Permit 7 a CITY ���� MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00215
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/30/2008
PARCEL: 2S 109AB - 06600
SITE ADDRESS: 13084 SW STARVIEW DR ZONING: R -
SUBDIVISION: FORAN LOT: 008 JURISDICTION: TIG
PROJECT: DAMIANO
Project Description: Installing range piping.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
PHIL DAMIANO Description Date Amount
13084 SW STARVIEW DR
TIGARD, OR 97224 [MECH] Permit Fee 4/30/200E $72.50
[TAX] 12% State Surch 4/30/200E $8.70
Total $81.20
Phone: 503- 721 -2471
Contractor:
HOLMES INSTALLATION SERVICE
33535 NW VADIS RD
CORNELIUS, OR 97113 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 267 -7574
Reg #: LIC 102473
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �/ ` � s � � ,,ip _ 'ermittee Signature: i i i t . j & Y f % '
Call 503.639.4175 by 7:00 a.m. for inspections 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 y k,, FOR OFFICE i'1- - , . F1
City of Tigard . � %,,,• Received y 3
cc``qq d1 — •ermit No.: rY) r C ax/S",--1,,C.4 t . ^—
13125 SW Hall Blvd., Ti ard,OR 972 �?
g `1 Plan Review
,:ti...; Phone: 503.639.4171 Fax: 503.598.11 ( Other Permit:
Syr :Tate/By:
I T• . 1 - "Dl Inspection Line: 503 QQ�
i, 1 Internet: www.ti ard -or. ov P ` � pae.ReadyB _Tuns ® See Page 2 for
g g ' � � . ,� \N tified/Method: Supplemental Information
�� i h
TYPE OF WORK '
bi COMMERCIAL FEE* SCHEDULE USE CHECKLIST
0. \ ) % V Mechanical permit fees* are based on the value of the work
❑ 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.
-• CATEGORY OF CONSTRUCTION Value $
•
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi- family 0 Master builder For special information use checklist.
❑ Other:
Description p Qty. Ea. Total
JOB SITE INFORMATION AND. LOCATION . Heating/cooling
Job site address: 'l., /' t 1 . 'f' y /9 Air conditioning or heat pump
1- /CO fl • � • - ` yp g ( requires site plan showing placement) 14.00
City /State /ZIP: / it 511./ Yractv i y I) A. Furnace 100,000 BTU (ducts /vents) 14.00
/ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.: •
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
- (` Gas fireplace 10.00
�k p, `- -k 165 ti 3 peal � ,> A Flue vent for water heater or gas
V / fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
10.00
PROPERTY OWNER
• • ❑TENANT Chimney /liner /flue /vent
Other: 10.00
Name: l t6 �� o Environmental exhaust and ventilation
Address: ' 7 DA/ o vt c 61 Range hood/other kitchen
D r, equipment 10.00
City /State /Z1P: 7 ll cts, V 0 le( T. Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (sp3) 724 _2_447/ Fax: ( ) toilet compartments, utility rooms) 6.80
• ❑ APPLICANT ❑ CONTACT PERSON. Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Fumace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range Y 47 -`1t,
• CONTRACTOR Barbecue
) / y T s'1 Le. f'* /2 Clothes dryer (gas)
Business name: [ Gl� .Jv`
A C ,I acs O ther:
Address: 775-75-- i w V L 4 MECHANICAL PERMIT FEES*
City /State /ZIP: CO £i Q/fv S 0 £e• f � i/3 Subtotal
i Minimum permit fee ($72.50) 7 .S7) Phone: (( Z6 7 �� Fax: ( ) Plan review (25% of permit fee)
CCB lic.: /0 y 7 3 State surcharge (12%ofpermit fee) .�76
R TOTAL PERMIT FEE g
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ` p. Date: l7 la 0 * Fee methodology set by Tri- County Building Industry Service Board
1: \Building\Permits\MEC -P itApp.doc 01/19/07 44 -461 (11 /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation:. Permit F
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
•
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including -
$50,000.00. • _ ; r
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 '
CITY OF TIGARD ti
BUILDING DIVISION PERMIT #: MEC2008 -00215
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/30/2000
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:OOAM PAGE: 1
SITE ADDRESS: 13004 SW STARVIEW DR CLASS OF WORK:
SUBDIVISION: FORAN LOT #: 009 TYPE OF USE:
PROJECT NAME: DAMIANO
DESCRIPTION: Installing range piping.
OWNER: DAMIANO, PHIL PHONE #: 503~721-2471
CONTRACTOR: HOLMES INSTALLATION SERVICE PHONE #: 503 - 267 -75/4
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 (3as line 069190 -01 503-267-7574 Y
Corrections /Comments /Instructions:
XDASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- "Z,J