Permit CITY OF TIGARD MECHANICAL PERMIT
s a COMMUNITY DEVELOPMENT Permit#: MEC2022-01059
T[GAF D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/7/2022
Parcel: 2S102AA03000
Jurisdiction: Tigard
Site address: 8740 SW SCOFFINS ST
Project: Custom Dental Prosthetics Subdivision: TIGARD HIGHWAY TRACTS Lot: 24
Project Description: Installing(1)new exhaust hood,relocating an existing exhaust hood and fan,and adding(1)exhaust fan.
Contractor: BULLDOG MECHANICAL&REMODELING INC Owner: LNL PROPERTIES LLC
3307 NE 39TH ST 12641 ADRIAN CT
VANCOUVER, WA 98661 LAKE OSWEGO, OR 97034
PHONE: 360-901-2610 PHONE:
FAX: 360-693-1505
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/29/2022 $316.80
Class of Work: ALT Type of Const: VB Plan Review 11/29/2022 $79.20
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/29/2022 $38.02
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/29/2022 $4.00
Project Valuation: $8,900.00 11x17)
Info Process/Archiving-Sm$0.50(up to 11/29/2022 $4.00
Fuel Air Handlers 11x17)
Fuel Types: Electricity Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $442.02
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: exhaust fan
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received ; Yy 1 C+
• 13125 SW Hall Blvd.,Tigard,OR 972CIVED Date/By: J�//����1 :`�� /!/Q�CaO.Z.�� Q J. 1al g
l� Plan Review :f• /�
IIIPhone: 503.718.2439 Fax: 503.598.1 Date/By: Other Pe m t:fpe*�J� ���'^;
> >� a9-� ,���,�L1 V, i,t, Inspection Line: 503.639.4175 �} Date Ready/By: rr lures_ H See Page for
Internet: www.tigard-or.gov NOV 1.4 201-t Notified/Method: /'I /11/j.t / -- I Supplemental Information
�;ITY(,)F TIGARD 1/ /�,,/ ' /l
TYPE OF wfil j DING DIVISION w 7 1 "7' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction IX]Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 8,900
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ►:/ CommerciaVindustrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 8740 SW Scoff ns St Furnace 100,000 BTU(ducts/vems) 46.75
City/State/ZIP: Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Custom Dental Prosthetics 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
OthSubdivision: Lot no.: � 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install (1) new Exhaust Hood, Relocating an existing Exhaust HOOD and fireplace 23.32
Fan, and adding (1) Exhaust Fan Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
CMPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 2 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
I APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
NW Precision Design
S14.15 for first four;$4.03 for each additional
Contact name: Darin Bouska Furnace,etc.
Address:17407 SW Inkster Dr Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Sherwood OR 97140 Water heater
Phone:(503 ) 680-6444 Fax::( ) Fireplace
Range
E-mail: Darin@NW-Precision.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Bulldog Mechaical Ot1er:
MECHANICAL PERMIT FEES*
Address: 3307 NE 39th St Subtotal
City/State/ZIP: Vancouver WA 98661 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360 ) 901-2610 Fax:( ) State surcharge(12%of permit fee)
CCB lit.: 152993 7 1144 Metro: 8027 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: r Fee methodology set by Tri-County Building Industry Service Board
Print name: Darin Bouska Date: 11/14/22
I:1BuildinglPermits1MEC_PemstApp_040113.doe 440-4617T(11/02/COM/WEB)