Permit y p CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT If` Permit#: MEC2014-00515
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
ii j� �`l 8,j ' Date Issued: 09/25/2014
Parcel: 2S 102C D00200
Jurisdiction: TIGARD
Site address: 9640 SW FREWING ST
Project: Aspen LO LLC Subdivision: FREWING'S ORCHARD TRACTS Lot: 25
Project Description: Furnace installation and duct work. 11/10/14:Reprinted permit to include(3)bathroom exhaust fans and gas
piping for(1)fireplace.
Contractor: BRIDGETOWN HEATING LLC Owner: ASPEN LO LLC
14161 SE BRYN MAWR CT. PO BOX 25430
MILLWAUKIE, OR 97267 PORTLAND, OR 97298
PHONE: 503-789-5544 PHONE:
FAX: 503-353-6783
FEES
Specifics: Description Date Amount
Furnaces< 100K BTU 09/25/2014 $46.75
Type of Use: SF Duct Work 09/25/2014 $23.32
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 11/10/2014 $69.96
Occupancy Grp: Utility Rooms)
Stories: Fuel Piping 11/10/2014 $14.15
12%State Surcharge-Mechanical 11/10/2014 $18.50
Fuel
Fuel Types:
Gas Pressure:
Total $172.68
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: Permittee Signature: �� -.0-e
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.
r
Mechanical Permit Application
City of'Figard Received _
‘1/ ,9"/ Permit No..
13125 SW Ball Blvd.,Tigard,OR 9722 Date.By /11 Cn - p l �(1��it',—f te)Ci
11'I y }'Ian Review
Phone: 503 Fax: 5(I DatG/Ry Other Permit C CG 2.014 —00(Jt Cl
Inspection Line: 503.639.4175
i I t i NM 1) Date Ready/By burn 0 See Page 2 for
Internet. www.tigard-or.gov t ry�1 Not ified'Mnhcd fir Supplemental information
J . a
TYPE OF WOR {,1 t COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees arc based on the value of file work
❑New construction ❑Addition/alike,, t 4 .::',i perforated.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: ` . X mechanical materials,equipment,labor.overhead,and profit
CATEGORY OF CONSTRUCTIO Value:S
r� RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
sk1-and 2-family dwelling ❑Commercial/industri v :: y:. ding For special information use chrcklist
❑Multi-family ❑Master builder _11_ + Description I Qty. I. Ea. [ Total
JOB SITE INFORMATION AND •tom ON Heating/cooling:
.._....____..._....-_._. ._____ Air conditioning 46.75
Job site address
' Furnace 100 O(>D BTII dncts/vents . 46.75
C.`ity/State"!_II': 1 f ik t it 0 Furnace IOQ.000+BTU(ducts'vems 54 91
— ' Cleat rum 61.06
Suite/bldg./apt.no.: Project name: rG -
._....._.._.... �_ _i-tt.,�JtT/ty Ductwork �/ 23.32 Will
Cross street/diredions to job site: Nydronic hot water systcm_� __^_ 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 and of above 23.32
�......__..._ Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23 32
DESCRIPTION OF WORK rGas fireplace/insert __ 33.39
/ Flue vent for water heater or gas
9 4 L.___ A_. i:iC U.) I V C+�' 0( (C- fireplace 23.32 -
I Lo:li.hter :as MINI
o J�_._ 4.._C3)..t) _.. ..45x,u.S—_........_... Wood/pellet stove — 33.39 —_
ON.) /4.c.e. Wood firep{ace/nuen 23.32
—.�-,yam- P� � fi ��'��' �- 2 ,
Chimney/liner/flue/vent ■ 3.3_
❑ TENANT
Other: 23.32
❑ PROPERTY OWNER
� ' �� Environmental exhaust and ventilation:
Name: Range hood/other kitchen
__.__...._........ e ui ment 33.39 _
Address: Clothes d cr exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms. /q pp
_._._.____.__._._.._._.... toilet compartments,utility rooms) 3 23.32 u0 i • "l
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping_.._...__.._..__._..___�..__
Business name: '�,-,( , ..-t7 11. i h ( / S14.I5 for first four:S4,03 for each additional
Contact name: Furnace,etc.
-
Address: Gas heat pump —__. ._..
Walllsuspended/unit heater
City/State/7.I P: Water heater
Phone:( ) Fax: :( ) Fireplace ill 1 .1 1
_ _.... _ Range ■
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business Hanle: R,: .4�i ter, l e t M1, �C . MECHANICAL.PERMIT FEES'
Address: •,, Jf i / Subtotal 70 �t
m Imo- r
City/State/ZIP: Jtrl ° /c.... - r e. Minimum permit fee($90.00) + t -
Plan review(25%of permit fee)
Phone.( ) Fax ( ) - Stale surcharge(12%of permit fee) )t f
CCB lie.: I sz 3 2 e TOTAL PERMIT FEE 00,A
- This permit application expires if a permit is not obtained within 180
days after it bas been accepted as complete.
Authorized signature: '- •r
�/} Fee methodology set by"fn-County Building Industry Service Board
Print name: Y 0,n &,_ rate: et—z..2 -.f 7
I`AuddingPnsnui1.MEf PermitApp_040114 doe 440-46177(I 1!62-4('OM'WESl
CITY OF TIGARD MECHANICAL PERMIT
r ii
I s COMMUNITY DEVELOPMENT Permit#: MEC2014-00515
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014
Parcel: 2S102CD00200
Jurisdiction: TIGARD
Site address: 9640 SW FREWING ST
Project: Aspen LO LLC Subdivision: FREWING'S ORCHARD TRACTS Lot: 25
Project Description: Furnace installation and duct work.
Contractor: BRIDGETOWN HEATING LLC Owner: ASPEN LO LLC
14161 SE BRYN MAWR CT. PO BOX 25430
MILLWAUKIE,OR 97267 PORTLAND,OR 97298
PHONE: 503-789-5544 PHONE:
FAX: 503-353-6783
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 09/25/2014 $46.75
Type of Use: SF Duct Work 09/25/2014 $23.32
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/25/2014 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/25/2014 $19.93
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By ,) r�/ Perm ittee Signature: ��.
v LS/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
ac
Mechanical Permit Application
Received _ —
City of Tigard (77}91/ Permit No.:
IN a
• 13125 SW Hall Blvd.,Tigard,OR 9722
Date/By: K `�/i Jy]��� �l
Phone: 503.718.2439 Fax: 50 Plan Review Other Permit:
Inspection Line: 503.639.4175 ` Date Re CG� K UCIUrt
1 I i�:\1:I) p � Date Ready/By: luris. El See Page 2 for
Internet: www.tigard-or.gov r11%i Notified/Method: Supplemental Information
SF' � A 'p
TYPE OF WO oitr* COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/altt +I - , .'.; performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: 10.11 mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
AI-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: q G 4 d s L c.rt w ,,,k 5 Furnace 100,000 BTU(ducts/vents) 46.75 L-/4 ?5-
City/State/ZIP: -v-s (, c f d Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 7 Project name: Heat pump 61.06
j—rGt..)t N9 � Duct work 7 23.32 a-3__},a.
Cross street/diredions 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
Other: _
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
J + Flue vent for water heater or gas
9 41 9 uS w / P� tea 0 t C- fireplace 23.32
1 Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 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
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: bc' ) i h (�I $14.15 for first four;$4.03 for each additional Lti 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:name: D�;d .4.4.4�y, l C , n L �
MECHANICAL PERMIT FEES"
Address: 4k .r r '.- f t d I (j'e 6 7 c Subtotal 70. 7
Cit y/State/ZIP:./1� t `w Lr...tc-`C 1Q 7 Minimum permit fee($90.00) qn ejd
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) (d, ga
CCB lic.: i qZ 3 -7 d TOTAL PERMIT FEE /a),et)
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: 9 a n Gus�,� o,._ Date: Q_z: /
1:VBuilding\Permits\ .EC_PermitApp_040113.doc 440-4617T(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$1 0,000.00 $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$1 0,000.00 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