Permit y q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT 1.0 Permit#: MEC2014-00147
T GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2014
Parcel: 1S125DA02500
GJurisdiction: Tigard
Site address: 6705 SW WALNUT TER
Project: MONTI Subdivision: KINGS VIEW Lot: 10
Project Description: Gas piping for tankless water heater installation. Plumbing to be covered by minor label.4/2/14:Water heater
added to permit.
Contractor: STAN THE HOT WATER MAN Owner: MONTI, MARGOT I& KEVIN T
PO BOX 33157 6705 SW WALNUT TER
PORTLAND, OR 97292 TIGARD,OR 97223
PHONE: 503-760-2992 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 03/31/2014 $23.32
Type of Use: SF Fuel Piping 03/31/2014 $14.15
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/31/2014 $52.53
Occupancy Grp: 12%State Surcharge-Mechanical 03/31/2014 $10.80
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:
Cal --• 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.
CITY OF TIGARD MECHANICAL PERMIT
111111 s COMMUNITY DEVELOPMENT Permit#: MEC2014-00147
T t C;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2014
Parcel: 1 S 125DA02500
Jurisdiction: Tigard
Site address: 6705 SW WALNUT TER
Project: MONTI Subdivision: KINGS VIEW Lot: 10
Project Description: Gas piping for tankless water heater installation. Plumbing to be covered by minor label.
Contractor: STAN THE HOT WATER MAN Owner: MONTI, MARGOT I& KEVIN T
PO BOX 33157 6705 SW WALNUT TER
PORTLAND, OR 97292 TIGARD, OR 97223
PHONE: 503-760-2992 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 03/31/2014 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 03/31/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/31/2014 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by • ' egon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop - ules
or direct questions to OUNC by calling 503.232.1987 or 1.8 000.332-2344.
Issued By Permittee Signature.
.<s,L!.'
Call 503.• - •y 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application Ft n OI I Ic I l �1 t)'11
City of Tigard Date/By: • ' /} •, /`/ / Permit No.: �a/ ).,
• 13125 SW Hall Blvd.,Tigard,OR 97223 `r��' he �
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit:
1 l c -�It t> Inspection Line: 503.639.4175 ocitklqt
Date ReReady/By: Ell WI See Page 2 for
Internet: www.tigard-or.gov D ate/By:y:
Notified/Method: Supplemental Information
TYPE OF WORK 1 `I\ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
QQ 1 Mechanical permit fees*are based on the value of the work
❑New construction . Addition/a1te Wreplac tpektO performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: Oc� Vt' (NIA mechanical materials,equipment,labor,overhead,and profit.
1 Y IAN 1 Value:$
CATEGORY OF CON'1 'iit 'L IN RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
51,1-and 2-family dwelling ❑Commercia't a ustrial ❑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 46.75
Job site address: 6705 W,4.. Nd 7- 7 1,�, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: `7►yn4.714 0-02.- Q'72 .3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: _Duct work 23.32
Cross street/diredions 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: f�.
Tax map/parcel no.: Water heater J�' 23.32
DESCRIPTION OF WORK Gas fireplace/insert A 33.39
1 l f� Flue vent for water hea -r or:.:
1 tf 5-7- L -T Mt t..�-5,S G Jt S w✓-jc i, r`ce.A.yr,,4. fireplace 23.32
I f e LUINt t\lt� SAS / LtJN��t Log dghtee(gas) 23.32
"� 1"t7'^' G ` N�r � �1 Wood/pellet stove 33.39
`-?I 4{ �(f11671, s AJt,s an. &-(„-_, Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER I ❑ TENANT Other: _ 23.32
Environmental exhaust and ventilation:
Name: 64_17,c 0-7 Ai vn/T t Range hood/other kitchen
equipment 33.39
Address: G 70 5 is), U7 �r"z.L/L, Clothes dryer exhaust 33.39
City/State/ZIP: 4r B')/1- 972x3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( j ) 2.9 3 9 6$y Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address:
Gas heat pump
Wall/suspended/unit heater fF
City/State/ZIP: Water heater I g/5
Phone:( ) Fax: :( ) Fireplace
Range .
E-mail: Barbecue _
CONTRACTOR Clothes dryer(gas)' /_ Other:
Business name:‘S�.�J -m/6" 1..67 L+M-r MECHANICAL PERMIT FEES*
Address: Po 0...x, 3 3 I 7 Subtotal
City/State/ZIP: 7Z��1‘ �� 97 Z9 Z Minimum permit fee($90.00) '?O. Jv
J Plan review(25%of permit fee)
Phone:()3) 4760—2q9-2. Fax:(5 )t 7i 1 01 1 State surcharge(12%of permit fee) , /!.
CCB lic.: 1 3 a`?55 TOTAL PERMIT FEE,/de,id
J This permit application expires if a permit is not obgiined within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:S ,„f,.,..r A/tca��f I Date: i 1 Ii
O I
I:1Buildingl PermitsV�C_PermitApp_040113.doc 440-4617T(I /07/ OM/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_040113.doc 2