Permit CITY OF TIGARD MECHANICAL PERMIT
114 a COMMUNITY DEVELOPMENT Permit#: MEC2014-00364
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2014
Parcel: 2S 111 C D06200
Jurisdiction: Tigard
Site address: 9837 SW KIMBERLY DR
Project: Reigle Subdivision: KERWOOD ESTATES Lot: 25
Project Description: (1)vent fan for bathroom remodel
Contractor: CONSTRUCTION MANAGEMENT CO OF OREGON Owner: KEN REIGLE
13851 STAMPHER RD 9837 SW KIMBERLY DR
LAKE OSWEGO, OR 97034 TIGARD,OR 97224
PHONE: 503-519-4679 PHONE: 503-569-9432
FAX: 503-697-4600
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 07/16/2014 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/16/2014 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 07/16/2014 $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 ad d by the Oregon
Utility Notif n . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may in a opy of the rules
or direct estions to OUN• :••ca " g 503.232.1987 or 1.800.332.2344.
Issue By: , 0/l 4 Permittee Signature: 1
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 7 iui 01.Fic i. 1 Si: 0\1.1
City of Tigard $ ;. : Date/By: I + Permit No.: i k(',�/ -CC)3•
:� 13125 SW Hall Blvd.,Tigard,OR g Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit:
r 1(,A I(I Inspection Line: 503.639.4175 Date Ready/By- Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
heat i ',,l.
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TYPE o Wll1 l''71.iSf1Q1nr 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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ �-O - (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 Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: G]g s 9 �� ,Al E Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: cc��„0Q 7 ie: ,2 , c ) � ..zp 4____ Furnace 100,000+BTU(ducts/vents) 54.91
'k�/ Heat pump 61.06
/
Suite/bldg./apt.no.: Project name: iej-lc 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
i t # j J �1 7?-N 1 11 Qj,( j/� fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
X PROPERTY OWNER I ❑ TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: Ke-J R161,d-- Range hood/other kitchen
Qd �� gk� t� equipment 33.39•
Address: d Clothes dryer exhaust 33.39
City/State/ZIP: ---) .„061/2,0 GZ I-- Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:S3) �x_9 Fax:( ) Attic/crawlspace fans 23.32
lit APPLICANT! ❑ CONTACT PERSON Other: 23.32 _
•
�£iG Fuel piping:
Business name: l /f $14.15 for first four;$4.03 for each additional
`
�
Contact name: ! lc, S- c�i�,,,Qe9, Furnace,etc. ,
Address: 45 S' 7 s`T4, y-Ake . RD • Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:& 4).5"�j,_ 3-c Ql( cr �3"¢— Water heater
Phone:,.) ...s--l!y�j_ 44 1C7 Fax::(TO) �j 7?- t/0 Fireplace
f��2UU4. S�
Range
E-mail: � �,,Tyv� Barbecue
CONTRACTOR Clothes dryer(gas)
A _ ' Other:
Business name: ki /�L61I L, MECHANICAL PERMIT FEES*
Address: ` Subtotal
City/State/ZIP: Minimum permit fee($90.00) _ 9(�•�
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /O.&s'
CCB lie.: �I-°%5 TOTAL PERMIT FEE /�}• fn--- 0
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:Z.)) 4 AS: 4 Date:icy, f--I:\Bui i 040 1 /02/COM/WEB IdmglPerm tsV�C_PermitApp_ 113.doc )
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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9837 SW KIMBERLY DR, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00364
David Young
Violation Summary:
Inspector Contractor