Permit -S. ' S
■
CITY OF TI
COMMUNITY DEVELOPMENT MECHANICAL PERMIT PERMIT #: MEC2007 -00386
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/28/2007
PARCEL: 1 S133DC -17500
SITE ADDRESS: 13270 SW LAURMONT DR ZONING: R -12
SUBDIVISION: VILLAGE AT SUMMER LAKE PARK LOT: 030 JURISDICTION: TIG
PROJECT: GREENWOOD
Project Description: Extend bathroom venting.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: R3 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:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
GREENWOOD, CAROLYN K Description Date Amount
GREENWOOD, BARRY J
13270 SW LAURMONT DR [MECH] Permit Fee 6/28/2007 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 6/28/2007 $5.80
Phone: Total $78.30
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.
I
N .
Issued By: - — _P_ermittee_Signature: i , L,24
Call 503.639.4175 by 7 :00 a.m. for inspections that business • • , .
This permit card shall be kept in a conspicuous place on the job site until co - tion of the project.
Approved plans are required on the job site at the time of each inspection.
`IVieclianical Permit Ap or Al e FOR OFFICE USE ONLY
{ �{ s Receive
City of Tigard '� le Date /B Permit No.
° 13125 SW Hall Blvd., Tigard, OR 97223 01 � — � S � � �� i
1 ' Date/By: Re tew
Phon 503.639.4171 Fax: 503.598J�� 2 8 2007
D ate / By: Other Permit:
TI G ARD Inspection Line: 503.639.4175 Date Ready /By: I= H See Page 2 for
Internet: www.tigard -or.go lUARD Notified /Method: Supplemental Information
" AUP DIVISION ' 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.
CATE GORY OF CONSTRUCTION V a l ue: $
RESIDENTIAL EQUIPMENT,/ SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
Master builder For special information use checklist.
Multi -family ❑ y ❑ ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION 4 Heating/cooling
Job site address: / 3 / DO Air conditioning or heat pump
» �� U C � /lO�� ilL
(requires site plan showing placement) 14.00
- City /State /ZIP: 7H,9 4a0 C 9 9 ✓L Y--.3 Furnace 100,000 BTU (ducts /vents) 14.00
Fumace 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
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
A ,ilAV° Wei 1/Vei /P[71t - 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
ROPERTY OWNER ❑ TENANT Other: 10.00
Name: /3 4a-( 6 itait IA) P Environmental exhaust and ventilation
Address: J ''3 ry 7 D Ott/ L4n 2r1 t) t ,�/ r - pg /14 e Range hood /other kitchen
equipment 10.00
City /State /ZIP: Di 4 . 0 t . 9 2223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) ,di4- / to 315 Fax: ( ) toilet compartments, utility rooms) / 6.80
. , ❑ APPLICANT - . ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
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
Clothes dryer (gas)
Business name: t-./1_ Other:
Address: . , MECHANICAL'PERMlT FEES*
City /State /ZIP: Subtotal
Minimum permit fee ($72.50) 7A - S0
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.: State surcharge (8% of permit fee) 5 SD
TOTAL PERMIT FEE /1 30
Authorized . ure: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ' gL Lux/ Date: 6 /7bA7 * Fee methodology set by Tri- County Building Industry Service Board
I'\Building \Permits \MEC- PermitApp doe 01/19/07 440 -4617T (II/02 /COM/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.
I: \Building \Permits \MEC- PermitApp.doc 01/19/07 2