Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT "1 3 ,'. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00018 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/10/2013 Parcel: 2S102BC01800 Jurisdiction: Tigard Site address: 10330 SW WALNUT ST Project: Swinford Subdivision: NORTH TIGARDVILLE ADDITION Lot: 27 Project Description: Bathroom remodel, (2) vent fans Contractor: ESSENTIAL HOME SERVICES Owner: SWINFORD, CLARK H & 2050 S BEAVERTCREEK RD STE #101 -305 AMANDA K OREGON CITY, OR 97045 10330 SW WALNUT ST TIGARD, OR 97223 PHONE 503 - 367 -0188 PHONE FAX. FEES Specifics: Description Date Amount Single Duct Exhaust (Bathrooms, Toilet, 01/10/2013 $46 64 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/10/2013 $10 80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 01/10/2013 $43.36 Stories: Fuel Fuel Types Gas Pressure 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 -- • within 180 days of issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the • - opted by the • - • • Utility Notifi - - nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. Yo +: in a copy • - or direct •uestions to O C by c. " 503.232.1987 or 1 800 332.2344. Issue. By: Permittee Signature: l r /F. Call 503.639.4175 by 7:00 a.m. for the next available i - pecti • • • • / This permit card shall be kept in a conspicuous place on the job sit- until • • n of the pro' =ct. Approved plans are required on the job site at the time of ea •■• • tion. Mechanical Permit Applicati FOR OFFICE USE ONLY City of Tigard E Received No 13125 SW Hall Blvd., Tigard,OR 97223 DateBy / /p �J i �.� QQ0�8 Phone: 503.718.2439 Fax: 503.598 1960 JAN 1 0 2013 Plan Review Date/By. Other Permit Inspection Line: 503.639.4175 Date Ready/By 3�ris See Page 2 for T I G n k D B ® Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction , jAddition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* p ii- 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 Heating/cooling: Air conditioning Job site address: 16 ---,. s (J o f A _ 6 5 (requires site plan showing placement) 46.75 C / ` Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: 7 / ( 7 - Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: ` ) Heat pump (Jt1 C i ^ � � (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 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: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPT ON OF WORK Water heater 23.32 pn 4 // Gas fireplace/insert P �P I vr.N� `• c�.��/ / — r ; Flue vent for water heater or gas fireplace 33.39 23 32 Log lighter (gas) 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: Range hood/other kitchen equipment 33 39 City /State /ZIP: Clothes dryer exhaust 33 39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 (16 Y ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other. 23 32 Business nam piping: bbd Fuel i to Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue 9, 4 ( Clothes dryer (gas) Business name: lam- 55.,,A,1 C «,, 'I C ._ . „ L,,rP Other Address: 'a !�) 6.4) S p>✓a r i �,V ' d c 7Ya G s--- MECHANICAL PERMIT FEES* City /State /ZIP: `��Ct�v/7 -1 L t r�/ ,•� V D - 7n� Subtotal 00 Phone: (> 3 1 7 _ b 8 ( A " i r l : () Minimum permit fee ($90.00) 90- Plan review (25% of permit fee) CCB lie.: 1 CS (4" I S 6 © A/ t ' State surcharge (12 %ofpermit fee) /0, MI ` TOTAL PERMIT FEE /pa • QQ � This permit application expires if a permit is not obtained within 180 Authorized signature: � � days after it has been accepted as complete. Print name: 0G U ( J ' � � / G Date: I'd 4. 3 * Fee methodology set by Tri- County Building Industry Service Board 1 \Building\Permus\MEC- PermitApp doe 03/07/12 44 17 I I /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•\ Budding \Permits\MEC- PermitApp.doc 03/07/12 2