Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
#: MEC2022-00976
Jt Pe
COMMUNITY DEVELOPMENT
T I GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2022
Parcel: 2S104DD04500
Jurisdiction: Tigard
Site address: 13573 SW AERIE DR
Project: Smith Subdivision: EAGLE POINTE Lot: 36
Project Description: Replacing(1)bathroom exhaust fan.
Contractor: PARSONS CUSTOM REMODELING&CABNTS Owner: CORELLA, MICHAEL J & ERIN W
13783 S FORSYTHE RD 13573 SW AERIE DR
OREGON CITY, OR 97045 TIGARD, OR 97223
PHONE: 503-656-7232 PHONE:
FAX: 503-656-6967
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 10/19/2022 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/19/2022 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/19/2022 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: /r,../ ,�.�1„��
-G/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City Tigard Receivedjt%`yp - ,n+- Permit No.. . 2n' oyJ?/.
III 13125 SW
Hall Blvd.,Tigard,OR 97223 Plan Review
�g--�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Other Permit: ��T Op4.� 4!-
T I G A R U Inspection Line: 503.639A175 RECEIVED
Date Ready/By: Otis: Si See Page 2 for
Internet: www.tigard-or.gov yy q f1 Notified/Method: 7� Supplemental Information
()CI A9 u'7�TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
�,T OF TIGARD Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratiPJ f rjiVI SI O N performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition IDOther: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
B.I-and 2-family dwelling 0 Commercial/industrial D Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 1 ,)5 3 ,3(3.....) `tQ,r'. Z l�C i J t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �-i rd are, o f\ 47 ,`_a,.3 Furnace 100,000+BTU(ducts vents) 54.91
( Heat pump 61.06
Suite/bldg./apt.no.: Project name: Core I'A toot710,,% Duct work 23.32
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
ASCRIPTION OF WORK Gas fireplace/insert 33.39
w }}}((( =4 ��' _ Flue vent for water heater or gas
I4 cL ! l ry fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: _ Range hood/other kitchen
• �-�' "`v equipment 33.39
Address: ...3cte".4-- c•-iS 4.1=o•Je.._ Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, /1
toilet compartments,utility rooms) Y 23.32 }3.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: w S=-,� �,_,,,� ,i,,.` Imo, .r•c14 i '.•) MECHANICAL PERMIT FEES*
Address: 1 0 a Ru;G ,r�, C yl S�t r R cli Subtotal
City/State/ZIP: 10(.,J 141,rv, ' 0 T) 06& Minimum permit fee($90.00) Gj/)..dt)
Plan review(25%of permit fee)
Phone:(563 ) 656 --723( Fax:( ) State surcharge(12%of permit fee) ,,,, i/)
CCB lie.: 136i 4 q TOTAL PERMIT FEE +,f,�`
This permit application expires if a permit is not obtarne within 180
days after it has been accepted as complete.
Authorized signature:ig Cyr / * Fee methodology set by Tri-County Building Industry Service Board
Print name: t.Sp\r\4n Vfmvv `icey'im!r, Date:i()1V %I '2.OLt.
I:\Building w \M ermitsEc_Permitapp_040113.doc 440-4617T(I1/02/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\Permits\MEC_PermitApp_040113.doc 2