Permit 1
CITY TIGARD MECHANICAL PERMIT
Alts
j DEVELOPMENT SERVICES PERMIT #: MEC2006 -00417
�' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/23/2006
PARCEL: 2S112CC-09800
SITE ADDRESS: 08436 SW LANGTREE ST ZONING: R -12
SUBDIVISION: LANGTREE ESTATES LOT: 030 JURISDICTION: TIG
Project Description: Microhood venting.
CLASS OF WORK: OTR 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: 1
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TRACY LYNCH Description Date Amount
8436 SW LANGTREE ST
TIGARD, OR 97223 [MECH] Permit Fee 81231200E $72.50
[TAX] 8% State Surcha 81231200E $5.80
Total $78.30
Phone: 503- 692 -8598
Contractor:
JOHN PARMAN CONSTRUCTION INC
16693 S BRADLEY RD
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503- 631 -4347
PRI 503- 807 -5702
Reg #: LIC 153638
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 ,. • _;�1Z Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that b siness day.
This permit card shall be kept in a conspicuous place on the job site ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A lica- ' n FOR OFFICE US ON
`'� `' � City of Tigard _ . n Date/a oZ '/ 1 Y �l� Permit No l � 1 ��
'
7
1.1111111 a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
1:1 Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit:
Inspection Line: 503.639.4175 AUG 2 2006
T I G A R D p AU U rti r_ Date Ready/By: See Page 2 for
S
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
■ A 8 `Y tk.k' K a kJ / g
•
TYPIOi rtT,rti ry I 'etao, • COMMERCIAL FEE* SCHEDULE_ – USE CHECKLIST
Mechanical permit fees* are based on the value of the work
1:1 New construction t6 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 CO NSTRUCTION _ - Value: $
r RESIDENTIAL EQUIPMENT / SYSTEMS :FEES * ; '
izt
1- and 2- family dwelling ❑ Commercial /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, - . - - r Heating /cooling
p� n p� C Air conditioning or heat pump
Job site address:
– 1' 3 lb 5 4 �`1' * c Ari 4 -NA . (requires site plan showing placement) 14.00
City /State /ZIP: '" ` % g Aki) 0 al 1'. I- 11 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: l TIE, (� a Gas heat pump 14.00
Cross street /directions to job site: P Duct work 14.00
�� 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. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. ` - ' ; DESCRIPTION .OF_ WORK .. Water heater 10.00
Gas fireplace 10.00
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
' ❑ . OWNER , I ' ❑ TENANT
� Other: 10.00
`
Name: ' V'a ( Z., ) 1.--ti PJ CIA Environmental exhaust and ventilation
•
v Range hood/other kitchen ii` A d
Address: • equipment 1 Lila HOW p. 10.00 I ve
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
' iiirAPpLICANT, . ❑ CONTACT PERSON - Attic/crawlspace fans 10.00
Other: 10.00
Business name: °JO C1/41 f ( ®/ 1 g IT. ! NIC .
Fuel piping
Contact name: – a ‘.1, $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
t
h
Water heater Phone: ( ) Fax::( ) Wa -
Fireplace
E -mail:
Range
`CONTRACTOR Barbecue
.� Clothes dryer (gas)
Business name: ' 1�,�\ P .fA (...0 0 Q % QNic _ Other:
Address: 14 X13 P / . .0 o J) L E,t T 4 , • ' MECHANICAL PERMIT FEES* '
City /State /ZIP: ® - C, q "7 0 I.�' Subtotal
Phone: (C311,)) 55 07 --- c'Are Fax: (5f j)) 4 !! p 38 — a 3 U
7
Plan Minimum permit fee ($72.50) 7�,. 3�
review (25% of permit fee)
CCB lic.: P 4 5 3 6 g State surcharge (8% of permit fee) y,
TOTAL PERMIT FEE _ r713',3 C)
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: - 54A46 , 1/ ?Pm repel Date: 4W 3 - GL • Fee methodology set by Tri -County Building Industry Service Board
L\ Building \Permits \MEC- PermitApp.doc 04 /06/06 440.4617T(11/02JCOM/WEB)
Mechanical Permit Application - City of Tigard .
Page 2 - Supplemental Information
Commercial Fee Schedule:
:Total �; . 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.
I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
- ,
CITY OF Tlq.A-RD
BUILDING DIVISION PERMIT #: MEC2006-00417
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2312006
Phone: (503) 639-4171
A Iit
Inspection Requests (24 Hrs.): (503) 639-4175 Jrt
INSPECTION WORKSHEET FOR DATE: 8/2412006 TIME: 6:59AM PAGE: 36
SITE ADDRESS: 013436 SW LANGTREE ST CLASS OF WORK:
SUBDIVISION: LANGTREE ESTATES LOT #: 03 0 TYPE OF USE:
PROJECT NAME: LYNCH
DESCRIPTION: Microhood venting.
OWNER: LYNCH, TRACY PHONE #: 503-692-8598
CONTRACTOR: JOHN PARMAN CONSTRUCTION INC PHONE #: 6034307-5702
Inspection Request Scheduled For: Date: 8/241/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
640 Exhaust hood . 035490-01 503-807-5702 N
Corrections/Comments/Instructions:
--....- .4. ril22
:I P:S ' S
fl PARTIAL APPROVAL ii CANCEL Fl NO ACCESS
I I FAIL 1 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: .1w;
/
7 Date: 65 2Y • Phone #: (503) 718- ___
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