Permit CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2013-00652
T E G A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2013
Parcel: 25111 DC10200
Jurisdiction: Tigard
Site address: 15575 SW OAKTREE LN
Project: Hargis Subdivision: SUMMERFIELD NO.10 Lot: Q
Project Description: (1)dryer exhaust and(3)exhausts for 2 bath remodel
Contractor: DANNYS HEATING AND COOLING IN Owner: HARGIS,CAROLYN A
16303 NE 36TH ST HARGIS,ROGER L
VANCOUVER,WA 98682 15575 SW OAKTREE LN
TIGARD,OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 10/30/2013 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 10/30/2013 $69.96
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 10/30/2013 $12.40
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $115.75
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: , / r Permittee Signature. ! '
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application roll ()Fri( 1.-. usl ON1..1
City of Tigard R
° 13125 SW Hall Blvd.,Ti ard,OR 97223 Ecoli,,,,,,ectativeyd,IE ' eJ ,D�/3 �—'�/ Permit No.: f� /?.��5
Tigard, i t :Plan Review
°: I7 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By:
TI TIGA R D Inspection Line: 503.639.4175 0 C T 3 0 2013 Date Ready/By:
Juris: 6:1 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TICA n
TYPE.OF WORMILDwo R?r r 1 1 r COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction },Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar),of all
. El Demolition ,LU-,Other: mechanical materials,equipment,labor,overhead,and profit.
• Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
•and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special Information use checklist
rMulti-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: f 5575¶w OApC 1Tee, \t r Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ; Td y� Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: NafiJts Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: � 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert .33.39
Flue vent for water heater or gas
Re9/4.CC ( Or jq e•NktItyt s4 !-.3 RxkAU.tb f',c .r• fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
1] PROPERTY OWNER I ❑ TENANT Other:
Environmental 23.32
nmental exhaust and ventilation:
Name: pt A p ;3-
Range hood/other kitchen
�` equipment 33.39
Address: 5575 I i~ OL k I 4t„L Clothes dryer exhaust i 33.39 a$-3
City/State/ZIP: r�a r� 0 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32 69.
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 _
Fuel piping:
Business name: Daloi\315 0,ecru t,^3 2_ c.,,,99/1 Z(nt: $14.15 for first four,$4.03 for each additional
Contact name: � l_�� u[J G � Furnace,etc.
heat pump
Address:. ('6 30 3 u C- 36 i-t-5 Wall/suspended/unit heater
City/State/ZIP:V C..„c 4 v ver WC.... Q%6g Z Water heater
Phone:(Sb3 ) c/Y - wS g Fireplace Fax: ( ) Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: MECHANICAL PERMIT FEES'
Address: Subtotal /e95-35"'
p 5.35"'
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /a.V/e)
CCB tic.: l 97s cif TOTAL PERMIT FEE //5 7S
S This permit application expires if a permit is not obtained within Igo
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name/'-•...- --- Date: /6/3,0/, 3
I:1 Building\PermitsWEC_PermitApp_040I 13.doc 440-46171(1 I/07/COM/WEB)