Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00273
Date Issued: 4/6/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 DB06800
Jurisdiction: Tigard
Site address: 15400 SW ALDERBROOK DR
Project: Snyder Subdivision: SUMMERFIELD NO.7 Lot: 393
Project Description: Extend(2)existing ducts and install new kitchen hood vent.
Contractor: SYNERGY CONTRACTING SOLUTIONS Owner: SNYDER, OWEN R
14110 SW BARROWS RD SNYDER, GAIL V
TIGARD, OR 97223 15400 SW ALDERBROOK DR
TIGARD, OR 97224
PHONE: 503-720-9215 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Duct Work 04/06/2022 $23.32
Type of Use: SF Range Hood/Other Kitchen 04/06/2022 $33.39
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 04/06/2022 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 04/06/2022 $33.29
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set ffoorrth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: �,s� tf ` Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
g RECEIVED Date/Bed
Cityof Tigard Pe
4 13125 SW Hall Blvd.,Tigard,OR 97223 y � ,%C'.�7�-�t73
14 ' g Plan Review
1 Phone: 503.718.2439Other Permit:
APR 6 2022 Date/By:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 7uris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARL Notified/Method: Supplemental Information
',JILDING DIVISION
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE:CHECKLIST
❑New construction "Er-..Addition/alteration/replacement Mechanical permit fees*arc based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
.L-and 2-family dwelling ❑Commercial/industrial 0 Accessory building
For special information use checklist.
❑Multi-family 0 Master builder D Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: t 5:-(U O S`v A tdu LJ✓CG i.0 d Furnace 100,000 BTU(duets/vents) 46.75
"�City/State/ZIP: -` etv a �7
0? _I1 zz y Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06
Duct work 1 23.32
Cross street/directions to job site: ,‘J mow^ 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
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
y ..aa.�
DESCRIPTION OF WORK Gas fireplace/insert 33.39
„ \ Flue vent for water heater or gas
1Y4-e,AC1 2 _,,:tS4-teic\ ,1ViA--S. fireplace 23.32
tvlC..it-c,\\ Ile ) C<Ot-cLCra. k**+006 utvi-k- Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
.iJ PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: _T c\11\ S Y c .Q 1 .v' Range hood/other kitchen
� S Lk.) 1A\d.e�Ir e_JC Ix c: - equipment l 33.39
Address: t{ (( 3 Clothes dryer exhaust 33.39
City/State/ZIP: T,y_,C 0Q t!7 2 z L( Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5(f3 "'15 7 1 -I C Fax:( )
Attic/crawlspace fans 23.32
.APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: �y Z' 3, Cv-�>v C. c\N... cc')1 LA t C", S- Fuel piping:
` 1 J ( ` $14.15 for first four;$4.03 for each additional
Contact name: J osis..5 e n C70 C S '-&ati Furnace,etc.
Address: 1 t-( ` ( 0 c t,-i; lW✓UWs 24. Gas heat pump
City/State/ZIP: --b. G,ci C7� R i -ZZ 3 Wall/suspended/unit heater
Water heater
Phone:(r ) '7 Zl7 R.i S Fax::( ) Fireplace
S C S. 't `=)`r`',C...N( I (� "r^ Range
E-mail:
J Cst S';�
Barbecue
CONTRACTOR
Clothes dryer(gas)
Business name: S I B r ej y CU w k v c,C it t» , Sf, 10 A t QV' ( Other:
y) (0 1 MECHANICAL PERMIT FEES*
Address:
W 1\c✓✓c,..ss es
Subtotal
City/State/ZIP: 'j` v 1? Ct '7 Z z> Minimum permit fee($90.00)
Phone:(9)3 ) -7 7 a 0 l z 1 5 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 7 7 (.0
9'`? 6-j TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 71A--C
/v C Fee methodology set by'rri-County Building Industry Service Board
Print name: /9V S'7/it) )W y ve.Q Date: 11 / (�� '�--Z
Ideuilding\PermitsWIEC PenritApp_082520.doc \ 4404617T(1 I. 2'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-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.
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