Permit (26) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016 00740
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2016
TIGARDParcel: 1S136CA90632
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL 63
Project: QUARTON Subdivision:GARD WOODS,A CONDO COMMUNII Lot: 63,GAR
Project Description: Furnace replacement.
Contractor: C D JOHNSON FURNACE SERVICE INC Owner: QUARTON, PRISCILLA S
9440 SW EDGEWOOD ST 10900 SW 76TH PL#63
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-620-3636 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 10/24/2016 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 10/24/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/24/2016 $43.25
Occupancy Grp:
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 •u to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 -0090. You may obta. copy of the rules
or direct questions to OUNC by calling 503.232.1987 • .:i i. .
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PISS --'4"-41111i
Issued By:
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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.
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Mechanical Permit Application ,;t1 FOR OFFICE ISE ONE)
City of Tigard Received permit No.:
UPI /p)
13125 SW Hall Blvd.,Tigard,OR 9722 Date/By: 7 , 1'1 IG /Y r , ,/ - 7 ,r
S Plan Review
Phone: 503.718.2439 Fax: 503.598.196 ���� Other Permit:
Date/By:
TI G A R D Inspection Line: 503.639.4175 \\( \ ,, ;
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_PennitApp_040113.doc 2