Permit _ , MECHANICAL PERMIT
C ITY OF TIGARD
` l .. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00313
lib 'A 13125 SW Hall Blvd., Tigard OR 97223 ,503.639.4171
Date Issued: 07/06/2010
Parcel: 2S 111 AD08700
Jurisdiction: Tigard
Site address: 8805 SW REILING ST
Subdivision: SCHECKLA PARK ESTATES Lot: 4
Project: Vandehey
Project Description: Replace furnace
Owner: FEES
VANDEHEY, CHRIS Description Date Amount
43200 NW GREENVILLE RD Furnaces < 100K BTU 07/06/2010 $46.75
FOREST GROVE, OR 97116 12% State Surcharge - Mechanical 07/06/2010 $10.80
PHONE: 503 - 522 -6011 Minimum Fee Adjustment - Mechanical 07/06/2010 $43.25
Contractor:
WILFERT SHEETMETAL + HEATING
430 NW 231ST AVE
HILLSBORO, OR 97124
PHONE: 503 -648 -1561
FAX: 503- 547 -0329
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressue:
Total $100.80
Required Items (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
issu e, orifwo i suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Ut' ty Notification Cent Those riles are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
o direct questions to OUN b,6alling 503.246,6699 or 1.800.332.2344.
Is \ ued By: Permittee Signature:
�_� 111
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.
: ' , 0 r . .. fit, , re 7+r i,v1: , i
1VIechanical Permit Application ■
na , , ,,r 5. ''''.0', L , oa , o ic S�� w o u l .,,; �� y, ;� t x , r ''
City of TI a d Rece To .. Permit '
`, g ECE 9 ED DateB 7 . 62 e, / No:: te„g0 /lJ 3
II 13.125 SW Hall Blvd., Tigard, QR 97 Plan Review
' I ' Phone: 503.639.4171 Fax: 503.598'.960 Other Permit:
JUL 2010 Date /
I' I GA It D Inspection Line: 503.639.4175 JUL 0 6 2 010 Date Ready/By: turfs- ® See Page' 2ifor
Internet: www.tigard-or.gov Notified/Method: 'SupplementalInforma {ion
_CITY OF TIGARD
119ING DIVISIOI C OMMERCIAL FEE SCHE
_ TYPE �OF =' '` DULE _- USE;CHECKLIST:•
❑ New construction CI 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.
.
_ a CATEGORY OF CONSTRUCTION . :,,,rt . $
• Value:
" RESIAENTI EQUIPNT /
MESYSTEMS F *;,, -' ":+
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
�
Air conditioning
Job site address: J\
v - - s w LJ l \ 6A6,( • � '--L-- (requires site plan showing placement) 46.75
City /State /ZIP: i tit, /G O K j • ) 398- Furnace 100;000 BTU (ducts /vents) f 46.75
1' Furnace 100,000+ BTU (ducts /vents) _ 54.91
Suite /bldg. /apt. no.: Project name: U (MI 8 e,h Qi 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 anyof above 23.32
Subdivision: Lot no.:
Other-: 23.32
Tax map /parcel no.: Other fuel appliances
DESCR IPTIO N OF'..WORK� _' ,. Water heater 23.32
Gas fireplace 33.39
v (2,tp■ C,✓ t (\ nce 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
ROPERT.Y4OWNER .._ ® TENANT '
Others 23.32
Name:, r, k eit.c ) (in d, e`Z Environmental exhaust and ventilation
4 7 I Range hood /other kitchen
Address:
`-� J c (Q I 1 W C vi_AA �, K_ equipment 33.39
City /State /ZIP: f (0(e5 _ c2 0V2 ok_ � - 1 ((kj Clothes dryer exhaust 33.39
Single -duct exhaust(bathrooms,
Phone: (t-575? 45 , - (00 I t Fax: ( ) toilet compartments, utility rooms) 23.32
RI ';APPLICANT t ❑, CO 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
Furnace; etc.
Address:
Gas`heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: _Range • 4 1.- CONTRXCTOR :' Barbecue
Business name: )( 44 in.%
Clothes dryer (gas)
Other:
Address: • iMECHANICAL.RERMITFEES*
• City /State /ZIP: `4Il` Yyj , O v.. -. 1 I.,Y- Subtotal . vO
) f -' +(, Fax: ( ) Minimum permit fee ($90.00)
0.
Phone: !�
�) tp� -{�S - �O( Planreview_(25 %o of permit fee) -,e9
CCB lic.: J S p State surcharge (12% of permit fee) /t . 1(0
` - A TOTAL PERMIT FEE , gQ
This permit application expires if a permit is not obtained within 180
Authorized signature: 1 , M / days after it has been accepted as complete. .
Print name:, C ._ rl V ( a " y " A Y ( D • e: * a I b 10 n * Fee methodology set byTri- County Building Industry Service Board
1: \ Building \Permits'MEC- PermitApp.dot 10/01/0 440 -4617T (11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total ?Valuation r,Perm t Fee:
_r.
$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.
I: Building \Permits \MEC- PermitApp. 10/01/09 2