Permit (47) CITY OF TIGARD MECHANICAL PERMIT
et
COMMUNITY DEVELOPMENT Permit#: MEC2017-00741
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2017
TIGARD 13125 1 S133CA05600
Jurisdiction: Tigard
Site address: 11341 SW HALLMARK TER
Project: Deaver Subdivision: BARROWS ROAD ESTATES Lot: 5
Project Description: A/C installation. Placement of NC unit must meet manufacturer's requirements.
Contractor: OWNER Owner: DEAVER, MELINDA L
DEAVER, MELINDA L 11341 SW HALLMARK TER
11341 SW HALLMARK TER TIGARD, OR 97223
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 09/28/2017 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 09/28/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/28/2017 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: L
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati n FOR OFFICE LSE ONE\
City of Tigard Received
Permit N",y
• 13125 SW Hall Blvd.,Tigard,OR 97223 ,i l`�=> 2 J�7 t_� Date/By: 02� /' i1A v /�� )�
■ '-- � r Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: ' / ,„®0 7/
TI G A R D Inspection Line: 503.639.4175 € Date Read/B Juris:
Internet: www.tigard-or.gov y y' See Page 2 for
Notified/Method: Supplemental Information
k;i
TYPE OF WORK ' COMMERCIAL FEE* SCHEDULE USeCIIECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
al 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 F Heating/cooling:
Air conditioning ) 46.75
oiN Job site address: i ( 3 4 ( LL/f .Z 1,. 7_`E-R AA L£ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: + i /� 64£: 0 K; q 7 4.7.-D - 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
" 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
54
PROPERTY=OWNER. '. >., .❑ TENANT".
v�
- Other: 23.32
'"` �,n Environmental exhaust and ventilation:
Name: 1‘..4 EL.i,6 A. L VEr, Range hood/other kitchen
,r- C �� equipment 33.39
Address:
t 3'-1 J IA Ow_L 't v TZ Clothes dryer exhaust 33.39
City/State/ZIP: (1 Cs 6 O Single-duct exhaust(bathrooms,
1 toilet compartments,utility rooms) 23.32
Phone:
(716") 3 S –S b'J Fax:( ) Attic/crawlspace fans 23.32
APPLICANT= 0 CONT4CT PERSON :`: Other: 23.32
o. w.:
Fuel piping:
Business name:
$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
w .
, co,NTRACI'OR Clothes dryer(gas)
Business name: �it&_ '
MECHANICAL PERMIT FEES*
Address: Subtotal 9),('T)
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /0,ef-d
CCB lic.: TOTAL PERMIT FEE /07 ,.1-j
This permit application expires if a permit is not obtained within 180
/� days after it has been accepted as complete,/4,..)_7,71._
Authorized signature: ;;� t 'n.,LE .MA.-- * Fee methodology set by Tri-County Building Industry Service IlOard
Print name: f l.(E 14 „,),0,t1 L 41) C A lir _Date: f/) // 7 < /�, 3 : �}—
(:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1(//02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee: . „w
$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\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11341 SW HALLMARK TER, TIGARD, OR, 97223 September 29, 2017 at
9:55:59 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00741
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor