Permit (187) CITY OF TIGARD MECHANICAL PERMIT
■ . COMMUNITY DEVELOPMENT Permit#: MEC2016-00812
T I i;A I?I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2016
Parcel: 1 S 134BD 11400
Jurisdiction: Tigard
Site address: 10893 SW 118TH CT
Project: Herr Subdivision: PENN LAWN ESTATES NO.2 Lot: 42
Project Description: Replace gas furnace
Contractor: ALL FIXED HEATING Owner: HERR, STEPHANIE
PO BOX 83163 10893 SW 118TH CT
PORTLAND, OR 97283 TIGARD, OR 97223
PHONE: 503-583-1600 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 12/05/2016 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 12/05/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/05/2016 $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 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 estions to c NC b ing 503.232.1987 or 1.800.332.2344.
By:Issue B IL_ ‘, / /1, — , c 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 Application FOR OFFICE C SE ONL\
City of Tigard R-r......T$4:--4 ;.,i'''',''', Received
10 13125 SW Hall Blvd.,Tigard,OR 97223L' '1 '.:-:ti ''' '''':"
' Phone: 503.718.2439 Fax: 503.598.
11Date/By: /ol C /(:) Ad
Plan Review Permit No.:Hee..c0„0/6,,et,i/,a.
Other Permit:
692, 2 016 Date/By:
Inspection Line: 503.639.4175
I ICARD
Date Ready/By: Allis: WI See Page 2 for
Internet: www.tigard-or.gov -,t-, — _' Notified/Method: Supplemental Information
(„A : ''''^'•', '
BUILDPI'i,c.'s Ti,,`,,'-'4-)` '
TYPE OF WORK COMMERCIAL FEE* SCHLDULE-VW CHECKLIST
,__. Mechanical permit fees*are based on the value of the work
u New construction Iji Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIBENTIALBQUIPMENT/SYSTEMS FEES*
AEI 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND'LOCATION , Heating/cooling:
- • ,.._ Air conditioning 46.75
Job site address: i C q3 ., i,,t) tig e_„7
Furnace 100,000 BTU(ducts/vents) i 46.75
City/State/ZIP: *77(1,4440 eke q7u3 , Furnace 100,000+BTU(ducts/vents) 54.91
1 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION Clvi W biii[C , , .,. 4,,,, Gas fireplace/insert 33.39
_ Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
M
pliiniikW ovi,04. ri
A A. A., T&Ai4.i, ., ..R, :,,,,,,c Other:
it--; ,-) ' " Environmental exhaust and ventilation:
Name: Si--&Vs/44A •a• /. eve Range hood/other kitchen
equipment 33.39
Address: !Oil g S(A) ii t CA--,
Clothes dryer exhaust 33.39
City/State/ZIP: "7"/-44te 04 1.9 23 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
' #421FFLICANT ' ''''' .,'0 CONTACT-PERSON , Other: 23.32
Fuel piping:
Business name: .4 l_t__R gc.,--It) (4 GA,..-77 43(4
$14.15 for first four;$4.03 for each additional
Contact name: [04 'KfAct(6- Furnace,etc.
Address: PD,grox ' i(43
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:144,7/...4,,A6 6,4_ C-1 1 2-a":S _ Water heater
Phone:(51)3 ) j> —/c.0-0 Fax::( ) Fireplace
Range
E-mail:otS,U._CI›cc-_ 0 i,:i -774.)-0 20 ,wt 4 it.- ( OW Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: '.
Address:
- MECHANICAL PERMIT FEES*
7
Subtotal
cX,
City/State/ZIP: Minimum permit fee($90.00) go.
Plan review(25%of permit fee) ---
Phone:( ) Fax:( )
State surcharge(12%of permit fee) /4 eo
-7.t,,r)gr to
TOTAL PERMIT FEE /op,go
CCB lic.:
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 namerrt;‘,•\ "k(ikey ii Date: /2 i S1/C,
,.........)
I:\Buildmg\Permits\MEC\rlennitApp_040113 doc 440-4617T(11/02/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.
I:\Building\Permits\MEC_PermitAPP_040113.doc 2
CITY OF TIGARD f ` 4 C" ;1: MECHANICAL PERMIT
11
COMMUNITY DEVELOPMENT !®= Permit#: MEC2016-00795
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/18/2016
Parcel: 2S102CC01900
Jurisdiction: Tigard
Site address: 10255 SW HILLVIEW ST
Project: Weakland Residence Subdivision: FRELEON HEIGHTS NO.2 Lot: 22
Project Description: Install replacement furnace. 12/5/2016: REPRINT permit to correct address from 10225 to 10255.
Contractor: SPECIALTY HEATING&COOLING INC Owner: SMITH, JILL C
7500 SW TECH CENTER DR STE 130 10225 SW HILLVIEW ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Furnaces<100K BTU 11/18/2016 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 11/18/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 11/18/2016 $43.25
Occupancy Grp: Misc Administration Fee 12/05/2016 $45.00
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $145.80
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 1.800.332.2344.
Issued By: .'
icC: )-f5:,;y
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.