Permit CITY OF TIGARD MECHANICAL PERMIT
2 • COMMUNITY DEVELOPMENT Permit#: MEC2013-00685
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 25111 DB11000
Jurisdiction: Tigard
Site address: 15345 SW OAKTREE LN
Project: OLTEAN Subdivision: SUMMERFIELD NO.10 Lot: 598
Project Description: Range hood installation with fueld piping for kitchen remodel.
Contractor: DANNYS HEATING AND COOLING IN Owner: OLTEAN, STEPHEN V
16303 NE 36TH ST FLANAGAN, MAUREEN
VANCOUVER, WA 98682 15345 SW OAKTREE LN
TIGARD,OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 11/13/2013 $33.39
Type of Use: SF Fuel Piping 11/13/2013 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/13/2013 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 11/13/2013 $42.46
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE: USF ONLY
Received
City of Tigard ��s � Date/By: I1 1, l3 11 Permit No.: i ,.•I _ -
13125 SW Hall Blvd.,Tigard,O N' '. 'Ire' Plan Review
1 III: • Phone: 503.718.2439 Fax: 503.-'8.1960 Date/By: Other Permit: P _
d
Inspection Line: 503.639.4175
T I G A RD Date Ready/By:By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov NO 1 . 3
Notified/Method: Supplemental Information
TYPE OF06..IN lvlSI®� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Y Mechanical permit fees*are based on the value of the work
❑New construction -5,Addition/ A3e�acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0.1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family El Master builder ❑Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 153 y S SV OcliL isfCQ, i ctv,e Fumace 100,000 BTU(ducts/vents) 46.75
. City/State/ZIP: `r�^rd QQ Fumace 100,000+BTU(ducts/vents) 54.91
/ ` Heat pump 61.06
Suite/bldg./apt.no.: Project name: 0\�e 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.: Other: 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
IA‘tT L ct' h KeIA fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
l PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: A4--ku./'t'c■ f le-r\A,:oon-}/_5}mac Ot k-r •_ Range hood/other kitchen i 33.39
Address: Is 3 Li 5 .Ski Dd,t- 1 fQ�e, ',ll\G Clothes dryer exhaust 1 _33.39
City/State/ZIP: �f „f// 6� CP Z.Pt Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT CONTACT PERSON Other: 1 23.32
,r� Fuel piping:
'_ RQ,
Business name: 1 ,,„.t,AcA
$14.15 for first four;$4.03 for each additional
Contact name: 1 A VI" Lgbt-th 5141 Fumace,etc.
7 Gas heat pump
Address: 19. 0 go, ncji � Wall/suspended/unit heater
[
City/State/ZIP: 4 �ltia.y0 i 4(Z l p( 035" Water heater
Phone:(953 ) 95;14• 25 3 Fax: :( ) Fireplace
n^ Range ( ldf�'
E-mail: tle Ao\ ci../c.hay .CC Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 11C.S+ C061 Iho Other:
MECHANICAL PERMITFEES*
Address: (b 30 3 y "ii . Subtotal
City/State/ZIP: vr,--GOIAVC✓, wA . Minimum permit fee($90.00)
) �7 Fax:( ) Plan review(25%of permit fee)
Phone:(
$tR (i�/Ai. �-I State surcharge(12%of permit fee) _
CCB lic.: fiv l otT 5 i el. • TOTAL PERMIT FEE /60.rd
)
This permit application expires if a permit is not obtainedwithm 180
days after it has been accepted as complete.
Authorized signature: \ + Fee methodology set by Tri-County Building Industry Service Board
Print name: 7'''''' La b L41^11)\---7 Date:
1:\Building\PermitsUMEC_PermitApp_040113.doc 440-46177(I 1/02/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:\Building\Permits\MEC_PermitApp_0401 I3.doc 2