HomeMy WebLinkAboutPermit CITY OF TIGARD MECHANICAL PERMIT
;4 s v COMMUNITY DEVELOPMENT Permit#: MEC2023-00207
Date Issued: 3/27/2023
T t CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111CA14200
Jurisdiction: Tigard
Site address: 15025 SW 98TH AVE
Project: Onnis Subdivision: ALDERBROOK FARM Lot: 8
Project Description: Adding exhaust fan in existing bathroom, updating duct work to 2 existing bath fans.
Contractor: ROBERT M MASLEN Owner: ONNIS, DORIS A& ROBERTO
PO BOX 193 DUNDEE 15025 SW 98TH AVE
DUNDEE, OR 97115 TIGARD, OR 97223
- -12
PHONE: 503 720 1 PHONE:8
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 03/27/2023 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: Other, ExhaustNentilation 03/27/2023 $46.64
Occupancy Grp: 12%State Surcharge-Mechanical 03/27/2023 $10.80
Stories: Minimum Fee Adjustment-Mechanical 03/27/2023 $20.04
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m in a copy of the rules
Issued By: 7 ON..._ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available ins ction date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFI( f: I SE OSI.'
Received
Cityof Tigard Permit No.:
• 13125SW Hall Blvd.,Tigard,OR 97223 Date/By: _/ V ,.,j,_ (jCj,,,�
;� g Plan Review Other Permit:
�• 11 Phone: 503.718.2439 UateBy:
i.I t ,\1,1) Inspection Line: 503.639.4175 Date Ready/By: )(iris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST
0 New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
Multi-family El Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: J W
�^0625 r '\ 1 i(-^' k� Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
.2.5
City/State/ZIP: IT Qr 0 0_/ —79 a.3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Om di c Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: •�'bl 5
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
e , b .�/]f--M ge Other:
for any of above 23.32
Subdivision: A Lot no.: Other: 23.32
Tax map/parcel no.: I� "V Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Iti(ryry f• ,, {^ ()�(6 Flue vent for water heater or gas
tICA�I/1.��/� ��— V l y fireplace 23.32
145-a. qtl on Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
gPROPERTY OWNER 0 TENANT Other: 23.32
Name: Do(G3 t kD Ap_v>, 'A I Environmental exhaust and ventilation:
r-1 'Wt///��� V t/).VN Range hood/other kitchen
Address: W equipment 33.39
�� 5 5 I /J Clothes dryer exhaust 33.39
City/State/ZIP: f i G re 1 0 r/ l (7 7 072 3 Single-duct exhaust(bathrooms,
Phone:(5 )
U 5, (�Q D , ���, 3 i 5 I` t Fax!I(( ) toilet compartments,utility rooms) 4 23.32
UU Attic/crawlspace fans 23.32
�jAPPLICANryT' CONTACT PERSON Other: 23.32
Business name: be, .�1 Q fy , k� to L..p(�s„YI�vox. Fuel piping:
\V• ``j�. / d S14.15 for first four;$4.03 for each additional
Contact name: \ C�A, ,
f,/A'' J"Cva Furnace,etc.
Address: -{C.)55 J 4) 804 Gas heat pump
City/State/ZIP: F(0 \ / 0 2 7)2'3 Wall/suspended/unit heater
Water heater
Phone:( 0 Z)3 01�.- 1 Faxx::(
). yr / y Fireplace
E-mail: �5 J1 , „n / r, (/ 1�1) coA61- 'iV1 /t4 u CZ Range
Vy l./ `C(/O'`NET"`"RACTOR Barbecue
Clothes dryer(gas)
Business name: V 0 `T K.,14 C'C' Other:
Address: g 9L 1 C1 . MECHANICAL PERMIT FEES*
__ �,.,n ,�J Subtotal
City/State/ZIP: Qv JCi2p 0 T "/ I Minimum permit fee($90.00) -
Phone:(Sp'3)/Z� ,. I,20l Fax:( ) Plan review(25%of permit fee)
CCB lie.: 5 pgi / State surchargeO L PERMpeIT
FEE
Ot..---------
TOTAL PERMIT ldp,�This permit application expirer if a permit is aot obtainM within 180
Authorized Signature: days after it has been accepted as complete.
�� • Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:
I:1Building/Pemdtc'MEC PermitApp_0112520.doc 4404617T(II/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2-Supplemental Information
Commercial Submittal Requirements:
• (2) sets of plans, drawn to scale.
• (2) sets of equipment cut sheets.
• (2) copies of site plan for ground and roof top equipment
location and screening per Tigard development code.
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.
I:\Building\Permits\MEC_PermitApp_082520.doc 2