Permit (56) IN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PeCOMMUNITY MEC2017-00356
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2017
Parcel: 2S 110BA04600
Jurisdiction: Tigard
Site address: 14355 SW MCFARLAND BLVD
Project: Wojahn Subdivision: SHADOW HILLS Lot: 19
Project Description: Installation of range hood and relocating existing gas line for range.
Contractor: ANTON HEATING Owner: WOJAHN, JOSHUA R&DONNA L
7816 SE 68TH AVE 14355 SW MCFARLAND BLVD
PORTLAND, OR 97206 TIGARD, OR 97224
PHONE: 503-380-1311 PHONE: 503-430-0718
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 05/23/2017 $33.39
Type of Use: SF Fuel Piping 05/23/2017 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/23/2017 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 05/23/2017 $42.46
Stories:
Fuel
Fuel Types: Natural Gas
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 N. ' -. '. -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0 0. You may obtain copy of the rules
or di -ct questions to Oh C b calling 503.232.1987 or 1.800.332.2344.
11U7) 6/(./1 .' (-.-(4/4
I ued By: . ` I / ' 411
/ 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 CSE ONLv
City of TigardReceived �
g Date/By: 'J p7J / Permit No.:).)�tqq
�v?�� 36-013125 SW Hall Blvd.,Tigard,'RECEIVE
0 Da
Phone: 503.718.2439 Fax: 503.598.1960 n Review
I t ; L, Inspection Line: 503.639.4175 D Byy
Other Permit:
2 •' Date Ready/By: )oris: l3 See Page 2 for
Internet: www.tigard-or.gov MAY
Notified/Method: Supplemental Information
CITE`OF i'
TRSIODWINON
IVISI Print name:
❑New construction $Addition/alteration/replacement COMMERCIAL FEE*SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑Demolition El Other:
performed.Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead,and profit.
DI 1-and 2-family dwelling 0 Commercial/industrial Value:$
❑Accessory building
EQ
❑Multi-family 0 Master builder 0 Other: RFSIDENT7A1, UIPMEDT/SYSTEMS FEES*
For special information use checklist
JOB SITE INFORMATION AND LOCATION Description I Qty. Ea. Total
Job site address: ► 'S*.6 W (VILA-01A- 1`et$ ib\td Heating/cooling:
Air conditioning 46.75
City/State/ZIP: .1-"- OC r Cl GIL 9"1-at./ Furnace 100,000 BTU(ducts/vents) 46.75
Suite/bldg./apt.no.: Project name: ! Furnace 100,000+BTU(ducts/vents) 54.91
Heat
Cross street/directions to job site: i 1 k,��f�7c'ti o I'\# , 1i �. II
i ,--
�,,'i L, Duct W 61.06
t1i. v(/l�f v tw��1 � t+�-�C.t. (.� 23.32
Hydropic hot water system 23.32
Residential boiler(radiator or
hydropic) 23.32
Unit heaters(fuel-type,not electric),
d
in-wall,in-duct,suspended,etc. 46.75
is
Subdivision: l�\\/"t� Lot no.: Flue/vent for any of above 23.32
Tax map/parcel no.:�- Oar_ 23.32
Other fuel appliances:
DESCRIPTION OF WORK
V Water heater 23.32
�" leas t v\ 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
la PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
Name. `J ti
J 11/4 J (A)b Other: 23.32
Address: 1/ Environmental exhaust and ventilation:
5� �� �� hCEP '� Range hood/other kitchen r
City/State/ZIP: Ito
)^t t��1t l� �[
equipment nt / 33.39
I V t I a 1 Clothes dryer exhaust 33.39
Phone:51)-6) W crit
+ K Fax:( ) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name: Other: 23.32
Contact name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
City/State/ZIP: Gas heat pump
WalUsuspended/unit heater
Phone:( ) Fax::( ) Water heater
E-mail: Fireplace
Range
CONTRACTOR f
Barbecue /
Business name: Ant,n frapy»r f i ( l i t,j;_l rrn 14-ii/, Clothes dryer(gas)
Address: Co 5'014
SE i L Ja ✓4 1`l l 7 `� Other:
MECHANICAL PERMIT FEES*
City/State/ZIP: j�,, r$et� 01Z g i a 3� Subtotal
Phone:(618 `3 D i 3) Fax:( ) Minimum permit fee($90.00) C%�.
CCB lic.: 1 i 9 4 j n
1 Plan review(25%of permit fee) ( �-
I `� State surcharge(12%of permit fee) /4.96
TOTAL PERMIT FEE //y� ,8(2
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I:\Building\Per.s\MEC_PennitApp 0401I3.doc 440-4617T(I l/02/COM/WEB)