Permit CITY OF TIGARD MECHANICAL PERMIT
111 ti COMMUNITY DEVELOPMENT Permit#: MEC2015-00442
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2015
Parcel: 2S103DB05900
Jurisdiction: Tigard
Site address: 13355 SW GENESIS LP
Project: Dynack Subdivision: GENESIS NO.2 Lot: 27
Project Description: Convert portion of garage to exercise room. Relocate dryer exhaust and verify combustible air.
Contractor: OWNER Owner: DYNAK,ALAN
AL DYNACK 13355 SW GENESIS LOOP
13355 SW GENESIS LP TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 407-756-9728 PHONE: 407-756-9728
FAX:
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 07/07/2015 $33.39
Type of Use: SF Other,ExhaustNentilation 07/07/2015 $23.32
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/07/2015 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 07/07/2015 $33.29
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct que •- • • NC by calling 503.232.1987 or 1.800.332.2344.
Issued B : Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli FOR OFFICE USE ONLY
EIVEF
City of Tigard DateBy: 7HiErd PernitNo.: NG/J �n���.�cc/�
• 13125 SW Hall Blvd.,Tigard,OR 97223 c`�/
7 Plan Review
Other Permit:
Phone: 503.718.2439 Fax: 503.59 1900 7
(1' Date/By:
T I G A R I Inspection Line: 503.639.4175 Date Ready/By: Surfs. ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF 1'1(>iAKU
', MiiiiiiIiiiiMiiiiIIMEMEr
Mechanical permit fees"are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
❑ 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 1335 Sw CiLY I p Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '17C,/,gAZj (g2 C`-- Furnace 100,000+BTU(ducts/vents) 54.91
x Heat pump 61.06
Suite/bldg./apt.no.: I Project name: `-. XI pcK 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 _
DESCRIPTION OF WORK .` 1 Gas fireplace/insert 33.39
' Flue vent for water heater or gas
,\---> C ∎ft c 1–05 fireplace 23.32
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: / (. 14,_j_y,5 jlik, Range hood/other kitchen
�I equipment 33.39
.S)
Address: V1 C� (S (00,V. Clothes dryer exhaust 1 33.39
City/State/ZIP: 1 1(Ar" 31` C(_ ���-- Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:()-(0 -- — -'-,r Fax:( ) Attic/cr wlspace fans 23.32
Other: ii I PV 0.0-11
) 23.32
Fuel piping: f}1 IZ
Business name: $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)
, 1 E' Other:
Business name: J`J
Address: Subtotal 9 0.
City/State/ZIP: Minimum permit fee($90.00) -
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /Q•Ff e)
CCB lic.: TOTAL PERMIT FEE /00s 07
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: /}K Date:S�1–` \\�
l:\Building\PermiuU�C_PermitApp_040113.doc \ 440-4617T(t 1/2/CO /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_0401 I3.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
13355 SW GENESIS LP, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00442
David Young
Dryer vent approved.
Violation Summary:
Inspector Contractor