Permit CITY OF TIGARD MECHANICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit#: MEC2022-01099
T[OAT n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/28/2022
Parcel: 1 S125DA08903
Jurisdiction: Tigard
Site address: 9350 SW 70TH AVE
Project: MATHEWS Subdivision: KINGS VIEW Lot: 63
Project Description: Installing new tankless water heater.
Contractor: SASQUATCH PLUMBING LLC Owner: MATTHEWS, STEPHEN J
8646 SW 9TH AVE 9350 SW 70TH AVE
PORTLAND, OR 97217 TIGARD, OR 97223
PHONE: 503-307-1328 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 11/28/2022 $23.32
Type of Use: SF 12%State Surcharge-Mechanical 11/28/2022 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 11/28/2022 $66.68
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: 7"1"cyl..t...k.)n — --- Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
Cityof Tigard Received
.' g Date/By: II � 'b, Permit No.:M ec rl cj'j 7 �.(�I �j 4Gr
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �'A �" /
11 I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
l I ti A R D Inspection Line: 503.639A l75 Date Ready/By: lair M See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
M❑New construction ddition/alteration/replacement performed.
permitdic thee'arel based on the value ofr the work
gOther: performed.Indicate value(rounded to the nearest dollar)of all
❑Demolition mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
gFl-and 2-family dwelling ElCommercial/industrial 0 Accessory building
or special information use checklist
0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
el3 5 0 Lt.) -Eyl Air conditioning 46.75
Job site address:
QJ �v VI-tit Furnace I00,000 BTU(duds/vents) 46.75
City/State/ZIP: T' tiL) f D 2 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldgJapt.no.: Project name: Tv�c-t tax c 5 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater I 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace i 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
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address:
equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
yAPPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 5,„,:)s ez.. 1-t.Arl pua vy biii ii t, ( C.•
, $14.15 for first four;S4.03 for each additional
Contact name: 'gY2-1�A Y� r Vn.pfl (2....c. 1 Furnace,etc.
Address: 8ee (,t(0 tie-) Ws...)� Gas heat pump
/�
Wall/suspended/unit heater
City/State/ZIP: pc, 1 vv� r O12 97i-j 1 Water heater J
Phone:(9.6) e U-1 1Z.7-Q) Fax::( ) Fireplace
E-mail: 6st,U Range
LjY1�'� `^fly �l,Uvr�btin� l(e• C.vyl.Z Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: &1 i -uy OM w` 01 hi I I C Other:
W 1,i (p �� 1�, MECHANICAL PERMIT FEES*
Address:
PY'v'�i Subtotal
City/State/ZIP: pbi_eil c)(2- 9,� J Minimum permit fee($90.00)
-p 1 Plan review(25%of permit fee)
Phone:( 5o3 3Q / 2✓ Fax'( ) State surcharge(12%of permit fee)
CCB lie.: Z 3 (,Z 52 TOTAL PERMIT FEE IOU, 8U
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: V,y-1, �^ l,l p YV-c,
Date: )I -ram 1 �?
I:iBudding1PerrnitsWIEC_`JParmit'Ap`p•04001_13.doc YW 44�17T((IIIII/e2/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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