Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2022-00123
Date Issued: 2/16/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 111 DB07400
Jurisdiction: Tigard
Site address: 15520 SW ALDERBROOK DR
Project: Anderson Subdivision: SUMMERFIELD NO.7 Lot: 387
Project Description: Install a new gas line for fireplace,bbq and range.New venting for water heater and furnace.
Contractor: AIRMAXX HEATING&COOLING LLC Owner: ANDERSON, FRANK&COLLEEN
6924 SW PINE ST PO BOX 2313
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503-840-7925 PHONE:
FAX:
FEES
Specifics: Description Date Amount
FlueNent For Any of Above 02/16/2022 $23.32
Type of Use: SF Flue Vent for Water Heater or Gas 02/16/2022 $46.64
Class of Work: ALT Type of Const: Fireplace
Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 02/16/2022 $69.96
Stories: Utility Rooms)
12%State Surcharge-Mechanical 02/16/2022 $22.50
Gas Fireplace 02/16/2022 $33.39
Fuel Piping 02/16/2022 $14.15
Fuel
Fuel Types:
Gas Pressure:
Total $209.96
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: 4""`'ol) (604.9_,e, Permittee Signature: Coil
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. p�
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FoR OFFICE, Lal:O\1.1
City of Tigard ReceivedDate/By: 011 l eo12 Permit No.:MSC .22._ e 1112
Ii. • 13125 SW Hall Blvd:,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
1.1 t R 1., Inspection Line: 503.639.4175 s . ..., t 7 El See Page 2 for
Internet: www.tigard-or.gov ., II - Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
D New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
D Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
O 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other. Description Qty. Fa. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
_ / I `- • ` Air conditioning 46.75
S
.
Job site address: / l 0 S Ir(,1 A I d�y h( O C 1\ U''(`v( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1- L' 1 0.fi 0 (2_ 9 72`ZCt Furnace 100,000+BTU(ducts/vents) 54.91
�l Heat pump 61.06
Suite/bldg./apt.no.: Project name: 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 C 23.32
Oth
Subdivision: Lot no.: er' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert I 33.39
Flue vent for water heater or gas
1 n V4`1` 4 N Ui .cis \., a e v' . c. (c \oc cf l (yv fireplace 2_ 23.32
yxc,..1..., r Log lighter(gas) 23.32
(�1C4 I a ylq e o iris . \\ V e.ro :r\cj \'O x iT'Ael Wood/pellet stove 33.39
Y)✓ci k e r c2 4d c V t'n0.CQ,✓ U eli k Yin c--O 1 ? Wood fireplace/insert 23.32
Fenn 2 Wi,,,‘/N rnom O \o�.nC\ Chimney/liner/flue/vent 23.32
,„. Other: 23.32
❑ PROPERTY OWNER f U TENANT
--- Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) '3 23.32 3
Phone:( ) Fax:( ) Attic/crawispace fans 23.32
0 APPLICANT 0 CONTACT PERSON _ Other: 23.32
Business name: J !! Fuel piping:
A t , iyo X.,( y)e Ct'c : Yt C.i 0.Yl(l (cDi,i vi9 LAC- $14.15 for first four;$4.03 for each additional
Contact name: J UC1 N `-O 6G e_S Furnace,etc.
. Gas heat pump
Address: 'LL( S\,I/ R 112 S 'T Q ar� Wall/suspended/unitheater
City/State/ZIP: u D I 90 yv ( �,�ti J Water heater
Phone:(So3) 19 f Q C1\Z5 Ir`Fax: :( ) Fireplace i
E-mail: •
e i
.i V cL✓t•d0. 'C�,S 17 E`\2, G,- �yvtc•.tl\,,. O P✓l Barbgecue 1
CONTRACTOR ' Clothes dryer(gas)
I \\ Other:
Business name:
i r iy 1 Q 7()<, J. V e is ft C`nCA (e r✓I J(wL MECHANICAL PERMIT FEES*
Address: 6'l-1,'-( S j 9 n .e_ S -, Subtotal
City/State/ZIP: -7- \` O ti 0 9' 2Z Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(5O.) ,? 1./0 30l`1.S Fax:( ) State surcharge(12%of pennit fee)
CCB lic.: 2 \ 'L ' Lk TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur * Fee methodology set by'Fri-County Building Industry Service Board
Print name: * Date: /02
16 12,
I:'R ildng\Permits‘ ' pp_040113.doe 4�0-4b 17r(1 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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.
Note: All new commercial buildings require 2 sets of plans.
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