Permit CITY OF TIGARD MECHANICAL PERMIT
n
t COMMUNITY DEVELOPMENT Permit #: MEC2010 -00129
T [ G ARE) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/30/2010
Parcel: 1S135CD09500
Jurisdiction: Tigard
Site address: 9923 SW PIHAS CT
Subdivision: JACOB COURT Lot: 3
Project: Abrams
Project Description: Replace gas fireplace.
Owner: FEES
ABRAMS, JENNIFER L Description Date Amount
9923 SW PIHAS CT
TIGARD, OR 97223 Furnaces < 100K BTU 03/30/2010 $46.75
12% State Surcharge - Mechanical 03/30/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 03/30/2010 $43.25
Contractor:
GASPRO INC
7603 SE LOUNSBERRY LN
PORTLAND, OR 972056
PHONE: 503 - 775 -7020
FAX: 503 - 775 -7019 -
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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: /lt $ f\ Q n (lA Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspectio. :Y. . ss 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.
nRECEIVED , , F t ,, L�75 t
Mechanical Permit Applicatio A ` .I P „ : rg � , u ,, I 1WO r l l 1SI 0, I ' I
City of Tigard Received Date/By: VD Permit No.: Q'(\ Q 6 b . ock •
I N ° 131 25 SW Hall Blvd., Tigard, OR 97223 MAR D ®L �� K I.
_ . Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
Date/By: Other Permit:
;i ; 6; Inspection Line: 503.639.4175
Page 2 for
_ -. Internet: www.tigard- or.gov CITY ®FTIG/�RD Not Ready/By: d/Met Notified/Method: Su pplemental Information
BUILDING DIVISION pin
TYPE OF `WORK . COMMERCIAL FEE* ' — USE CHECKLIST.
❑ New construction ddition/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 ❑ Commercial /industrial ❑ Accessory building
` For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. Ea. 1 Total
•
JOB SITE .INFORMATION .AND LOCATION Heating/cooling
�/ / ' Air conditioning
Job site address:
3 5 4� i 4/ 5 C (requires site plan showing placement) 46.75
City /State /ZIP: 7 d� / � l/ t) k / / 172)- Fumace 100,000 BTU (ducts /vents) 46.75
l' r /
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
'DESCRIPTION OF. WORK Water heater 23.32
Aio /� Gas fireplace / 33.39
C f} C (9 ✓•/ s , G. ,? GQL k 1 (• t- _ Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33 "39 _
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
PROPERTY. OWNER I 0 TENANT Other: 23.32
Name: 3 e no, ;ek. '9b4el," s Environmental exhaust and ventilation
Range hood/other kitchen
Address: 5-4-)71 Lr equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (5 r�) 7 D 5 2 i Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT . ❑ CONTACT PERSON ` Attic /crawlspace fans 23.32
Other: 23.32 _
Business name: Fuel piping
Contact name: S14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E - mail: Range
• CONTRACTOR " Barbecue
Business name: /43X0 � Clothes dryer (gas)
L - Other:
Address: ?t 0? 5-6.- 2 y /� , ' .MECHANICAL PERMIT FEES* '
City /State /ZIP: (O /{ Subtotal
Am ��,� Minimum permit fee ($90.00)
Phone: ( 7_2 I 7f 7 (ray) 75 'yy
Plan review (25% of permit fee)
CCB lic.: / 7 t/ / j / State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized si azure/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
—
Print name: fai,4/ A i t //,P S Date: y30 / /CO /� • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440-4611T(11 /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.
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