Permit (83) CITY OF TIGARDMECHANICAL PERMIT
l COMMUNITY DEVELOPMENT Permit#: MEC2017-00535
Date Issued: 07/24/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 CB01601
Jurisdiction:
Site address: 15055 SW 100TH AVE
Project: Baker Subdivision: Lot:
Project Description: Install new dryer vent
Contractor: BRUNER PLUMBING Owner: BAKER, DAVID&MICHELE
PO BOX 23985 15055 SW 100TH AVE
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503-624-4880 PHONE:
FAX: 503-624-2173
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 07/24/2017 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 07/24/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/24/2017 $56.61
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC• �by calling 503.232.1987 or 1.800.332.2344.
Issued By: /` __� r -- Permittee Signature: ,.... ----- .......--- __.------------
Call
...--- f--- ——"----
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1>
Mechanical Permit Applicati i ECL1 Y FOR OFFICE USE ONLY
CityEEew
125ermitN J`7— 'OS3
13125 SW Hall Blvd. Tigard,OR 97223 ,IUL 2 4 201IPhone: 503.718.2439 Fax: 503.598.1960 D
Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 CITY 0 TIG t R y y. H See Page 2 for
Internet: www.tigard-or.gov CITY 1 IYYf4 Date edad/B 7ur
Notified/Method: Supplemental Information
BUILDING DIvIsIo
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 12rAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
af and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: / 5�.S-S < /D 6-1. Air conditioning 46.75
a___fti-C. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /_ A 5Q G-7 Z Furnace 100,000+BTU(ducts/vents) 54.91
/
Heat pump 61.06
Suite/bldg./apt.no.: d Project name: �.. fir_
Duct work 23.32
Cross street/directions to job site: SC( (-f`,. �- k-> . 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:
Subdivision: Lot no.: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
,f,,, DESCRIPTION° F WORK Gas fireplace/insert 33.39
�
n Flue vent for water heater or gas
r e�-v ye.-f---- v�� �' fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
TM
23.32
OPRTY OWNER N . Other:
�,F '"I'' Environmental exhaust and ventilation:
Name: £49,1 ---R-/ T/ U 1 D 4 Al /6#-CLF-
6►/�T- am
L . Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust / 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
, z.,,,,11,z ,p : ❑•' ONT C 0 12SON Other: 23.32
Business name: Fuel piping:
$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:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
` " O CTOR' v -4,.„ Clothes dryer(gas)
Business name: r l.1 tcl may.- P(C/ f / (14 L
Other:
y �J1 �-, s ' _ CI ANICA.L PERMIT*EES*' 4
Address: re
U . e,`TC z3c 1 O S_
Subtotal
City/State/ZIP: 777 7 Gty„,( 6 4e.,.. Minimum permit fee($90.00) eh/i et
Plan review(25%of permit fee)
Phone:60 3) (o Z v"g-6-i7 Fax:(. 3 ) L( - 2. f -7 ? State surcharge(12%of permit fee) 4 rfel)
CCB lie.: Si( 9 3 7 TOTAL PERMIT FEE / ,f-
— 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: Gva rd (reui — Date: /ZL�
I:\Building\Permits\MEC_PermitApp_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\Pernuts\MEC_PeimitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15055 SW 100TH AVE, TIGARD, OR, 97224 July 25, 2017 at 11 :32:17 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00535
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor