Permit
CITY OF TIGARD MECHANICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit#: MEC2009-00584
. e 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 DateIssued: 11/03/2009
Parcel: 1S133CD12200
Jurisdiction: Tigard
Site address: 11925 SW WILTON AVE
Subdivision: Lot: 0
Project: Atanasov
Project Description: Change out to gas furnace add A/C Must maintain a 3' rear and side yard setback
Owner: FEES
ATANASOV, ATANAS S & ELENA S Description Date Amount
11925 SW WILTON AVE Air Conditioning 11/03/2009 $46.75
TIGARD, OR 97223 12% State Surcharge - Mechanical 11/03/2009 $10.80
PHONE: 503-823-7345 Minimum Fee Adjustment - Mechanical 11/03/2009 $43.25
Contractor:
DURAMAX HEATING & COOLING INC
25027 SE HWY 224
BORING, OR 97009
PHONE: 503-558-1260
FAX: 503-637-5394
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
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 952-001-0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: ely, x//06 ! f
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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
City of Tigard RECEIVED Received Permit No
tY Date/By: (1,(ri~((~ tV 56,t_{-
13125 SW Hall Blvd., Tigard, OR 97223
C Plan Review
Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 ~.-0V 01-2009
~ DateBy:
Inspection Line: 503.639.4175 Date Ready/By: Juris: See
Internet: www.tigard-or.gov Notified/Method: S Page for
Supplemental
CITY OF TIGARD Supplemental Information
TYPE OF W COMMERCIAL FEE* SCHEDULE USE.CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
t~}L-1; performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ! l W t Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: (5\1'1- • Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Heat um 61.06
Cross street/directions to job site: Duct work 23.32
H dronic hot waters stem 23.32
Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent foranof above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
S Gas fireplace 33.39
G~ C Flue vent for water heater or gas
('~17 IC_ fireplace 23.32
Lo lighter ( as 23.32
Wood/ pellet stove 33.39
Wood fire lace/insert 23.32
Chimne /liner/tlue/vent 23.32
ROPERTY OWNER ❑ TENANT Other: 23.32
Name: i LIB AVC-VIGS 400 . Environmental exhaust and ventilation
Range hood/other kitchen qJr Address: ' t S W , l ` equipment 33.39
City/State/ZIP:' (J r- • Clothes d er exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: (srp ) 'Z 3 3 y Fax. ( ) toilet compartments, utility rooms 23.32
❑ APPLICANT Ef-CONTACT PERSON Attic/crawls ace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat um
City/State/ZIP: Walt/sus ended/unit heater
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer as Kam Other:
4--
Address:'MECHANICAL PERMIT FEES*
City/State/ZIP: 6(2.. ~ 7 Subtotal
Minimum permit fee ($90.00)
Phone: (S"V!-l t~ Z Fax: SC!;,3-J -I Plan review (25% of permit fee)
-7 72'1 r' 17 State surcharge (12% of permit fee)
CCB tic.: '
_ TOTAL PERMIT FEE
Authorized SIatUi . This permit application expires if a permit is not obtained within 180
bn 14 \ days after it has been accepted as complete.
FPrint name: 1116.1 Date: iL 0 * Fee methodology set by Tri-County Building Industry Service Board
C\Buitding\Permits~ C-PermitApp.doc 10/01/09 440-4617T (I 1/02/COMMEB)
,11
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total Valuation `Perriit F „ee •
$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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