Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2014-00507
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2014
Parcel: 2S 110AA90322
Jurisdiction: Tigard
Site address: 10845 SW CANTERBURY LN 201
Project: Zeigler Subdivision::ONDO SUPPLEMENTAL PLAT NO.7:1 Lot: 3-2
Project Description: Installation of ductless mini split system
Contractor: TRUE TEMP HEATING&COOLING Owner: CRYSTAL ZEIGLER
11160 DURHAM LANE SUITE 5 10845 SW CANTERBURY LN#201
MCMINNVILLE, OR 97128 TIGARD, OR 97224
PHONE: 503-560-2210 PHONE: 971-506-3578
FAX:
FEES
Specifics:, Description Date Amount
Type of Use: MF Permit Fee 09/17/2014 $115.11
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/17/2014 $13.81
Occupancy Grp: R-2 Occupancy Load:
Stories:
Project Valuation: $2,000.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $128.92
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No a ion • er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direP questions to OU' by '•. 503.232.1987 or 1.800.332.2344.
Issu d By:
di)� ' / i - Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica FOR OFFICE IISE ONLY
City of Tigard De� /7 ir Permit No.: H / x-,597
13125 SW Hall Blvd.,Tigard,OR 97 jCFIVED
III
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Other Permit:
SEP 17 2014 Date/By: £ie....0o,v--e y/V
T I G A R n Inspection Line: 503.639.4175 Date Ready/By: Juris g
Internet: www.tigard-or.gov Notified/Method: Supplemental
Information
ct1i��ro�ric�u
TYPE OF WURK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/aratto eplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Other: mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ��,5
Value:$ .cr
CATEGORY OF CONSTRUCTION RESIDENTIAL E:UIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building -I special information use checklist.
❑ Multi-family El Master builder ❑Other: Cam' Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning 46.75
Job site address:\v" `7 S ).) 4)��a ,\ th& N � k\ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -�'\C a�� V"b n-�, v� \t Furnace 100,000+BTU(ducts/vents) _ 54.91
V1i� Heat pump 61.06
Suite/bldg./apt.no.: 7 \ Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
�1' ` (� Residential boiler(radiator or
A%):-) at "(u,' ^ 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
\\$ ��00.6 1%A\ S,>\v\ - \ \i\ .ti. ,\ \ fireplace 23.32
VV � Log lighter(gas) 23.32
l► rV a. O�N 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: t:\,t,�\ 'n Range hood/other kitchen
�����`s .Sl `, J�l4 A ,w` Clothes dryer 33.39
Address: Vl
Clothes dryer exhaust 33.39
City/State/ZIP: 7`M1, -,l u� q"\LLu Single-duct compartments, )
"U�'"e� \ toilet corn ments,utility rooms) 23.32
Phone:(°,1() i'be 1351 l Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: _ _ 23.32
Business name: Fuel piping:
$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)
Business name:\1/r p 4. .„n_ kl ` V � Other:
■ v� ,' `'Y "'l'Jl MECHANICAL PERMIT FEES*
Address: \\M\1 �� \ t�'�.i Sl)t L 5 Subtotal iii. //
City/State/ZIP:'k^1 1�vV•1`.. b� C\—t i,,Z�/ Minimum permit fee($90.00) _
,'1` a Plan review(25%of permit fee)
Phone:( 501 SleO— 2-a-1 e Fax:( ) State surcharge(12%of permit fee) _ l 3 -V
CCB Iic.: \ S Ol ,/,4,,, TOTAL PERMIT FEE `,Q.9 y
This permit application expires if a permit is not obtained within 190
days after it has been accepted as complete.
Authori 2,ignature: . * Fee methodology set by Tri-County Building Industry Service Board
Print n. '`W\ � ,`'�'� Date: r ME
. \ r
I:\Building\Permits\MEC_P .1tApp_040113.doc 440-4.17T(II ,2/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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