Permit CITY OF TIGARD MECHANICAL PERMIT
1111- COMMUNITY DEVELOPMENT Permit#: MEC201300524
Date Issued: 09/16/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718 2439 Parcel: 2S111 DC08400
Jurisdiction: Tigard
Site address: 15725 SW OAKHILL LN
Project: Vogel Subdivision: SUMMERFIELD NO 10 Lot: 573
Project Description: Replace exhaust fan in bathroom
Contractor: WYFFELS RESIDENTIAL REMODELING LLC Owner: VOGEL,JOHN A&SHARON P
9777 SW ELROSE ST 15725 SW OAKHILL LN
TIGARD, OR 97224 TIGARD,OR 97224
PHONE: 503-680-9430 PHONE: 503-639-6785
FAX: 503-684-2956
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 09/16/2013 $23 32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/16/2013 $10 80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/16/2013 $66 68
Stories:
Fuel
Fuel Types
Gas Pressure
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire • estion • OUNC by calling 503.232.1987 or 1.800.332.2344.
1
Issued By: aCatt/f/--4 Permittee Signature: al 97/6/3
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Iiiigitte)/c e-e--- . , .
1 Permit Applicati o it ICEI\TED FOR OFFICE USE ONLY
L 1V / 2 r/
City of Tigard Dateiv d C14 i 3 l Permit No.: .�-leesly5_ca5a
y , I J
't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit:
' 1 : Phone: 503.718.2439 Fax: 503.598.1966 16 2013 DateBy:
Inspection Line: 503.639.4175 Date Ready/By: Surfs. ® See Page 2 for
f I C.•\l:l) Internet: www.ti g ar d-or.g ov CITY OF TIGARD Notified/Method:: Supplemental Information
TYPE g n�Ar G DV ISION
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
El Demolition ,Other: _ performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
and 2-family dwelling ❑Commercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑Multi-family ❑Master builder ❑Other: For special information use checklist.
JOB SITE INFORMATION AND LOCATION Description I Qty. I Ea. I Total
Job no.: Job site address: /s- 7 aJ S 00.6.-All Heating/cooling:
Air conditioning 46.75
City/State/ZIP: 7/ ,L. / f OR q 7(2 z t( Furnace 100,000 BTU(ducts/vents) 46.75
Suite/bldg./apt.no.: Project name: i/o Furnace 100,000+BTU(ducts/vents) ; 54.91
Heat pump 61.06
Cross street/directions to job site: SLCkll/71-ir- 'eV sp 9 Duct work 23.32
i)41C 7i) ,c,#-/ --.L /j / / /G / _ Ae4 / Liu Hydronic hot water system 23.32
f't I�L�^9 o'f'f ✓ 6• Residential boiler(radiator or
Subdivision: Lot no.: hydronic) _— _ 23.32
Tax map/parcel no.: Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
DESCRIPTION OF WORK Flue/vent for any of above 23.32
Other: 23.32
Other fuel appliances:
Water heater 23.32
❑ PROPERTY OWNER I ❑ TENANT Gas fireplace/insert 33.39
`� Flue vent for water heater or gas
7
Name: ;iet $'S��r�ti fireplace 23.32
Address:/S_7)f /1 c' 0 v1/ e I Log lighter(gas) 23.32
p Wood/pellet stove 33.39
City/State/ZIP: / ' GW l t2 2 Wood fireplace/insert 23.32
Phone:(� ) ,[ �/Jq
/ Fax:( ) Chimney/liner/flue/vent 23.32
`�J v3/ v J I Other: 23.32
Owner installation:This installation is being made on property that I own which is not
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Environmental exhaust and ventilation:
Range hood/other kitchen
Owner signature: Date: equipment 33.39
❑ APPLICANT I ❑ CONTACT PERSON Clothes dryer exhaust 33.39
f t Single-duct
comp exhaust(bathrooms,Business name: ' k`C toilet compartments,utility rooms) 23.32
Contact name: Attic/crawlspace fans 23.32
L1 f Other: 23.32
Address: 97 7 7 J /1,,, S7 Fuel piping:
�J` 44,...d // q�2 $14.15 for first four;$4.03 for each additional
City/State/ZIP: �/ 7 /oC
Furnace,etc.
Phone:( 7) _ tj�-70 Fax: :(7?) 6 _62 9f 3 Gas heat pump
E-mail: / WalUsuspended/unit heater
CONTRACTOR Water heater
Fireplace
Business name: Range
Address: Barbecue
City/State/ZIP: Clothes dryer(gas)
Other:
Phone:( ) Fax:( ) 1 ' MECHANICAL PERMIT FEES*
CCB Lie.:/ 3 57 Electrical Lie.: ` �' Suprv.Lic.: Jv/11- Subtotal o�
[� ( Minimum permit fee($90.00) 90.
Suprv.Electrician signaturefeit�d: Plan review(25%of permit fee)
V16/2_,#/ State surcharge(12%of permit fee) fD-10
Print name: I ' v' T Date: 3 TOTAL PERMIT FEE 400• 56d
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name�d(... G ((dr Date: V6/20/7
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB
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Electrical Permit Application—City of Tigard I
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDUL
Fee for all residential systems combined ... $75.00 Description , :1;Qty. r Fee I Total I *
Renewable electrical energy-syste�.
Check Type of Work In 11ved: 5 kva or less 100.70 2
5.01 to 15 kva , 133.56' 2 ,
❑ Audio and Stereo Sy .-ms*
'15.01 to 25 kva 200.34 2
ElBurglar Alarm Wind generation stems in excess of 25 kva:
. 25:01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to400, a 552:26 - 2
>100.kva '-e'in,accordance with \552.26 2
El Heating, Ventilation and Air Condi'a ning OA 18-309-0040)
System* • . ' Sol. ,generation systems in excess of 25 kva:
'-- •ch additional kva over25 7.42 3
El Vacuum Systems* >100.kva—no additional charge . 0.0 . : . 3
'Each'additional.inspection over allowable in any of the above:
El Other: • Each additional'inspection is '
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed(%,hr inin)
COMMERCIAL WORK ONLY: _ i ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 subtotal:
(SEE OAR 918-309-0000) • Plan review,if required(25%of permit fee):.
State surcharge(12%of permit fee): •
Check Type of Work Involved: TOTAL PERMIT FEE,-
This permit application expires if a permit is not obtained within 180
ElAudio and Stereo Systems days after it has been accepted as complete:,
• • Number of inspections allowed per permit. '-
❑ Boiler Controls '
El Clock Systems
El Data Telecommunication Inst. ation •
El Fire Alarm Installation •
❑ HVAC .
- El Instrumentation
❑ Intercom an• 'aging Systems
El Landsca,e Irrigation Control*
• El Medical
El Nurse Calls
1
El Outdoor Landscape Lighting*
n Protective Signaling -
El Other . •
Total number of commercial systems: • '
•
*No licenses are required. Licenses are required
for all other installations , ,
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 -