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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2022-01130 Date Issued: 12/8/2022 T[GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB01403 Jurisdiction: Tigard Site address: 7435 SW HERMOSO WAY Project: JETER Subdivision: HERMOSO PARK Lot: 6 Project Description: (1)exhaust fan for bathroom remodel. Contractor: OWNER Owner: JETER,ALEXANDER J HOWELL, SIERRA C C 7435 SW HERMOSO WAY TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 12/08/2022 $23.32 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/08/2022 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 12/08/2022 $66.68 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Permittee Signature: ?-� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati�ECEl ED FOR OFFICE USE ONL) Cityof Tigard V V Received . g Date/By: Permit No.: + -,21 1 O 13125 SW Hall Blvd.,Tigard,OR 97223 DECq��qqq y r1 JtS/ �� /►�B_c V a Ori D 8 W1d Plan Review f Phone: 503.718.2439 Fax: 503.598.1960 Date/By d v ICI Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: J /( [)� Juris: ® See Page 2 for Internet: www.tigard-or.gov r Notified/Method: 0 r7 /mi Supplemental Information 3UILDING DIVISI " if TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ l-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1Ulf `) $1" t't&47%'..ro ' 1 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: t iy r& ibR q I-2-2-S Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: r"(.Qs hex!..t"•.1 V6Sr Duct work 23.32 Cross street/directions to job site: Hydonic 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 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 /f, yy t.. Flue vent for water heater or gas ILL.,. 64 b ,:A �, , i. ; . . i ., t.,rt fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 © PROPERTY OWNER ElTENANT Other: 23.32 Environmental exhaust and ventilation: Name: MaILAII.ctef St'., 2' Range hood/other kitchen equipment 33.39 Address: uk-3 5 5 v'' I1Ql(Ks go W 0-ki Clothes dryer exhaust 33.39 City/State/ZIP: fi liked i bj . ' 2 Z3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) ! 23.32 Phone:(5 93) . q 1 1-5 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT Other: 23.32 ❑ CONTACT PERSON Fuel piping: Business name: vM. 4 S .7' rt ✓�O S 14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: " "r MECHANICAL PERMIT FEES* Address: 7(N3 5 5 u41 �`.& o PeS CI Subtotal City/State/ZIP: ek---1 .A4-61, ,Diz °VI-2.-25 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 7t ) °` C1p-4-5 Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 //������ G�- days after it has been accepted as complete. Authorized signature: el(/v " * Fee methodology set by Tri-County Building Industry Service Board Print name: is"(QKptl).-- TQJ1-4( Date: )27I/22 1:\BuildinglPermits C_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$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$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits MEC_PermitApp_040I 13.doc 2 Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325(2)) This statement is required for residential building,electrical,mechanical, and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit Please check the appropriate box: I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. oro/ I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. teKothj rz6 J eA er' Print Name of Permit Applicant Z iZ/� 22 Signature of Permit Applicant Date Permit#: �1�caQ��-0 1t30 •� �. Address: -7 73 ^y- Issued by: e' Date: 0/$/"j 1-1 1* This Copy for Permit Offices