Permit CITY OF TIGARD MECHANICAL PERMIT
-.11'x- COMMUNITY DEVELOPMENT Permit #: MEC2010 -00097
T E G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 03/05/2010
Parcel: 2S 111 DD 10500
Jurisdiction: Tigard
Site address: 8570 SW STRATFORD CT
Subdivision: CHESSMAN DOWNS Lot: 31
Project: Boggs
Project Description: Replace gas furnace with like kind.
Owner: FEES
BOGGS, ANDREW Description Date Amount
8570 SW STRATFORD CT Furnaces < 100K BTU 03/05/2010 $46.75
TIGARD, OR 97224 12% State Surcharge - Mechanical 03/05/2010 $10.80
PHONE: 503 - 970 -2473 Minimum Fee Adjustment - Mechanical 03/05/2010 $43.25
Contractor:
RAM AIR LLC
8320 SE KELLY CT
CLACKAMAS, OR 97015
PHONE: 503 - 849 -9718
FAX:
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 i nrk 's suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility 'cation Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dir ct questions to OUN calli g 03.246.6699 or 1.800.332.2344.
Issu d By: Permittee Signature:
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 �� qr + �� r I t)IZ O l(?I 1iS;' V.. t � � k `�� � � rk;
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City of Tigard I ' CON DateB d
114 z3 0 Perm No.: Hiede10 -c y'7
- q 13125 SW Hall Blvd., Tigard, O'' ' 223 Plan Review
® 05 �
Phone: 503.639.4171 Fax: 503.598.1760 ^ (3. D ateBy: Other Permit:
i I" I' ; n It Inspection Line: 503.639.4175 M Date Ready /By: _funs: ® See Page 2 for
Internet: www.tigard-or.gov TIG AD Notified/Method: Supplemental Information
Crri °- 01\ 1 SION
TYPE IO COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /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: 5
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- famil ❑ Master builder ❑ Other: Description p Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
/� /' �` / / Air conditioning
Job site address:
U 570 .5 � ,S (� ✓G( c 7- (requires site plan showing placement) 46.75
City /State /ZIP: % 'y A G A- 9 72.2 V Furnace 100,000 BTU (ducts /vents) / 46.75 /
/
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: /0,cobt, S 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
Flue /vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
/ Gas fireplace 33.39
G as tD Gp.f fu ,-44(e Chr „y e o 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
❑ PROPERTY OWNER ❑ TENANT - •
Chimney/liner/flue/vent 23.32
Other: 23.32
Name: /2. 5 Environmental exhaust and ventilation
/ Range hood/other kitchen
Address: 9 .54,/ 54 / ,,,,,,/ c T equipment 33.39
City /State /ZIP: / ∎1g 4 rJ Q ,f q 7224' Clothes dryer exhaust 33.39
/ Single -duct exhaust (bathrooms,
Phone: (S03) `17Q .? 4-/ 73 Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace 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 pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: / a ,...„4, Z c., Clothes dryer (gas)
Other:
Address: e320 S t k /4 e / MECHANICAL. PERMIT FEES*
City /State /ZIP: e G "� y z/j f 0 � 9 76 f' Subtotal vo
Phone: 0 &6/9 - 97/q Fax: ( ) Minimum permit fee ($90.00) �('
Plan review (25% of permit fee)
CCB lic.: /847 7/ /// f/ State surcharge (12% of permit fee) /0. SZ.)
!!! TOTAL PERMIT FEE MO . gQ
This permit application expires if a permit is not obtained within 180
Authorized signature: d ays a i t has been accepted as complete.
Print name:G..e,t, A/704,71/� Date: 3_-5' -,x /0 ' Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC•PermitApp.doc 10/01/09 440 -4617T (11 /02/CO.M/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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