Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00752
Date Issued: 8/18/2022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AC06900
Jurisdiction: Tigard
Site address: 11011 SW GENEVA ST
Project: Alway Subdivision: JEFFREY ESTATES Lot: 2
Project Description: New mini-split
Contractor: HANSON HEATING Owner: ALWAY, BARBARA L
1916 SE 148TH 11011 SW GENEVA ST
PORTLAND, OR 97233 TIGARD, OR 97223
PHONE: 503-891-9138 PHONE:
FAX: 503-760-5590
FEES
Specifics: Description Date Amount
Heat Pump 08/18/2022 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 08/18/2022 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/18/2022 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Tota 1 $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y y obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
Ci of Tigard Received 7 Permit No.:
�J g Date/By: I t�S I71
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By, Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: luras: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction jXrAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials equipment,labor,overhead and profit.
Value:$
CATEGORY QF CONSTRUCTION
RESIDENTIA>;EQIJIP)v1ENT'/SYSTEMS FEES
.NJ-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. Total
JO>g &111E IIHFORMATION AND LoCA'TION
Heating/cooling:
coolin
Air conditioning 46.75
Job site address: ywm Furnace 100,000 BTU ducts/vents 46.75
City/State/ZIP: a Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: H dronic hot waters stem 23.32
Residential boiler(radiator or
h dronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct suspended,etc. I I46.75
Flue/vent for anyof above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
��d Gas fireDlacelinsert 33.39
l6 Flue vent for water heater or gas
`V\ fireplace 23.32
Log li ter as 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
1.ta.. �" "` x Environmental exhaust and ventilation:
Name: eDwt�o a_v- :.� wcqA Range hood/other kitchen
equipment 33.39
Address: l V-6\ '�) Clothes dryer exhaust 33.39
City/State/ZIP: L 9 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( �jl , Fax:( ) Attic/crawls ace fans 23.32
, O1411r'21C'# E 1z
Other: 23.32
411
x
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace etc.
Address: Gas heat u
mp
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:
Fireplace
( ) Fax::( ) Range
E-mail: Barbecue
CONTRACTOR Clothes dryer as
Business name: S �
MECHAMCAL PERM11 FEES.
Address: � } Subtotal
City/State/ZIP: (i�W q� Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: �1 ( Fax:( ) State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE CCJ
This permit application expires if a permit is not obtained within I80
days after It has been accepted as complete.
Authoriz • Fee methodology set by Tri-County Building Industry Service Board
Print nan
I:�Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/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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