Permit 1111‘ CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00102
T 1 A Ft iU 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2022
C
Parcel: 2S112BC06500
Jurisdiction: Tigard
Site address: 8355 SW LA MANCHA CT
Subdivision: LA MANCHA ESTATES Lot: 18
Project: Turley
Project Description: As built conversion of existing attached garage,2 bedrooms, laundry area,and hallway.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 2 First: 576 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke Yes
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 576 sf Value: $75,214.08 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 1 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 576
Owner: Contractor:
TURLEY,OLE K&SARA D SUSTAINABLE CONSTRUCTION Required Items and Reports(Conditions)
8355 SW LA MANCHA CT 3 MONROE PKWY STE P#233
TIGARD,OR 97224 LAKE OSWEGO,OR 97035
PHONE: PHONE: 317-270-9377
FAX:
Total Fees: $2,631.16
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. ATTENTIO ' Oregon law requires you to follow the rules adopted by the Oregon 1.41 y Not ation Center. . - rules are set forth in OAR
0S9-nn1-nnl n thrrn inh rl oc9-nn/-nnan li m a„ r•nrni of the.'lilac nr rtirn nhfnin art ni iccfinnc to(U IN(:FLy raninR cn z 9Q nn'2 9 10R7 nr nz9 ,zaa
Issued By: � � Permittee Signature: A _
/� Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
This permit card shall be kept in a conspicuous place on the job site until completion of e project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED
��, FOR OFFICE USE ONLY
City of Tigard �/ Received Ll 4III r 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: / / �7O 0.1� 40/0�
II Phone: 503.718.2439 Fax: 503.598.1960 APR 1 2U22 Plan Review
Date/By: t ZZ Aele-' Other Permit:
T 1 G n R D Inspection Line: 503.639.4175 CITY OF (IGAHU Date Ready/By: Juris: Fill Page 2 for
Internet: www.tigard-or.gov Noti /Method: Supplemental Information
':3�II_fING nivIsiO 00,
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
yf Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $,Q.(p t op ,0.0.
X1 and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: .9-
Job site address: ' , f j5 3v t LA/f 14C.at A- c-r New dwelling area: Slee, square feet
City/State/ZIP: -fri e,4t2„g1 Q12, q`79..'f Garage/carport area:coNJfzypr( square feet
Suite/bldg./apt.no.: Project name: 6, -- 0 ,K (/�}&-.,T✓ r` Covered porch area: „e" square feet
Cross street/directions to job site: 5t.J p7j P� Ail 6 • Deck area: square feet
7.
QVFCGe,Ari-4 .,/ 1 Jare' 5 r jiv401.We Other structure area: -- square feet
i°1`�f/l a- 4 'J„rib r by a 3y57s,�t,., g*-0--,�� REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ((��'' Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map,/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
A5 •U iI- do &M link? *-T-rAc +Er) 6Ale-#466, 69I21, 1ASi Valuation: $
Letora9t.. E A A-�1;� f.LwA r�.p .15e./ ; N.r) exisT/Ai4 Existing building area: square feet
u j' 6AV-A 66-, •p00 to.1 b 0A m 36-ffo r- ce-twe iterrAe0 New building area: square feet
0 PROPERTY OWNER ❑ TENANT e7PAC.. Number of stories:
Name: Of ra P Seri-cwt., ![i(�//c Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
[�f APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:
Su .411 ge_.€ C,r.l5re_octrtck./ SOL-v110%,.15 1_1_6 (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: ?pit-tJ A u IQ k 6)f{41'4
FLS plan review fee(if applicable):
Address: 13 MoKtJDE, --e1(„,r/ Sfe 1` . '233
City/State/ZIP: 1,.AK-t 051,3 6(0 J (DP- 9-1-03
Amount received:
Total fees due upon application:
Phone:(5t9)2go ..,Dq3? Fax::( )
E-mail:rljn'6ti.A e.,fa u r c �^t.a-„� lia Viers, Go WI PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: S.A.ME A.5 4,150 (t✓ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: rg j 0If t.2- 13 f--3
Total fee due upon application: $201.60
Authorized signature, `� _--- This permit application expires if a permit is not obtained
(�7 within 180 days after it has been accepted as complete.
Print name:']e l A J j M o�A 4 A.xl Date: b Li I(14 I Z *Fee methodology set by Tri-County Building Industry
` Service Board.
L\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
illiAssociated permits:
C Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line:'503.639.4175 0 Electrical 0 Plumbing El Mechanical
T i L,ARD Internet: www.tigard-or.gov
❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. 0 ❑ 0
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be as I licable to the aro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 .❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
l t
Electrical Permit Application itlati V L 1(m 0111( I:t SI.0\1 '
City of Tigard
13125 SW Hall Blvd.,Tigard,OR 9'7223
PllOtath 503.718.2439
Email: llgardBuildingPennits@Tigard APR I 4 2022 iteintwee
Meek:
Pisa Review
CITY OF TIGAFIL, Datctilis:
lIDIVI910t' R"4 Dated*:
'Inspection Line: 503.639.4175 Ituer-i7itlW.Iliagi-nr goi• , Notified/Method i Pcniot.
Related Permit*
. sem 0 Ste Page 2 for —a
Stqaplestesteal Information
— —
1 TYPE OF WORK [
itAt REvro.i
....
. . ... ........
....
0 New construction irAddition/alteration/replacement , I Plee check all as that apply(submit/sets of plans wheems checked;
! 0 Service or feeder 400 amps or more 0 Building over three stones
0 Dernolition 4 0 Other:
CATEGORY OF cOtISTRUCTION i where the asailable fault cuntMans
rre 0 Manas and boatyard
exceeds 10,000 amps at ISO eche or 0 Floating buildings
1-and 2-family dwelling D Commercial'industrial 0 Accessory building less to ground or exceeds 14,0(10 0 Commercial-use agncoltural
amps for all other itlSbltlationN buildangs
0 Multi-family 0 Master builder 0 Other . 0 Fite pump 0 Installation of ISO KVA or
SOS SITE INFORMATION AND LOCATION 0 Lompoc"system larger separately derived
Job 0: Job site address:ii?"10-6-5tAl IA/4 AA/44 Cr- 0 Addition of new motor load of
10010'or more system
.--
CityiState/TIP: rrcloliftp_cit- •e-r- r ...of mare rusidentia!lama occupancy
.— 0 Health-carc facilities 0 Recreational Nchwle parks
Suiteibldg./apt.#: Project name: 6144..k4e iri 6 LA- 0 11117ARIOUS knatiOL3 0 Supply voltage for more than
4-- cc -- 0 SerN'ice or feeder 600 as or more. 600 volt'nominal
Cross street/directions to job site: '5.1..1 050 Apritit6 , ,..
i---
....kscrtrOss. .L Q . ,: Feta ' Total _LI:
,___. _ _, New residential single-or nadti-family dwelling unit.
_ _ ___ ___
Subdivision: Lot#: , Includes attached garage. _ .
1,000sq ft ,".1 less 168 54 4
E Tax map/parcel#:
_ _ Ea adel 500 sq ft or portant 33.92 1
DESCRIFTION OF WORK - Limited erierp.residential 1
75.00 1
In.5.14 ANS) 061014 4 IT' 04)6 4 i CAP&i ell-co vg/A____ with etswe 44.0..1
....- 4
I=lied t....‘ZY,multi-&Italy 2 75.00 2
residential iwith above .R.
r- 0 Plibilit* O*14-1M' I --
0 TiNANT
, _ --
- •
Renewable&term
, ,Q See Pate2 . .1
_.—_ Services or feeders installation,alteration,andlor relocatten I
Name: 200 amps or less 1— 100.70 2
dd
- . - — 201 amps to400 amps
133.56 2 ;
Aress:
- ___ . _. -. -— 401 amps to 600 amps 111111 200.34 ' 2
City/StaterLIP: 601 amps to 1.000 sunps 301.04 - 4
2
Phone.( ) OM 1,000 amps or volts 11Z113 2
1--
Temporary services or feeders installation,alterndila,andiar
Email relocation
Owner installation:This installation is being made on property that I ov.n which is not atO amps or less 59.36 a
intended for sale,lease,rtmt,o:exchange.according to ORS 447,449,670,and 701. 201 amps to 400 amps i 125.08 1E1
Owner signature'. __ I Date: 401 amps to 599 amps -• 1611.54 . 2
. -.E.. '-- ------- Branch tirades ne_w.alteration-or extension.per panel
_ X-
APPLICANT ' E
0 CONTACT PER
I SON , I --
.. . _.— -- - A.Fee for branch Cita:mita wah
Business name:$1/5 r A irl I+41-E 4 014 C117-0C-Iro A 5 0 tA)rionx JAZ- above service or&soder tee.
_ •—• - --.- .-r- , each bratich_circuit
Contact name: 141 44-14 14014.4614,14W 643 25f,'>07 B Fee for branch circuits withour
Address: 3 etopte4e pilot/ 'it? service or hada fee.firm mch mutt 5 56.18 2
_
. - Each adfl hornet circuit 7.42 2
C ___ity/StaterLIP: jAft6 C:44#06C-10 012- 471-035-
/ • , aeons iservice or!ceder not included _
I Phone:(511 ),ir °' 499.11- Each nun tifacened or modulai - 67.84 2
1- - - _ . _. ..„_ '"-- dwellin, service,aosyce feeder ,
Reconnect oni) ling ' ' 2
. 1 Email: faca,,--e,y 0 v.0....5 ri.e.-v,k.)4kier ..c.w,
_
I . _ ...
CVOS Pump or irrigation circle 67.84 2
.. --- -
..
Business name* 747-4.i lfzakli,."k I_lC, Sign or outline lighting 67.84 2
• ....rit -- _
„_ Signs!cirecit(s)or limited-energy 0 see page 2 , 2
Address: C‘S),12:1). N, AL.-- 6.S — S -- - ,&iteration.ore:de:vision. . ___. .
- .,
----- -- Bach additional Ingecdon ever allowable in an k,of the above _,
City/StateiZIP:
Phone:(56t0) c LE-•- p -- 1,..q-6-0 _invegitmon(1 lit min) VtE'JO'hi
. 4 _ _. —_ ...... —
Industrial plan(i hr min) 70 i nE lir
Email:
' - • 1
....._ ._ . Inspections for which no fee is
(re i t, to 011/3 ttill Li, 3-..1 kigi ,.,,I, , k. 6/905 . . bccuiscal_1.;listed l'hE hr mei' _. , . . .
,--..-_ - ELECTRICAL PERMIT FEES
......—.. _ ......
Savo Electrician signature,required: Zr._,(' Subtotal
_ _ . _ , _
I Print name: Date: _0 Plan Review Regairett(25%of permit fee)
___ ___ —
---- ---- State surchatge(12%°frantic fcc). ..
TO1 Al.PERMIT FEE
Authorized signature:
. This permit applicadon explew If•permit is not obtained within I RR
—. —. .—....... ....
Print name: Date: days after It has been accepted as complete.
..... — .., .— ..... ....--- — • Number cf inspections allowed pet permit
Pathrthrelsemeent PansitAppillILEREsbe Rea I026.20117 440.4e!Slit 1 t•rOWIefil
I
1
Mechanical Permit ApplicatAst FOR OFFICE USE ONLY
C E I VE[ Received
City Of Tigard Date/By: Permit No.:
III lir' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 APR 1 2022 Date/By: Other Permit:
I I U A R I) Inspection Line: 503.639.4175 Date Ready/By: Juris: 1 Ed See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARLI Notified/Method: Supplemental Information
8UILDING DIVISION
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:S
1-and 2-familydwellingRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑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: 133 5-6 5 yt l j„q rl C(f . r✓l Air conditioning 46.75
p Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �
C� 01 p I( [ ?2'f Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: 6.AizikGe ir4 19t t-- Heat pump 61.06
Duct work 4 23.32
Cross street/directions to job site: ,51ti.( 6 pie
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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
r16 e4,r•40)
�)e L t¢u5'c t>' '�� ry Flue vent for water heater or gas
71 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent , 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) / 23.32 113--
Attic/crawlspace fans 23.32
11)4 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: v 5 T41I nip.. t J✓ eon SPP./Crl.`'Ai 5'4 LA l t.0(45 LI-c- Fuel piping:
Contact name: 'g i2iAIJ NL O(4 A(4 k At NIe-C$ 2385011 $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:3 AUt0F.1toc P(L.(r)y STDT> tt233 Gas heat pump
y Wall/suspended/unit heater
City/State/ZIP: �� s9sv-�=(�✓/a�- �'�0��
Water heater
Phone:(3i1- ) L1 O — 0 931- Fax::( ) Fireplace
E-mail: 4>f-c.'" yJur"pr..✓"Ljtti6t&ff, cool Range
Barbecue
CONTRACTOR
Clothes dryer(gas)
Business name: 5414 i e ik-5 A-&)(— Other: ��Q
Address: ,
MECHANICAL PERMIT FEES* �t it
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
CCB lie.: 8��' State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature q �' days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: "jt}tt.1 't i&o,J4R tat-( Date: py/rf kb72-
I:\Building\Permits\MEC_PermitApp_082520.doc 440-4617T(1 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-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_PennitApp_082520.doc 2