Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00004
T I( AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2015
Parcel: 25111 DD01900
Jurisdiction: Tigard
Site address: 8905 SW AVON CT
Project: SCHIMMELS Subdivision: STRATFORD Lot: 39
Project Description: Interior remodel: New duct work for range hood and replacing(1)bathroom fan.
Contractor: AKOS CONSTRUCTION LLC Owner: SCHIMMELS,CHARLES R&KARYN C
3444 NE 17TH AVE 8905 SW AVON CT
PORTLAND, OR 97212 TIGARD, OR 97224
PHONE: 503-438-8817 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 01/05/2015 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 01/05/2015 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 01/05/2015 $10.80
Stories: Minimum Fee Adjustment-Mechanical 01/05/2015 $33.29
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ma ob ain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.8r'•.= 344.
Issued By: C-� Permittee Signature:
503.639.4175 by 7:00 a.m.for the next available inspection •ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
1,1 City of Tigard �� Date/By: i - Permit No.: /� c.o?of --IVO,
• 13125 SW Hall Blvd.,Tigard,OR 97223 y ��
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 IN� Date/By: Other Permit: Air !�"!S_ �,.1�r�/
1 I(i A R I, Inspection Line: 503.639.4175 Date Ready/By: luris: VI See Page 2 for
Kx��
Internet: www.tigazd or.gov � ` Q�G� Notified/Method: �� Supplemental Information
'J�
TYPE OF WORK �P�a 1i�4o� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
`` ��` Mechanical permit fees*are based on the value of the work
❑New construction g Addition/alteration/re td 1 performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: tON mechanical materials,equipment,labor,overhead,and profit.
n�``�� y Value:$
CATEGORY OF CONSTRUpH N RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
IZI I-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: S4\05 5 5 10 ON GI' . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:"7.; d,, 0 CA 9 Furnace 100,000+BTU(ducts/vents) , 54.91
i Heat pump 61.06
Suite/bldg./apt.no.: Project name: 5,1A,MI M eN,5 ' -eck&Oa. Duct work 23.32
Cross street/directions to job site: No C l�t'1 a 41 5v) t1S' -- �Q O-F-F Hydronic hot water system 23.32
(� 1� (� Residential boiler(radiator or
O' �.J>,14- r)a.P.` `' 1 .J\,.-'t O 1 ,/OA (A-. hydronic) 23.32
ViO.�� , ` 0^ t Qr-i- i -it heaters
in-wall,in-d(fuel-type,suspe not electric),
vNCJ■ Q, 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
(� mew\ DOA 11��(�i`4p„�j� fireplace 23.32
\�-12,00, r. 0.\` \ 't-0 Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
ai PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
hw� �e c?n;��t�S
Address: 1 O O W k J Ott Li- , equipment 33.39 33 )
%
Clothes dryer exhaust 33.39
City/State/ZIP: `1 o.P \ OR °`7�:
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 tee$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:\Building\Permits\MEC_PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12753 SW WINTERLAKE DR, TIGARD, OR,
97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00046
George Heimos
Electrical minor label number ELS447840
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8905 SW AVON CT, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00004
George Heimos
Violation Summary:
Inspector Contractor