Permit CITY OF TIGARD MECHANICAL PERMIT
tt -� Permit#: MEC2015-00766
COMMUNITY DEVELOPMENT
to fir.. 13125 SW Hall Blvd.,Tigard OR 97223 503 718 2439 Date Issued: 11/12/2015
T1CrARLI Parcel: 2S112CB07700
Jurisdiction: Tigard
Site address: 15143 SW KENTON DR
Project: CEDENO Subdivision: ASHFORD OAKS NO.2 Lot: 91
Project Description: Replace(1)bathroom exhaust fan and installing(1)additional exhaust fan in the same bathroom.
Contractor: BOWTIE LLC Owner: CEDENO, JOSE D
11575 SW PACIFIC HWY STE 139 BARLOW, MARILYN J
TIGARD, OR 97223 15143 SW KENTON DR
TIGARD, OR 97224
PHONE' 503-201-1107 PHONE
FAX
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 11/12/2015 $46 64
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/12/2015 $10 80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 11/12/2015 $43.36
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 :11
Issued By: i •ermittee 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.
II
Mechanical Permit Application ' `° FOR OFFICE USE ONLY
City of Tigard Received Date/By: �� / Permit No. _
V 13125 SW Hall Blvd.,Tigard,OR 97223 y" ^'t 111. .!Plan Review
:- Phone 503.718.2439 Fax: 503.598.1960 cvANV Date/By Other Permit
Inspection Line 503.639 4175
T I GA R D, Date Ready/By. runs IZ See Page 2 for
Internet' www tigard-or.gov ���C Notified/Method I � Supplemental information
C \i 1 J � r
TYPE OF WORK V gS�� ,� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
�( i9w (� Mechanical pennit fees*are based on the value of the work
❑ New construction ddition/alteration/repl_deifienIr� ` SO�
��fh performed Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑ Other: 11110 mechanical materials,equipment,labor,overhead,and profit.
Value $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
pI-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family El Master builder ❑Other: Description Qty. Ea. Total
JOB SiTE INFORMATION AND LO ATiON Heating/cooling:
Air conditioning 46.75
Job site address: /4-7.77 43 SvJ Furnace 100,000 BTU(ducts/vents) 46 75
City/State/ZIP: 57 ZZ� y>! l/ Furnace 100,000+BTU(ducts/vents) 54 91
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
_ / �_y,,� Flue vent for water heater or gas
FT,f C- / �'7";/htJ v�� 2 t1 / fireplace 23.32
'J 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) 2 23.32 1/6,,(o y
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other 23.32
Business name: -, Fuel piping:
ror.l e iJ- 7l�1��J $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:( ) 1 Fax: :( ) Fireplace
E-mail: Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: ,-k--( 1.= MECHANICAL PERMIT FEES*
Address: / I c 7 �\`S'vd t Fg, y:1 /j/ Subtotal 11(P.C,r.f
City/State/ZiP. -77GeA-I.4 2-Z Minimum permit fee($90 00) qd,
Phone:c�3)9/ :5 K Fax:(�3 2z..5--..._y-z_/5I Plan surcharge(25%of permit fee)
State surchar e 12%of permit fee) 10.izi
CCB lie.: D7_0 , jowl- / TOTAL PERMIT FEE lOv
This permit application expires if a permit is not obtained within 180
ti daps after it has been accepted as complete.
Authorized signature: I l/7, ..44.„� * Fee methodology set by Trt-County Building industry Service Board
Print name: w��J ow �/� Date: 1D_(�--/ �”- V rg
1\BuddingVPei mes\M ECPet mItApp0401 13 doe 440-4617T(I 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.
1:\Building\Permits\M EC_PennitApp_040 113.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
15143 SW KENTON DR, TIGARD, OR, 97224
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00766
David Young
Violation Summary:
Inspector Contractor