Permit n CITY OF TIGARD MECHANICAL PERMIT
* • COMMUNITY DEVELOPMENT Permit#: MEC2021-00768
Date Issued: 10/5/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AD19000
Jurisdiction: Tigard
Site address: 14865 SW JONAGOLD TER
Project: Watts Subdivision: LADY APPLE Lot: 14
Project Description: (1)single duct exhaust
Contractor: CURRIN CONSTRUCTION Owner: WATTS, JAMES C&MARCY M
29900 SE EAGLE CREEK RD 14865 SW JONAGOLD TER
ESTACADA,OR 97023 TIGARD, OR 97224
PHONE: 503-427-9250 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 10/01/2021 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/01/2021 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/01/2021 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure.
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oft Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Ho-Lty Va.w Dr,We ye Permittee Signature: Ow Ap-p-Litzulio-frt
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1:3
CEI
Mechanical Permit Application \'E FOR OFFICE I SI.()NI.)
City of Tigard 'EP 17 2021 Received et \�`\',
i g Date/By: 1 30)Z f'vv Permit No.\ ('L ? —0016,8
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
p Phone: 503.718.2439 CITY OF TIGARD Date/By: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 A Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov 3UILDING DIVISIQ�. Notified/Method: Supplemental Information
TYPE OF WORK '
COMMERCIAL FEE*SCHEDULE—USE CHECKLIST
❑New construction ® Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
® 1-and 2-family dwelling ❑ Commercial/industrial RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 14865 Jonagold TR Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06
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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
ANbt lit/To i viz1!�i- D/N r'7 �� Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
6 PROPERTY OWNER 0 TENANT Other: 23.32
Name: James And Marcy Watts Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 14865 Jonagold Terrace equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Tigard OR 97223 Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 1 23.32
�,( Attic/crawlspace fans 23.32
U APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Currin Construction,LLC Fuel piping:
Contact name: Wiliam Hughes $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address: 29900 se eagle creek rd Gas heat pump
City/State/ZIP: Estacada,OR 97023 Wall/suspended/unit heater
Water heater
Phone:( 9711 325 2859 Fax: :( ) Fireplace
E-mail: will.h@currincorp.com Range
CONTRACTOR Barbecue
Clothes dryer(gas)
Business name: Currin Construction,LLC Other
Address: 29900 se eagle creek rd MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: Estacada,OR 97023
Minimum permit fee($90.00)
Phone:( 97)325 2859 Fax:( )
Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: 205284 / i p 1 23 TOTAL PERMIT FEE 100.sO
This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: — — Date: 9/17/2021
r\Building\Permits\MEC_PertnitApp_082521Ldoc 440-4617T(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Submittal Requirements:
• (2)sets of plans, drawn to scale.
• (2) sets of equipment cut sheets.
• (2)copies of site plan for ground and roof top equipment
location and screening per Tigard development code.
Commercial &Multi< Famil Fee Schedule:
1444
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
1:\Building\Permits\MEC_PermitApp_082520.doc 2