Permit CITY OF TIGARD MECHANICAL PERMIT
n COMMUNITY DEVELOPMENT Permit#: MEC2014-00246
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2014
T t
GA RD Parcel: 2S 111 CC 11800
Jurisdiction: Tigard
Site address: 10445 SW HIGHLAND DR
Project: Eischen Subdivision: SUMMERFIELD NO.4 Lot: 169
Project Description: Interior remodel:(3)exhaust fans,(1)dryer exhaust&(1)range hood.
Contractor: DANNYS HEATING AND COOLING INC Owner: EISCHEN ENTERPRISES LLC
16303 NE 36TH ST 10445 SW HIGHLAND DR
VANCOUVER,WA 98682 TIGARD,OR 97224
PHONE: 503-914-8058 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 05/21/2014 $33.39
Type of Use: SF Clothes Dryer Exhaust 05/21/2014 $33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 05/21/2014 $69.96
Occupancy Grp: Utility Rooms)
Stories:
12%State Surcharge-Mechanical 05/21/2014 $16.41
Fuel
Fuel Types:
Gas Pressure:
Total $153.15
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. s
Issued By:6 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.
CEIVED
Mechanical Permit Applica 1 , ,1, , i 1 I I, i 1 ,1 i,\I ,
City of Tigard � Received ,� �/ 1� : t`lfcaol5�-0o a��
"1111111 13125rSW Hall Blvd.,Tigard,OR 9722Y"Y 21 2014 °may
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:Review Other Permit:
i ,, i,1, inspection Line: 503.639.4175 CITY OF TI GARD Date Ready/By: kris. ® See Page a for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE' SCHEDULE —USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction 1 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other. mechanical materials,equipment,labor,overhead,and profit
Value:S
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
.1-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:
7[� �I /� Air conditioning 46.75
Job site address: I lJ 1 i cLa H, L 1c VJI\ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: "3C."41 A o'R. Furnace 100,000+BTU(ducts/vens) 54.91
Heat pump 61.06
Suite/bldg./apt no.: Project name: )a�_Ia Of Duct work 23.32
Cross street/directions to job site: ` Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 2332
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
tv 3 EtkiL` c . / NI per /)(` _fireplace 2332
/� 1`" Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: S44 " I 1 . Range hood/other kitchen
� E. `),� equipment 33.39
Address: 151 C5 aak t..t 1 I kly p Clothes dryer exhaust 33.39
City/State/ZIP: ffi }} n Z1 1 Single-dud exhaust(bathrooms,
l I Qv�1 �!� L '1 toilet compartments,utility moms) EXT
Phone:t-03 ) 11.J$S Fax:( ) Attic/crawlspace fans 2332
❑ APPLICANT CONTACT PERSON Other. 2332
Business name: T�- �y E\ Fuel piping:
514.15 for first four,54.03 for each additional
Contact name: t �lw✓1 f�'(`� Furnace,etc.
Address: Pea rt R b Gas heat pump
/ _ Wall/suspended/unit heater _
City/State/ZIP: /Ago< c CV(73 Water heater
Phone:( 7n C8 9.1 . Fax::•( ) Fireplace
Range
E-mail:`7. �p y}� Q -741,0p.-Go'� • Barbecue
j ' CONTRACTOR Clothes dryer(gas) .
Business name:
Other:
QGv.t4.45 ie 4i A Cs,X.311.ri MECHANICAL PERMIT FEES*
Address: 1630) NE ..16-. s+. J Subtotal /36.7V
City/State/ZIP: Vek∎.rn 1l v'Gf LPN 4 g`$Z Minimum permit fee permit fee)
Plan review(25%of permit fee)
Phone:(5- ) qiq 8051 Fax:( ) State surcharge(12%of permit fee) 1 4,y/
CCB Iic.: -197 4/9 TOTAL PERMTT FEE /5 3./5-
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: '�!' • Fee methodology set by Tri-County Building Industry Service Board
Print name: Da+w1>( Z t, ir"t'►n th I Date:5/ttp tl
1 1 BuildineermitAMEC_PermitApp_O4OI 13.doc 4404617`(11102/COM/WFB)