Permit ._, .f.
71 l:i ' q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00531
TIGAARD;, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/5/2007
PARCEL: 2S110BA - 01100
SITE ADDRESS: 14145 SW 117TH AVE ZONING: R -7
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: HURD
Project Description: Gas line to hot tub.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
LYNN HURD Description Date Amount
14145 SW 117TH
TIGARD, OR 97224 [MECH] Permit Fee 9/5/2007 $72.50
[TAX] 8% State Surcha 9/5/2007 $5.80
Total $78.30
Phone: 503- 624 -1999
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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 ��iii / /
�j Permittee Signature: IP
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Call 503.639.4175 by 7:00 a.m. for inspections a •usiness day.
. P Y
This permit card shall be kept in a conspicuous place on the job ite until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application e , , , -. ; f ,Y, F OFFE ONL lutozA
r {I Received — IL Hs i ns USE �u Sa
C of Tigard E - -; ECE i ceived ,_ }. / Permit No.: ' Da Plan I
13125 SW Hall Blvd., Tigard, OR 97223
: Review
Phone: 503.639.4171 Fax: 503.598.1960 /B Other Permit:
Date/By:
Inspection Line: 503.639.4175 S E P 0 5 20U l 1u
!!!
T I G'A'R' Dale Read y y: E1 See Page 2 for
...s Internet: www.tigard- or.gov CITY OF 11 S D Notified/Method: Supplemental Information
RUa 9 LDIN D1VIISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition /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*
❑ 1- 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: / - , Air conditioning or heat pump
�Y /�i5 � �(/ // 21-4 �V (requires site plan showing placement) 14.00
City /State /ZIP: 7 g4rr / f / 77 Z. 2 r Fumace 100,000 BTU (ducts /vents) 14.00
'/ Fumace 100,000+ BTU (ducts /vents) 17.90
!T4
Suite/bldg. /apt. no.: Project name: ? 7-4:' Gas heat pump 14.00
Cross street/directions to job site: cc , / 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
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
-, 4 Flue vent for water heater or gas
GI r . k L fireplace 10.00
Goo I Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
AR PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent `,� 10.00
Other: ti ok --1 Yr) 1 10.00 () • DO
Name: 1._y 97r / Environmental exhaust and ventilation
Address : / w / ) // 4Y-e equipment gehood /other kitchen
/ uipment 10.00
City /State /ZIP: T /cfgid D/ e7 7Z Z y Clothes dryer exhaust 10.00
�/ Single -duct exhaust (bathrooms,
Phone: ( 523 ) ur2 y' - (9 99 Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ' ❑CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 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: Clothes dryer (gas)
Other: t}pJ- IT) PJ I 5 . AD 5-4C
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee ($72.50) 72, 5 O
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) '
CCB lic.: State surcharge (8% of permit fee) a U
TOTAL PERMIT FEE
ti. This permit application expires if a permit is not obtained within 180
uthorized signature: days after it has been accepted as complete.
nt name: I--)/n n NJ DatC: ' Fee methodology set by Tri- County Building Industry Service Board
I:\ Build ing\Permits\ MEC-PermitApp.doc 01/19/07 440 -4617T (11/02/CO61/WEB)
Mechanical Permit Application - City of Tigard . -
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Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation; _ Permit Fee:
$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.
$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.
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