HomeMy WebLinkAboutPermit (4) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00747
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/16/2022Parcel: 2S107AA91732
Jurisdiction: Tigard
Site address: 14342 SW 165TH AVE
Project: Rao Subdivision: ROSHAK RIDGE Lot: 173
Project Description: Installing A/C unit. Pre-wired and plumed.
Contractor: RONS HEATING&COOLING INC Owner: RAO,VIKAS& RAO,TANYA PRAKASH
9500 NE GLEN HOLLOW DRIVE 14342 SW 165TH AVE
NEWBERG, OR 97132 TIGARD, OR 97224
PHONE: 503-708-6251 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 08/16/2022 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/16/2022 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/16/2022 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are se orth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: 'C�
a
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
City of Tigard 'R EC E IV E Received
Date/By: 7G
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960 AUG 16 2022Date/By: Other Permit:
Inspection Line: 503.639.4175
and-or. ov Date Ready/By: auris: EZ See Page 2 for
Internet: www.ti
g g CITY OF MARC) Notified/Method: Supplemental Information
IVISION
TYPE OF COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction V Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-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: C� 36L1 .5—
Air conditioning46.75
k F Furnace 100,000 BTU ducts/vents 46.75
City/State/ZIP: 2 6 2 2- cFurnace 100,000+BTU ducts/vents 54.91
Heat um 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. 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
DESCi�I (3F WORK fir lace/insert 33.39
// Flue vent for water heater or gas
7-0 N /4 G fireplace 23.32
p _ ` J to c n � f t//_t&3
�,q3 Lo lighter as 23.32
Il G� l� v 4, J�1J Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
tir' Other: 23.32
PRflPEIIST'f',OVYPiER TENANT Environmental exhaust and ventilation:
Name: i�(! Range hood/other kitchen
-7 j Z S�✓
equipment 33.39
Address: N
/"� " Clothes dryer exhaust 33.39
City/State/ZIP: "�7 7 !� Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(q71 ) Fax:( ) Attic/crawls ace fans 23.32
APP ;ic Nc CONTACT PERSON'
Other: 23.32
-1
Business name: N Fuelpiping:
�/ mo o` CZ ' L
d $14.15 for first four;$4.03 for each additional
Contact name: 'v Furnace,etc.
0 ./ � / C�� Gas heat um
Address: f U /fr C (.._ f�(_� �t/ � � WalUsus ended/unit heater
City/State/ZIP: (7 2 �32 Water heater
Phone:(y7>_j� "76 JFax:Fax::/( ) Fireplace
-mail:
�0 S �L G g M-A-L t ' l 1� Range
E G�
Barbecue
CONTRACTOR Clothes drver as
Business name: Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: 3 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name: �il/ht ( Date:
h\Bui1ding\Permits\MEC_PermitApp_040113.doc 4404617T(11/02/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.
I:\Building\P=its\MEC_PermitApp_040113.doe 2