Permit s
!p
. a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00004
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/2/2009
PARCEL: 1S125DA
SITE ADDRESS: 06621 SW WALNUT TER ZONING: R-4.5
SUBDIVISION: PP1991 - 075 LOT: 001 JURISDICTION: TIG
PROJECT: MORRISON
Project Description: Install HRV (heat recovery ventilator)
CLASS OF WORK: ALT 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:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODDRYERS:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Owner: FEES
NATHANIEL MORRISON Description Date Amount
6621 SW WALNUT TERRACE
TIGARD, OR 97223 [MECH] Permit Fee 1/2/2009 $72.50
[TAX] 12% State Surch 1/2/2009 $8.70
Total $81.20
Phone: 503- 245 -2837
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.
Issued : i
Qs__ „ %/
�� ��� , L ____A Permittee Signature /'
Call 503.639.4175 by 7:00 a.m. for inspections 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.
T
Mechanical Permit Application FoR order: titii: t►Nl,1"
City of Tigard Received Date/By: f , 2 e9 am Permit No.: HE e .„9, 0 ` -OJ
° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit:
T I G A R D Inspection Line: 503.639.417 Date Ready/By ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: En Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® 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 CONSTRUCTION Value: $
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 6621 SW Walnut Ter Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: HRV Install Gas heat pump 14.00
Cross street/directions to job site: 69 and Taylors Ferry Duct work 10.00
S on 69 to Walnut Ter Hydronic hot water system 14.00
Residential boiler (radiator or
Eon Walnut Ter to 6621 , hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Kings View Lot no.: 1
Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: 1S125DA -09200 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Install HRV. HRV to draw exhaust air from bathrooms, discharge to outside Flue vent for water heater or gas
through existing exhaust hoods. HRV to draw fresh air from front porch area fireplace 10.00
Log lighter (gas) 10.00
discharge to house in common area and master bedroom. HRV to be located in Wood/pellet stove 10.00
garage, and condensate drained to existing washer drain. Wood fireplace/insert 10.00
0 PROPERTY OWNER I ❑ TENANT ot y/liner /flue/vent 10.00
Other: law
Name: Nathaniel Morrison Environmental exhaust and ventilation
Address: 6621 SW Walnut Ter Range hood/other kitchen
equipment 10.00
City / State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)245 -2837 Fax: ( ) toilet compartments, utility rooms) 6.80
0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: HRV 1 10.00 10.00
Fuel piping
Contact name: Nathaniel Morrison $5.40 for first four; $1.00 for each additional
Address: 6621 SW Walnut Ter Furnace, etc.
Gas heat pump
City /State/ZIP: Tigard, OR 97223 Wall/suspended/unit heater
Phone: (503) 245 -2837 Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: N/A Q tA ) k 1 ' _ Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City / State/ZlP: Subtotal -**K10
Minimum permit fee ($72.50) 72.50
Phone: ( ) I Fax: ( ) Plan review (25% of permit fee) 1844—
CCB lic.: State surcharge (12% of permit fee) 8.70
,�� TOTAL PERMIT FEE 49,51" This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: A,,a,,,rr /.���/ fepe1 1 Date: / / 2, /679 • Fee methodology set by Tri- County Building Industry Service Board ^
I:V iuildingWernuts \MEC- PennitApp.doc 01/19/07 44046I7T(II/O2ICOM/WEB) V I • 2-C)
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.
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