Permit -"" f a CITY ® I MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00505
T;tGAUD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/13/2008
PARCEL: 2 S 112 C B -08300
SITE ADDRESS: 15016 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 2 LOT: 097 JURISDICTION: TIG
PROJECT: HAWLEY
Project Description: Replace gas furnace
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: • VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CHRIS HAWLEY Description Date Amount
15016 SW KENTON DR
TIGARD, OR 97224 [MECH] Permit Fee 10/13/20C $72.50
[TAX] 12% State Surch 10/13/20C $8.70
Total $81.20
Phone: 503- 670 -9462
Contractor:
BECK HEATING
2612 NE 15TH AVE
PORTLAND, OR 97219 REQUIRED ITEMS AND REPORTS
Contact #: PRI 288 -2406
Reg #: LIC 00059554
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: Permittee . 44 ----- A
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 ¢44_ F OR`O USEONLY i p° ` a 34fi `t
ill City of Tigard Received DateBy: �� Permit No.' r 2 0I _ 3
p
a 13125 SW Hall Blvd., Tigard, OR 97 AY Plan Revie
" _ Phone: 503.639.4171 Fax: 503.598. Other Permit:
Date/By:
Inspection Line: 503.639.4175
,TIGARp 2 Q Date Ready /By: Juris fa See Page 2 for
r. :• w
Internet: ww.tigard or.gov U C T 13 0 08 Notified/Method: Supplemental Information
. OF TIGARD . .
. TYPE OF, kit 't COMMERCIAL FEE .SCHEDULE USE CHECKLIST
: 1 ',INC DIVISION 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: $
. RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
(l- 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: c }} Air conditioning or heat pump
/L / e/ �7 S u/ x zT 0 �� 61. c ? 1 (requires site plan showing placement) 14.00
City /State /ZIP: % 1 O� �b Qom 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
,& 0 ,55 V /Y 4 L 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
- FL,-L- 7 To 6 4-.) / `•- , -- --y--/�C Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
❑ PROPERTY OWNER ❑ TENANT '
Other 10.00
Name: (14,t I1 , Environmental exhaust and ventilation
Range hood /other kitchen
Address: Jc` o / t S 44 n, Tp�(-- equipment 10.00
City /State /ZIP: 7- t � -L. Dim, Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ., s- - 0) � `7(O -- 7 y t Z Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Fuel t io
PP g
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc. 7
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax::( )
Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
! / Clothes dryer (gas)
Business name:
l J3d:✓ ci c `--• Yi''L -C Other:
Address: 2_,b ) E u MECHANICAL PERMIT FEES*
City /State /ZIP: 79/2i ,,p 0/?, 7 `) Z_ Subtotal
Phone: ( g-03) �p i/� (, / Fax: ( ) Minimum permit fee ($72.50) 72 , S(�
G rT o l Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee) F. 7 v
S� S , y TOTAL PERMIT FEE .rg/ .a. D
Authorized signature: 4., This permit application expires if a permit is not obtained within 180
.� /�- days after it has been accepted as complete.
Print name: 1.10. ij./F C K Date: L 0 1111 1 ` \ nd ' Fee methodology set by Tri- County Building Industry Service Board
\B
1:uilding 'Permits \MEC- PermitApp.doc 01/19/07 440-4617T (11 / / /C /WEB)
Mechanical Permit Application - City of Tigard
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.
C \ Building \Permits \MEC- PermitApp.doc 01/19/07 2