Permit CITY OF TIGARD MECHANICAL PERMIT
M I 't - COMMUNITY DEVELOPMENT Permit #: MEC2012 -00006
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/10/2012
Parcel: 25 102AD01900
Jurisdiction: Tigard
Site address: 8935 SW BURNHAM ST
Project: TVF &R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Install dryer vent.
Contractor: PLUMBING CONCEPTS INC Owner: TUALATIN VALLEY FIRE & RESCUE
PO BOX 1068 20665 SW BLANTON ST
CLACKAMAS, OR 97015 ALOHA, OR 97007
PHONE: 503 - 658 -5232 PHONE:
FAX: 503 -658 -5232
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/10/2012 $69.06
Class of Work: ALT Type of Const: Plan Review 01/10/2012 $17.27
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 01/10/2012 $8.29
Stories:
Project Valuation: $500.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 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 $94.62
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 days of
issuance, or if , ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility s' 'cation Cen - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir- t questions to OUN• by calling 503.232.1987 or 1.800.332.2344.
Issued By: k l 0),LeA.gf,„gg Permittee Signature: / ear
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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 FOR OFFICE USE ONLY
of Tigard City
R eceived
o 1 Permit o.:
° 13125 o Hall lvd., Tigard, OR 97 i Plan Review
DateDate/By: / r iti P N Fi�a0/e� " 4000
' �: ' Phone: 503.718.2439 Fax: 54 ,�. “,.1!.1. Date/By: Other Permit:
T_l GARD_ Inspection Line: 503.639.4175 ri J' - Date Ready /By: furls. ® See Page 2 for
w
Internet: ww.tigard- or.gov O Notified/Method: %_ Supplemental Information
TYPE OF 3,14ID A-0V) ' FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition/a, tt eplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: �y mechanical materials, equipment, labor, overhead and profit.
Value: $ 5&)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS.FEES*
❑ 1- and 2- family dwellingCommercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: ?„t? Sw u p ,�( j,1, (requires site plan showing placement) 46.75
City /State /ZIP: ,--��� `_—t l ` Furnace 100,000 BTU (ducts /vents) 46.75
j t�tTy �1 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: - .t Heat pump
( l( (requires site plan showing placement) 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION O F WORK Water heater 23.32
'R pp Gas fireplace 33.39
- L.? - 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: 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: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
/ � Other: 23.32
Business name: (( ( C r (3 C PJ �� s ,_1_,...(c_ Fuel piping:
Contact name: J 2tT" t Off. $14.15 for first four; $4.03 for each additional
Address: 76 I y:7Z ( Furnace, etc.
`A � 4--e4--- Q Gas heat pump
G.--(
City /State /ZIP: 4--e4- , ,- / ?0 I S ----- Wall /suspended/unit heater
Phone: ( A. ( Fax: : ( Water heater
�j Range
Fireplace
E -mail:
(/Y Fa ,l p t 0 �"Vo t is — + — 64:)4"-.1(
CONTRACTOR Barbecue
Business name: .n . 1
Clothes dryer (gas)
�"'T�� Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal eoi
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) /7. 7
CCB lic.: 1 7 Sr7 State surcharge (12% of permit fee) 8.A7
TOTAL PERMIT FEE 9..
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name°"t s_-- - Date: * Fee methodology set by Tri- County Building Industry Service,Board
I' uBuildingiPermitsiMEC- Per miaA{y+. 09/ .7 ^ n ( 4 1 O 440 -4617T (I i /02 /COM /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 2 .
$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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