Permit CITY OF TIGARD MECHANICAL PERMIT
a ' COMMUNITY DEVELOPMENT Permit#: MEC2014-00488
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2014
Parcel: 2S102 DC03100
Jurisdiction: Tigard
Site address: 13892 SW BRAYDON CT
Project: Vartanian Subdivision: MCDONALD WOODS Lot: 4
Project Description: Gas piping for outdoor fireplace.
Contractor: RIVER CITY CONTRACTING Owner: DEFILIPPIS,VICTOR R
6625 SW 185TH AVE VARTANIAN, KRISTINA A
BEAVERTON, OR 97007 13892 SW BRAYDON CT
TIGARD,OR 97224
PHONE: 503-828-6600 PHONE: 503-863-2759
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 09/08/2014 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 09/08/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/08/2014 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
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: 41 I PI Permittee Signature: , j / i /
I
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 Applic CEWED FOR OFFICE USE ONLY
Eril City Tigard eiDateiB y: � 3 , / . Permit
ELo2Q/yr�Qy�,
r SEP $ 2014
Phone: 503.718.2439 Fax: 503.598.C66-.. , Date/By:Review
�ny/OF 11(AliD Date/By: Othor Permit:
T I GA R D Inspection Line: 503.639.4175 t OF Icy 1(J Date Ready/By: rwis: ® See Page 2 for
Internet: www.tigard-or.gov BUI. SION Notified/Method: �l—I6, Supplemental Information
TYPE OF WORK v 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:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
Ly I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
t2 Air conditioning 46.75
Job site address: I381 t 51,v 9ray ov, C01,4.0 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: fi`L 0.4/4 0 �J q/2'L 1- Furnace 100,000+BTU(ducts/vents) 54.91
J Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: A 4 Vl U / M C Poo a)d 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: Yt `[Do vi a I d Moo(S Lot no.: Lf— Other: 23.32
Q 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
X1'e iitivi e X 1 � jac 1 tne eiAt-dfireplace 23.32
vQ J Log lighter(gas) 23.32
f 1 P e Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
7 PROPERTY OWNER I ❑ TENANT Other: _ 23.32
Environmental exhaust and ventilation:
Name: T 1. �.y+-v)a v�,�.�„;o-i.- Range hood/other kitchen
T ° / - 'r equipment 33.39
Address: 138 2 s r V EV (1{d UVI l tt A.v Clothes dryer exhaust 33.39
City/State/ZIP: I I d 0 J 9+2Z-1- Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5 )%6 1 5-01 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
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: pl.)/Qi, C('.1_4 b ]r�� MECHANICAL PERMIT FEES*
Address: t ' ,a2� /?s 'K Subtotal
City/State/ZIP: E' Minimum permit fee($90.00) qv.v-p
B �7 r,,v/ 9 70a ' Plan review(25%of permit fee)
Phone:(.09) ezp---66 Q C/it Fax:( ) State surcharge(12%of permit fee) /1 ,k61_
CCB lie.: /31�e 5' TOTAL PERMIT FEE /QD,f-d
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ram_ * Fee methodology set by Tri-County Building Industry Service Board
Print name: 6/1 c.h VlQ 4-Zto(Olh Date:tP Ct/1 4—
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I:\Building\Permits\MEC_PermitApp_0401 1 3.doc 440-4617T(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.
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