Permit CITY OF TIGARD MECHANICAL PERMIT
III'- Permit#: MEC2022-00298
I! . . COMMUNITY DEVELOPMENT
Date Issued: 4/14/2022
T I[_:A Id T? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CA00213
Jurisdiction: Tigard
Site address: 13170 SW HOWARD DR
Project: Cahill Subdivision: WOODCREST NO.2 Lot: 23
Project Description: Installing new heat pump
Contractor: SUNSET HEATING&COOLING Owner: CAHILL,JAMES&VANESSA
0607 SW IDAHO ST 13170 SW HOWARD DR
PORTLAND, OR 97239 TIGARD, OR 97223
PHONE: 503-234-0611 PHONE:
FAX: 503-234-0439
FEES
Specifics: Description Date Amount
Heat Pump 04/14/2022 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 04/14/2022 $10.80
Class of Work: ADD Type of Const: Minimum Fee Adjustment-Mechanical 04/14/2022 $28.94
Occupancy Grp: Investigation Fee 04/14/2022 $90.00
Stories: Investigation Mechanical 12%State 04/14/2022 $10.80
Surcharge
Fuel
Fuel Types:
Gas Pressure:
Total $201.60
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: / 1/t...A.,17) Permittee Signature: c k 'irr of l c
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 RECEIPT
: 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TICAIiL7
Project Name: Cahill
Site Address: 13170 SW HOWARD DR
Receipt Number: 439874 - 04/14/2022
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MEC2022-00298 Heat Pump 230-0000-43102 $61.06
MEC2022-00298 12%State Surcharge-Mechanical 100-0000-24001 $10.80
MEC2022-00298 Minimum Fee Adjustment-Mechanical 230-0000-43102 $28.94
MEC2022-00298 Investigation Fee 230-0000-43102 $90.00
MEC2022-00298 Investigation Mechanical 12%State 100-0000-24001 $10.80
Surcharge
Total: $201.60
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 08533D KABDILL 04/14/2022 $201.60
Payor: Vanessa Cahill
Total Payments: $201.60
Balance Due: $0.00
Page 1 of 1
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received _
g Date By:'WV a� Permit No.: erCaN ,"1'1 -. Gc�3q5}
Iii r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t e Owv4A U
s Phone: 503.718.2439 Date/By: Other Penult:
1 1 c 1\h p Inspection Line: 503.639.4175 Date Ready/By: Juris: l0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST
❑New construction gAddition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
gI-and 2-family dwelling ❑Commercial/industrial ❑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: I'3i-7 0 SW (-A 0 t,,y c i.rot Cjr Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ^i / ok q Z Z Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump i 61.06 Lot ct(p
Duct work 23.32
Cross street/directions to job site:
Hydronic hot water system 23.32
I Z.I S j / H O w a rol `)r 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
Flue vent for water heater or gas
1 ci(_1 ►li it-41 /LOo I i ri 4�few, (h.E.Ak Quv>� p
1 fireplace 23.32
W/ r\LIA) O A.R. _ it SW'42,1-7 0 wiv (-(7 (.v/ 1)a t ii-e-Vt Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
(t'PROPERTY OWNER 0 TENANT Other: 23.32
Name: \ Neucsci_ rkify,
1 Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 1 v l--/G S W ‘..AOw A r•r� �v- equipment 33.39
Clothes dryer exhaust 33.39
1 CCU(T 4/0 e Ci-722_`3 Single-duct exhaust(bathrooms,
0,1 toilet compartments,utility rooms) 23.32
Phone:( .,..`3)Lf 3 —9sot-i Fax:( )
Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
Contact name: V QvutSsa ' (� $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address: 1 3I7o cW 14Owe r-ot "D Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
'Ci ar.,4 vt 91 Z2-3
Water heater
Phone:(co )t..(3 .-415 Q t- Fax::( ) Fireplace
E-mail: VTY►-i ,d_‘‘.1.-.)", (i 9 cj yKq,1 , l 0,-, Range
)CONTRACTOR Barbecue
Clothes dryer(gas)
Business name: iAtnS`A.. (_AZG.1i, Awde CA.')c(1 n--'1\ Other:
Address: �p' S j�A� Sk ) MECHANICAL PERMIT FEES*
o j--1 \a.. of 0 tZ S$btot0)
City/State/ZIP:
l ���3� Minimum permit fee($90.00)
Phone:(S03)i✓j2- . kilo0 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: 40it k(0\ 0 liS TOTAL PERMIT FEE
WI
This permit application expires if a permit is not obtainedwithin 180
days after it has been accepted as complete.
Authorized signature:
Fee methodology set by Tri-County Building Industry Service Board
Print name: Date: 01.1/2.1
I:\Building\Pennits)MEC_PermitApp_082520.doc 440-4617T(1 l/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-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.
I:\Building\Permits\MEC_PermitApp_082520.doc 2