Permit CITY OF TIGARD MECHANICAL PERMIT
7 ' ' ' COMMUNITY DEVELOPMENT Permit#: MEC2022-00254
Date Issued: 4/12/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BB00700
Jurisdiction: Tigard
Site address: 10655 SW GREENBURG RD
Project: Stanley Steamer Subdivision: None Lot: None
Project Description: Relocation of existing duct work.
Contractor: WEST LINN PLUMBING Owner: FAIRMOUNT FINANCIAL INVESTMENT GROUP L.
16470 SW BROOKMAN RD BY WINKLER,VICTOR
SHERWOOD, OR 97140 5611 NE COLUMBIA BLVD
PORTLAND, OR 97218
PHONE: 503-740-8251 PHONE:
FAX:
FEES
Specifics: Description Date Amount
TypPermit Fee 04/12/2022 $201.07
Clas s of Woo Use:rk: ALT Type of Const: VB of COM Plan Review 04/12/2022 $50.27
Clas 12%
State Surcharge-Mechanical 04/12/2022 $24.13
Occupancy Grp: B Occupancy Load: Info Process/Archiving-Lg$2.00(over 04/12/2022 $4.00
Stories: 1 11x17)
Project Valuation: $4,800.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Total $279.47
Vent Fans: Vent Systems:
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expi e if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ruled s
by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y- • obtain a copy of
the
By: mittee Signature: �
Issued AdAi
Call 5 .4175 by 7:00 a.m.for the next available inspe• • d• e.
This permit card shall be kept in a conspicuous place on the job site until • •letion of the project.
Approved plans are required on the job site at the time of eac pection.
.
Mechanical Permit Applicat4 C E I V E D FOR OFFICE USE ONLY
Cityiiiiof Tigard Received ��f�L1
g Date/By: .j(r_ Permit No.: ► 11frl7tl2M M+k.u,G�,
■ 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 3 2022 Plan Review, l
It Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 'I" Fj `1 Other Permit:
Inspection Line: 503.639.4175 vI i Y OF I IGARD Date Ready By: -Tuns: ® See Page 2 for
iWARD Internet: www.tigard-or.gov Notified/Method: J /� Supplemental?hIILCIING DIVISION' �/�� �(}' tr'rv�t�,,��r� Su IementalInformation
TYPE OF WORK II . Tif'x:. •. �i. 1 �JYCI`1L'FEE* SCHEDULE — USE CHECKLIST
it rev),t,J Mechanical permit fees*are based on the value of the work
❑New construction 3 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ �C,W---_
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPME SYSTEMS FEES*
❑ 1-and 2-family dwelling n Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
� �t+�
JOB SITE INFORMATION AND LOCATION Heating/cooling:
/�1 /' ...„.1 Air
Air conditioning 46.75
Job site address: `,V� 1�\fee, Furnace 100,000 BTU(ducts/vents) 46.75
;City/State/ZIP: \�Q1-Ay ` c 2 C3 Furnace 100,00(1+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 1,--)IQti S r e -y ie,2. Duct work ,�— 23.32, 7 4.
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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
L y Flue vent for water heater or gas
Veld—WA
0i\ -.. eX��1 r\C/j QLt-` LC {'� fireplace 23.32
A l LC iil�I I lJ� Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER ❑ 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,
tY toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
154 APPLICANT 0 CONTACT PERSON Other: 23.32
t Fuel piping:
Business name: ,rc P � d j—k (YtIY $14.15 for first four;$4.03 for each additional
Contact name n � 1 1 \y n ra Furnace,etc.
Gas° Y =!i_p , Wall/suspended/unit
heatu pump
Address: �7 `� } WalUsuspended/unithexter
City/State/AP: i ' ce �32 1 Water heater
CJ'�` ) c2V/' I ''LA Fax: :�I)q P.1Z—)g Fireplace
Phone: /^ ' �, rip/r�`1/� /� Range
E-mail:on CAC (n,�✓l V I tC i l` Y te t 1-,..y • ( Barbecue
CONTRACTOR Clothes dryer(gas)
1 .036Other:
Business name: -i tet1vioc+.A'� trnL t1r V MECHANICAL PERMIT FEES* ,�`y�
Address: `,to(V)
l t' 1 Subtotal
Minimum permit fee 0190.00)
City/State/AP: ( p qi ;3ZPlan review(25%of permit fee) ).2�Phone: `) V) 3 ) 1^ Fax:GL r) CO-to-1 2-71 g State surcharge(12%of permit fee) ?,9 1,..c
CCB lie.: ��c1 i' TOTAL PERMIT FEE � ''7•)
This permit application expires if a permit is not obtained within 180
n days after it has been accepted as complete.
Authorized signature:
* Fee methodology set by Tri-County Building Industry Service Board
�
Print name: 11/I 11 a S Date:�4l1 1 �.2.2
1:/Buildiag1Pemdls\MEC_PemtitAPp 040113.do° 440-4617T(11/02/COM/WEB)