Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT a - COMMUNITY DEVELOPMENT • Permit#: MEC2012 -00425 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012 Parcel: 2S103CD02100 Jurisdiction: Tigard Site address: 13750 SW FAIRVIEW CT Project: Kangas Subdivision: HOLLYTREE Lot: 12 Project Description: Replace gas line Contractor: A ABOVE ALL JOHN D PLUMBING Owner: KANGAS, MICHELE W 7472 SW FIR STREET 3300 NW 185TH AVE #209 TIGARD, OR 97223 PORTLAND, OR 97229 PHONE: 503 - 620 -7600 PHONE: FAX: 503 - 598 -9355 FEES Specifics: Description Date Amount Fuel Piping 08/14/2012 $14.15 Type of Use: SF 12% State Surcharge - Mechanical 08/14/2012 $10.80 Class of Work: ALT Type of Const: VB Minimum Fee Adjustment - Mechanical 08/14/2012 $75.85 Occupancy Grp: R -3 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Low Total $100.80 Required Items and Reports (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 issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 111/ Permittee Signature: 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 hole uhFicl usl: oNi.Y Ci of Ti and Received Permit No.: tY g Date/By: V : 8 �� (- (� Mee 24 , 2_0042 g n 13125 SW HaII Blvd., Tigard, OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A k D Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE" SCHEDULE – USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction ddition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition )ther: mechanical materials, equipment, labor, overhead, and profit Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES" 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. . ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: i Q 7 S '� r� rA /g v �'� • 1 r .wires site .Ian showin : .lacement 46.75 _ 46.75 Fumace City /State /ZIP: 7 O f tt ttt : 54.91 II Ilt ducts/vents Suite/bldg. /apt. no.: Project name: Heat pump (requires site plan showing placement) Cross street/directions to job site: Duct work V0, V- % Ji- D + ©i— L ri - H dronic hot waters stem Q' � 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: j 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 % Flue vent for water heater or gas fire .lace 23.32 1111.1 IF S •'Q 'Alit Lo: li: ter :as 23.32 _ Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: • 9w r - g_ v f c'uu A Range hood/other kitchen equipment 33.39 City/State /ZIP: 775 Q Clothes dryer exhaust 33.39 Phone: Single -duct exhaust (bathrooms, ( ) Fax: ( ) toilet compartments, utility rooms) ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 40 / Other: Business name: . ; ` ANIIIMlltdpj ,e _,. Fuel piping: Contact name: ) d $14.15 for first four $4.03 for each additional Address: Furnace etc. Gas heat pump City/State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater E -mail: Fireplace Range CONTRACTOR Barbecue Business name: I of; / iv b • pz., ,,..% ,Y. Clothes d er :as Other: Address: 7 7 , P MECHANICAL PERMIT FEES* City/State /ZIP: / *0.3- O/a 9 23 Subtotal �r 2 Minimum permit fee ($90.00) Phone: (SeB) 4 . • L 760 0 Fax: ( ) Plan review (25% of permit fee) CCB lic.: , y. 5 -- 3 -7 State surcharge (12% of permit fee) i TOTAL PERMIT FEE U Authorized signature : This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date r� ,y� ? • Fee methodology set by Tri -County Building Industry Service Board I: \Building\Permits C- PermitApp.doe 03/07/12 440 -461 (77' 11 /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 $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:\ BuildingTennits \MEC- PermitApp.doc 03/07/12 2