Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00292
-
"' Date Issued: 06/17/2009
TI 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S104CA09700
Jurisdiction: Tigard
Site address: 1.3728 -SW TAMAWAY_L•N
Subdivision: Lot: 0
Project: Doan
Project Description: Move gas piping for bbq.
Owner: FEES
DOAN, JASON & KARA Description Date Amount
13728 SW TAMAWAY LN
TIGARD, OR 97223 Fuel Piping 06/17/2009 $5.40
12% State Surcharge - Mechanical 06/17/2009 $8.70
PHONE. Minimum Fee Adjustment - Mechanical 06/17/2009 $67.10
Contractor:
FLANDERS JR
33535 NW VADIS RD
CORNELIUS, OR 97005
PHONE: 503 - 647 -9320
FAX:
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $81.20
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Nip to . Permittee Signature: , Cv " `
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.
..1VI,et Mechanical Permit Application � ' .FOR OFFICE U ON LY h a` ,r " `
1121 Cl of Tigard ' i i "1 1 l i s Received c7�(� 0 �,
City g �^v 1 � r 1 T.� ■ } Date/By:
Permit No: i C V ..1.
l l Y </
13125 SW Hall Blvd., Tigard, OR 97223 .� -.: \ �' . Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date /By. Other Permit:
T.t G, Inspection Line: 503.639.4175 JUN 17 2009 Date Ready/By: H See Page 2 for
. - Internet: www.tigard - or.gov Notified/Method: ,Supplemental Information
CITY OF TIGARD
TYPE OF WORK DdVISIOW COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
0 New construction VAddition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
X1 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 Ileating/cooling
Job site address: C (� Lin) Air conditioning or heat pump
r 7� { ✓._ /�� (requires site plan showing placement) 14.00
City /State /ZIP: \ n Q� � D 0 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 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
t • p Gas fireplace 10.00
-9e�, i*t `J J i 1 4 C p tip NIA rov 4k. Flue vent for water heater or gas
C c U 'K fireplace 10.00
)) �L Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: i q ' 0 .... 3 97/ j -0 A Environmental exhaust and ventilation
( 26 S� I ^ , A / L _ I Range hood /other kitchen
Address: (� J 1l-� Z/yvth) , W fv equipment 10.00
City /State /ZIP: 1 ,,,,,,, v e■Y`e-' Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone .) sq '` / 7Oc Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans - 10.00
Other: 10.00
Business name:
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 X
Business name: L ( C_.� so- Clothes dryer (gas)
Other:
Address: 7 ?S f N� V \S"' ` l� MECHANICAL PERMIT FEES*
City /State /ZIP:: C3 i, ( ( S � 0 !� ( 7 ,'l j Subtotal
Phone: )) 2)0 7 7l' 1
5 Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: ( O 2 l i--- 3 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: o? ^ days after it has been accepted as complete.
A Ft Print name: ( 1) (',L Date: GA 7/0 5 * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitAppd 01 /19/07 440- 617T( COM/vEB)
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\Pennits\MEC- PermitApp.doc 01/19/07 2