Permit 4 ! CITY OF TIGAR® MECHANICAL PERMIT
n COMMUNITY DEVELOPMENT Permit #: MEC2010 -00216
4T I GAR D: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 05/11/2010
Parcel: 2S112DC01500
Jurisdiction: Tigard
Site address: 15695 SW 74TH AVE 300
Subdivision: FANNO CREEK ACRE TRACTS Lot: 6
Project: KE & Associates
Project Description: Installation of vent for testing oven.
Owner: FEES
REHAM 1 LLC & Description Date Amount
DEC INVESTMENTS LLC ETAL, BY C &R REAL Permit Fee 05/11/2010 $75.20
ESTATE SERVICES CO, 1440 SW TAYLOR 12% State Surcharge - Mechanical 05/11/2010 $9.02
PHONE:
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
FAX: 503 - 691 -8556
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $84.22
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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 ays of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted bye' e Iregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a c. • o / he rules
or direct questions to 0 NC by calling 503.24. • • s - 800.332.2344.
Issued By Permittee Signature:
i/�
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 , ` s' " = ' , { F O FFI 1 1 �() I 1 w` f S y `'R� 4i o vF
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A o- ' 0 : ' a' ;L1 rat 6 P U M+. P 0 N l t�Ai .'�4'2t, .V G l ��.:M1;.}
City of Tigard Received Permit No.: /�
114 `J g Date /By: �, �� I J ! ( 7 c o jo — C�g f ro
13125 SW Hall Blvd., Tigard, OR 97223
�.r' 0 ;. . Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
I I ( A It u Inspection Line: 503.639.4175 Date Ready /By: Juris El See Page 2 for
,i'.'."'"0 ^ Internet: www.tigard - or.gov Notified/Method: 7 7 - - Supplemental Information
TYPE OF WORK 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, o Grhead, and profit.
CAT GORY OF CONSTRUCTION Value: $ V�
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family Master builder ❑ Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: f 7 6 `l ` 3141 711'4' Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: ' I �4 Of Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 3 • ?)7) Project me: a. 4- 4 556 Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
0 / / t>{/1(yY{., Hydronic hot water system 23.32
j� 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
/1/110AA d' x(/2 (f't e-,/ 1'1) Flue vent for water heater or gas
n A "L �
fireplace 23.32
p e4 P4 ! ; J Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I )31 TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: /C4__ 4 P''k i Environmental exhaust and ventilation
Address: ( � " Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (� *?3) (��, Q'3 Fax: ( ) toilet compartments, utility rooms) 23.32
7 APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
O Other: 23.32
Business name: O ?, Fuel piping
Contact name: G //, A,---P ✓ ' / $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: ((y ) 3' y 1 /h'7/ Fax:: ( ) Water heater
/ , C/ H/ /� 1 Fireplace
E -mail: /',/ a( 1 —rte ,l7 ,,
„ „t- Range
(/6
CONTRfeCTOR Barbecue
Business name: al--AzT Clothes dryer (gas)
� ' Other:
Address: /27 J t%j MECHANICAL PERMIT FEES*
City /State /ZIP: ((li ee 0 t , T '27/1” Subtotal L
Minimum permit fee ($90.00) rO
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) a
O9
CCB tic.: ( 7 , J �/ , State surcharge (12 %ofpermit fee) 1, '
1 / L / TOTAL PERMIT FEE �(,rA.n.-.
This permit application expires if a permit is not obtained within 180
„
Authorized signature: e ], / days after it has been accepted as complete. �1
Print name: r.....--1--) ) t , ) ' ,te n t Date: 5 / 1 0 * Fee methodology set by Tri- County Building Industry Servic Boar d/ 2...2" "
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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.
$1 0,000.01 to $50,000.00 $347.71 for the first $1 0,000.00 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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