Permit Cbsaa CI Ito«
CITY OF TIGARD Ia( ikCVI MECHANICAL PERMIT
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. COMMUNITY DEVELOPMENT Permit#: MEC2022-00975
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Date Issued: 10/19/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DC06200
Jurisdiction:
Site address: 15594 SW PEACE AVE
Project: River Terrace Crossing,Lot 69 Subdivision: RIVER TERRACE CROSSING Lot: 69
Project Description: NC installation. Placement of NC installation must comply with manufacturer's installation requirements.
Contractor: COMFORT ZONE HEATING&AIR COND Owner: CND-RIVER TERRACE LLC
1032 NW CORPORATE DR 1111 N POST OAK RD
TROUTDALE, OR 97060 HOUSTON,TX 77055
PHONE: 503-667-5595 PHONE:
FAX: 503-491-8252
FEES
Specifics: Description Date Amount
Air Conditioning 10/19/2022 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 10/19/2022 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/19/2022 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by t e Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop the rules
Issued By: rmittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Received
Date/By: , i. r) "- ii
13125 SW Hall Blvd.,Tigard,OR 9722, Plan Review
Phone: 503.718.2439 Fax: 503.598.1960
OCT 12 2022 Date/By:
I I(,n r I) Inspection Line: 503.639.4175 Date Ready/By: Jars: See P-,'e 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
SINew construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEEStt i,
gl-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
`��� Tau• Air conditioning 1 46.75
Job site address: Sy4 'vim . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:'OW(a'O9,.. 9 4 2,L1 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project nam vw icxvac.t lJ10se 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
VO T�a DICK.• (+,o to Other: 23.32
Subdivision: /TVA Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 __
{.� p� V Flue vent for water heater or gas
A&�r f\(�) ^`V cm-rt ?unlit fireplace 23.32
V 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 El TENANT Environmental exhaust and ventilation:
Name: Range hood other kitchen
Address:L� �j,� f� 1 equipment 33.39
12 i 0 C'C� • y. tt #(00 Clothes dryer exhaust 33.39
City/State/ZIP:Lv►� (, .. ,veq l a� 910M Single-duct exhaust(bathrooms,
�L�"�"'�VV 11'"') toilet compartments,utility rooms) 23.32
Phone:1903)409 —9�{Q Fax:( ) Attic/crawlspace fans 23.32
X APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: 2_, " tomes 4W LLC, Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tiara ...ROW Furnace,etc.
Address:y 2 50 Ciakw.u004 &r 6'j 4100 Gas heat pump _
Wall/suspended/unit heater _
City/State/ZIP: Lace Ogw&J�0.OR, en035 Water heater
Phone:(5o3)904 - -13 to Fax::( ) Fireplace
E-mail: Range
idfar ® 5tut,'rtbn&Q homes nu). con) Barbecue
CONTrkCTOR Clothes dryer(gas) _ _
Business name: Vn Z,On� Other:
V
g�. MECHANICAL PERMIT FEES*
Address: 1032. NW p4t3 IX. Subtotal
City/State/ZIP:T(0(ft dal tI OR, 910(00 Minimum permit fee($90.00) CfU-t/U
Plan
Phone:(503 LAO-—55415 Fax:( ) u carge(25%of permit fee)
State surcharge 1(12%of permit fee) /d,
CCB lic.: kt 00C1 I TOTAL PERMIT FEE 6tA „i-i)
This permit application expires if a permit is not obtained within 180
• r� days after it has been accepted as complete.
Authorized signature:tj l4 •V` • Fee methodology set by Tri-County Building Industry Service Board
Print name:"Marla 14,3,140 Date:to-l9-Z0 22
I:111luidimg\Permits\MEC_PermitApp_040113.doc 440-4617T(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$51;,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$50,00fl00,add ,.,, ' • •
$2.49 for each additional$1&0.00'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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1:\Building\Permits\MEC PernutApp040113.doc