Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2014-00491
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2014
T f i;;�E:D g Parcel: 2S102CB03800
Jurisdiction: Tigard
Site address: 9975 SW GARRETT ST
Project: Mills Subdivision: FREWING'S ORCHARD TRACTS Lot: 11
Project Description: Installation of gas piping for new range.
Contractor: BRUNER PLUMBING Owner: SCOTT&JEANNE MILLS
PO BOX 23985 9995 SW GARRETT ST
TIGARD, OR 97281 TIGARD,OR 97223
PHONE: 503-624-4880 PHONE:
FAX: 503-624-2173
FEES
Specifics: Description Date Amount
Fuel Piping 09/09/2014 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 09/09/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/09/2014 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Noti ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt.'• spy of the rules
or dir questions to O Chy calling 503.232.1987 or 1.800.332.2344.
Issued By: /'/ , Permittee Signature:
— Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatbccEivE
Date/By: FOR OFFICE USE ONLY
City of Tigard Date Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 972 3
= Phone: 503.718.2439 Fax: 503.598.1960 SEP 9 2014 Plan Review
DateBy: Other Permit:
I I G A R I) Inspection Line: 503.639.4175 Date Ready/By: Juris. ® See Page 2 for
Internet: www.tigard-or.gov CP01-WNW Notified/Method: Supplemental Information
TYPE OF '" onsiIOP COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction c'Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
11-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:
Air conditioning 46.75
Job site address: C39? 5— Si„i (,. ,2 .e l- Sr Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -► `�J6‘ _h` Q e_ ci i 1_13 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: M k L_LS Duct work 23.32
Cross street/directions to job site: pcs1� AA? 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
— -^_t^ - Flue vent for water heater or gas
+� p (et Al (_,,I M? --rcO NEB I'&N(t t fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
DPROPERTY OWNER I ❑ TENANT Other:
exhaust and ventilation:
Name: SCC) f- 51 S q NN (t4..f Range hood/other kitchen
equipment 39
Address: $0,,p.-Jz "3 ..)J 5ITe Clothes dryer exhaust , 33.39 .
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) . 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
'a-APPLICANT ❑ CONTACT PERSON Other: _ 23.32 _
Fuel piping:
Business name: 0( . /JCit— V LUA^4iAr S $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) .Fireplace .
Range I AM--
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: ,A JN UL f L U frl 8 ii”4, MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) GU
Plan review(25%of permit fee)
Phone:(5°5) (r _4_,,s,,O Fax:( ) State surcharge(12%of permit fee) 1p,�o
CCB lic.: al oil 1 TOTAL PERMIT FEE 1 DO.(kj
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: Date: °l/4h I
I:\Building\Permits I •ermitApp 0401I3.doe 440-461Tr(11/02/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.
1:\Dui lding\Permits\MEC_PermitApp_040113.doc 2