST2006-00163:(1)furnace,duct work,(1)water heater,(1)gas fireplace,
(1)range hood,(1)clothes dryer exhaust,(3)exhaust fans,and gas piping for fireplace and range.
Contractor: OWNER Owner: CIMIN LIANG
TUAN LIU
12105 SW 123RD CT
TIGARD, OR 97223
PHONE: PHONE: 503-524-6015
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 05/03/2021 $46.75
Type of Use: SF Duct Work 05/03/2021 $23.32
Class of Work: ALT Type of Const: Water Heater 05/03/2021 $23.32
Occupancy Grp: Gas Fireplace 05/03/2021 $33.39
Stories: Range Hood/Other Kitchen 05/03/2021 $33.39
Clothes Dryer Exhaust 05/03/2021 $33.39
Single Duct Exhaust(Bathrooms,Toilet, 05/03/2021 $69.96
Utility Rooms)
Fuel Piping 05/03/2021 $14.15
Fuel 12%State Surcharge-Mechanical 05/03/2021 $33.32
Fuel Types:
Gas Pressure:
Total $310.99
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � Permittee Signature:
7L Q
l/Callll 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
111
Mechanical Permit Application aC-C E I r
Cityof Tigard H` V Dal E y
r 13I25 SW Hall Blvd.,Tigard,OR 97223 plan Revi F.L9137"1 /lLJ_�'
Phone: 503.718.2439 Fax: 503.598.1960 APR 1 3 2021 Date/By: y , I.
X./�/ Other Permit: Zyt _"0�
I I c,n is I 1 Inspection Line: 503.639.4175 Date Ready/By: /(I r.at� /-r 1or (�yi
Internet: www.tigard-or.gov /// See Page 2 for
CITY OF TIGARD Notified/Method: Lr ?lb)/ ryTh Supplemental Information
TYPE OF WOl UILDING DIVISION �'-'.ei j OMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ®Other: Add to existing permit mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For specie!information use checklist.
❑Multi-family ❑Master builder O Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address:12105 SW 123rd Ct (requires site plan showing placement) 46.75
City/State/ZIP:Tigard, Oregon 97223 Furnace 100,000 BTU(ducts vents) l 46.75 $46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:12107 SW 123rd Ct Addition Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: SW Katherine St.and SW 123rd Ct. Duct work 1 23.32 $23.32
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
Subdivision:YE-OLDE WINDMILL I Lot no.:48 Flue/vent for any of above 23.32
Tax map/parcel no.:2S103BB10800 Other: 23.32
Other fuel appliances:
DESCRIPTION OF WORK Water heater 1 23.32 $23.32
Gas fireplace I 33.39 pelry, j#
Adding to existing permit MST2006-00163.Adjustments to Addition were made that Flue vent for water heater or gas
required additional permittingfireplace 23.32
9 that we did not know about until inspection Adding Log lighter(gas) 23.32
the correct permits now. Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I 0 TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name:Cimin Liang&Juan Liu Environmental exhaust and ventilation:
Address:12105 SW 123rd Ct Range hood/other kitchen $33.39
I
equipment 33.39
City/State/ZIP:Tigard,Oregon 97223 Clothes dryer exhaust I 33.39 $33.39
Phone:(503 )928-0368 Fax:( ) Single-duct exhaust(bathrooms, 3
toilet compartments,utility rooms) 23.32 i
0 APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name:Cimin Liang&Juan Liu"Owner Builder' $14.15 for first four;$4.03 for each additional
Address:12105 SW 123rd Ct Furnace,etc.
City/State/ZIP:Tigard,Oregon 97223 Gas heat pump
Wall/suspended/unit heater
Phone:( 503 )928-03ea Fax::( ) Water heater
Fireplace 1 I
E-mail: suejuan2009@gmail.com or xiao5585@gmail.com Range I ti l d l
CONTRACTOR Barbecue
Business name:Cimin Liang&Juan Liu"Owner Builder" Clothes dryer(gas)
Address:12105 SW 123rd Ct Other:
MECHANICAL PERMIT FEES*
City/State/ZIP:Tigard,Oregon 97223 Subtotal a 2.77.107
Minimum permit fee($90.00)
Phone:( 503 )928-0368 Fax:( ) Plan review(25%of permit fee) N/A
CCB lie.: State surcharge(12%of pennit fee) r ..33,3 a
TOTAL PERMI" : .-i/ i310'ii
Thispermit application expires if a permit is not obtained within 180
Authorized signature:T �� ' s days after it has been accepted as complete.
Print name: Cimin Liang&Juan Liu Date:4/3/2021 ' Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Pemnis\MEC-PermitApp.doc 09/09/ID 440-4617T(I 1/02/COht/WEB)