Loading...
Permit r v CITY OF TIGARD MECHANICAL PERMIT ! COMMUNITY DEVELOPMENT Permit#: MEC2014-00619 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2014 Parcel: 2S 102CC07600 Jurisdiction: Tigard Site address: 13715 SW ASH AVE Project: TREAT Subdivision: BEREA Lot: 37 Project Description: Replacing existing NC unit,furnace,and fuel piping for furnace. Placement of NC unit must comply with manufacturer's clearance requirements. Contractor: CHERRY CITY HEATING Owner: TREAT,MARGARET RYAN 2567 AND ONE HALF SIMPSON ST SE 13715 SW ASH AVE SALEM, OR 97301 TIGARD, OR 97223 PHONE: 503-999-4417 PHONE: FAX: FEES Specifics: Description Date Amount Air Conditioning 11/12/2014 $46.75 Type of Use: SF Furnaces<100K BTU 11/12/2014 $46.75 Class of Work: ALT Type of Const: Fuel Piping 11/12/2014 $14.15 Occupancy Grp: 12%State Surcharge-Mechanical 11/12/2014 $12.92 Stories: Fuel Fuel Types: Gas Pressure: Total $120.57 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or .::.. . //1-Ad d Issued By: f • mittee Signature: Call�!'4175 by 7:00 a.m.for the next available i 4-pe j'on date. This permit card shall be kept in a conspicuous place on the job site until completion of the projec. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicatioty FOR OFFICE USE ONLY IIII Received City of Tigard Date/By: Permit No.: - 1 3125 SW Hall Blvd.,Tigard •• a.•3 y / /��� 1- -a '�'i Plan Review II Phone: 503.718.2439 .iZ■ t. 1960 Date/By: Other Permit: Inspection Line: 503. °1 ! N A K ) `1 Date Ready/By: ES See Page 2 for Internet: www.tigard-or. 1 J Notified/Method: Supplemental Information `\ • V y ` �� TYPE OOF��++ _GC \10.1 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST -,%.S Mechanical Mechanical permit fees*are based on the value of the work El New construction ditiol{(at �teplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: i0. mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Ileating/cooling: 7/ s A _ Air conditioning 46.75 �e�75 Job site address: W / evc- Furnace 100,000 BTU(ducts/vents) 46.75 '7 S City/State/ZIP: / 1 `jr� ®� Q `77 2 Furnace 100,000+BTU(ducts/vents) 54.91 3 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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 ,(4.4.1.14_4. .r_ '�_ fireplace 23.32 Q/ _ I } Log lighter(gas) 23.32 rc..4..), I "`" tAX ® / y-/ 5 rA7 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: /'�� `� "r U �y A $14.15 for first four;$4.03 for each additional _ Contact name: /?O iw��f Furnace,etc. / /41-15- /1// Address: 2 56.7 SI r--P3 O,,,., 5 5k Gas/suspe pump �A9 L•L___ ©� q733 3✓ Wall/suspended/unit heater ended/unit heater City/State/ZIP: J � I Water he Phone:51)3) r 9 9 - y/f/ 7 Fax: :( �-- Fireplace _ // // Range E-mail Ai p�,e , cs(� //e' 4 '( o,,,,...„51- P-•� r A/c.. Barbecue _' CONTRACTOR Clothes dryer(gas) Business name: e a wI t/�'7 n.c��J Other: // MECHANICAL PERMIT FEES* Address: �'7 1/,_ s,.0 0,,,.* Se- Subtotal 107.657 City/State/ZIP: JCj fJ C ..!! 9773 0 I Minimum permit fee($90.00) Phone: 5 )3 99 - /FM /7 ( ) Plan surcharge(25%of permit fee) (� / Fax. State surcharge(12%of permit fee) Ia cLi CCB lic.: / ii if 27 S 11/6/I, TOTAL PERMIT FEl 11W. S7 This permit application expires if a permit is not obtained within 180 �/� days after it has been accepted as complete. Authorized signature' rr/ i " Fee methodology set by Tri-County Building Industry Service Board Print name: 4?,vI 4 eri..--T -5 Date://-A,J / 1:\Building\Permits\MEC_PermitApp_0401 I3.doc 440.4617r(1 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. I:\Building\Permits\MEC_PermitApp_040113.doc 2