Permit (44) CITY OF TIGARD MECHANICAL PERMIT
n Permit#: MEC2023-00511
r COMMUNITY DEVELOPMENT
Date Issued: 6/26/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S703ACO2800
Jurisdiction: Tigard
Site address: 11075 SW ERROL ST
Project: Pierce Subdivision: None Lot: None
Project Description: Replace vented microwave with range hood and adding toe kick register in cabinets
Contractor: LIFETIME REMODELING SYSTEMS LLC Owner: PIERCE, DARREN F REVOCABLE LIVING TRUST
7301 SW KABLE LANE PIERCE,AMY J REVOCABLE LIVING TRUST
SUITE 300 11075 SW ERROL ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-242-4242 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: SF Duct Work 06/26/2023 $46.64
Class of Work: ALT Type of Const: Range Hood/Other Kitchen 06/26/2023 $33.39
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/26/2023 $10.80
Stories: Minimum Fee Adjustment-Mechanical 06/26/2023 $9.97
Project Valuation:
Fuel Air Handlers
Fuel Types: 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: 0
Heat Pump: 0
Appliances
Vent Fans: Vent Systems: Total Si00.80
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 0
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 ma obtain a copy of the rules
Issued By: 11 i e-+n 4.0' 1 Permittee Signature: q
, 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
ei
City of Tigard Received
Date/By:
J/ ?, Permit No.: irjLat , 3�� .
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
. 1111
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I Ci n It n Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees"are based on the value of the work
D New construction . ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special injormarion use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 1 l o 7s" scA..) f/'O!- S'. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T7 67 .D , C/ -, q 7 7�3
Furnace lOQD00+BTU(ducts/vents) 54.91
^Y Heat pump 61.06
Suite/bldg./apt.no.: Project name: 1 CirCA-' Duct work 2... 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
, qq L // pp � �1 Residential boiler(radiator or
!✓</�/U✓` 7 D >' li tO �G / JI hydmnic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 _
DESCRIPTION OF WORK Gas fireplace/insert 33.39
r( Flue vent for water heater or gas
/0Ci,� 6 ,D✓4 : I2,.L }it, ,e..J 14-cod fireplace 23.32
v r_- .L ( r + �1 Log lighte (gas) 23.32
W to ems^ Wood/pellet stove 33.39
-^/J 2w 4-1 E (c-4. RPci JAI C- S Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�' �L in, ��cr5�r.� /mac �1 r
❑ PROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Ai Ai O1(-'_eL, Range hood/other kitchen
equipment I, 33.39
Address: i I v� 5W ro LL Si7 Clothes dryer exhaust 33.39
City/State/ZIP: •-/- /5 9 ]Z Z'Z Single-duct exhaust(bathrooms,
�� rJ / U� > toilet compartments,utility rooms) 23.32 __
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: pp e �� � Fuel piping:
i` GIN rQ l/� S�SS $14.15 for first four;S4.03 for each additional
Contact name: / Furnace,etc.
Address: ` 3e3 i sun r_ett. t..F-- W S'T- .3 V Gas heat pump
p Wall/suspended/unit heater
City/State/ZIP: 9�.f(� i -1�ZY Water heater
Phone:( 3) 2_.0f2tf2. Fax::( ) Fireplace
Range
E-mail: p (t e ce-t rj Co,--L,-‘ Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: V� r7�r" /O 9099 C4 .J Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lie.: f 76 `7 y 7 TOTAL PERMIT FEE I�'J.
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: /1-4 — �C Q V,Cjp� Date/ ,
1:1Buading'Permita\MEC PermkApp-040113.doe 440-4617T( /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.
1:1Building\Permits\MEC_PermitApp_0401 I3.doc 2