Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00313
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015
Parcel: 2S 103CA01600
Jurisdiction: Tigard
Site address: 13410 SW HOWARD DR
Project: JOHNSON Subdivision: WOODCREST Lot: 5
Project Description: Replacement of vent fan and relocate clothes dryer.
Contractor: OWNER Owner: JOHNSON, CHERYL R
CHERYL HOWARD 13410 SW HOWARD DR
13410 SW HOWARD DR TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-590-0493 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 05/28/2015 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 05/28/2015 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 05/28/2015 $10.80
Stories: Minimum Fee Adjustment-Mechanical 05/28/2015 $33.29
Fuel
Fuel Types: Electricity
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir questions o : C by -ling 503.232.1987 or 1.800.332.2344.
Is ued By: #604/ L / , PermitteeSignature: _
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OO�FFFIICE USE ONAL'l'��1 ��
City of Tigard Received �� /'`+1 ) Permit No.:t 7f '</'�I��5)
1111 D
•
ate/By: ,t `
13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By:
T I c i A R t> Inspection Line: 503.639.4175 Date Ready/By: runs. la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Wily— ---- 111N1=111 MIMIIMMIMMIMIII1M
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
❑ 1-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
Heating/cooling:
�/ Air conditioning 46.75
Job site address:
/�a / Qu�� 1 r Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �/t rd �C ��� � Furnace 100,000+BTU(ducts/vents) 54.91
/ D Heat pump 61.06
Suite/bldg./apt.no.: I Project name: vV Duct work 23.32
Cross street/directions to job site: `-� " h 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
i ESCRIPTION OF WORK .' ' Gas fireplace/insert . 33.39
Flue vent for water heater or gas
x;1 I r'.. I L. /I _I—_ / fireplace 23.32
4 o / Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert , 23.32
Chimney/liner/flue/vent . 23.32
Other: _ 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
n equipment 33.39
Address: /3.,../g =E.// Aiviz Clothes dryer exhaust , ( 33.39 -39
City/State/ZIP: y ,42._0( /e 9,7��9 5 Single-duct exhaust(bathrooms,
) toilet compartments,utility rooms) ' 23.32
Phone3 !� _ 93 Fax:( ) Attic/crawlspace fans 23.32
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:( ) I Fax::( ) Fireplace - _
Range
E-mail: Barbecue
' Clothes dryer(gas)
Business name: r) / ) . Other:
Address: Subtotal 19.e."
City/State/ZIP: Minimum permit fee($90.00) ,Ce
Plan review(25%of permit fee) ----
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /O. W
CCB lic.: TOTAL PERMIT FEE fe. v
This permit application expires if a permit is not obtained w in 180
days after it has been accepted as complete.
Authorized signatur•. // '* Fee methodology set by Tri-County Building Industry Service Board
Print name: 6,v,7 "'+'; I.S t 1� 1 Dater � �
I:\Building\PermitsUsC_PermitApp_o4o113.doc I (ll/o7/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$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
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
13410 SW HOWARD DR, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00313
Chip Barnett
Violation Summary:
Inspector Contractor