Permit (112) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00903
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2017
Parcel: 2S 1038 D03700
Jurisdiction: Tigard
Site address: 11905 SW FONNER ST
Project: Huber Subdivision: None Lot: None
Project Description: Adding(1)bathroom exhaust fan.
Contractor: PACIFIC HOME REMODELING Owner: HUBER FAMILY TRUST
14048 SW DOWNING ST 11905 SW FONNER ST
BEAVERTON, OR 97006 TIGARD, OR 97219
PHONE: 971-371-6053 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 11/15/2017 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/15/2017 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 11/15/2017 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 5032.1987 or 1.800.332.2344.
Issued By: OF
f/ Permittee Signature:
Vii /i i I
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
n-rci
Mechanical Permit Applicatio ti , FOR OFFICE USE ONL1
City of Tigard ReceivedtBy / 7/�j7 c2o/ /yam�(�
g Date/By: Permit No.:/// �� (J
111111 13125 SW Hall Blvd.,Tigard,OR 97223 (')�� 5
II. Phone: 503.718.2439 Fax: 503.598.1960 2n /
Plan Review Other Permit,•/,,
Date/By: L c7-4),0/ .�Je:,2;2-__
T I G A R D Inspection Line: 503.639.4175 Date Read/B .runs:
�/ .y�_,k t Y Y ® SeePage2for
Internet: www.tigard-or.gov ;t I ,rx x =_sA a Notified/Method: Supplemental Information
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TYPE OF WORK COMMERCIAL FEE* SCHEDULE -'USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction kr Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIALEQUIPMENT/SYSTEMS'FEES* e='.y
4 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:
, '.x Air conditioning 46.75
Job site address:l (C16‘ 460 FO NN F 12.. ‘-x-- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: er(G aMI) , Oa.-- Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: to-00.t-V O Ni
Duct work 23.32
Cross street/directions to job site: (Z( '..r ' W AAA;V i— 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
x.
"
"-DE kRIPTJON OWO a,', - Gas fireplace/insert 33.39
s • " .. ' Flue vent for water heater or gas
.4•7T-1.1-P01,N C-14...1 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER" Other: 23.32
"" 0aN ' � Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, 1
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
ry
4PPIICA ' _; ,C] CONTACT"PERSON '' - Other: 23.32
Business name: ' d.L1 Fuel piping:
µOtN4 E tz-€.�1'rl Oi> L It'G $14.15 for first four;$4.03 for each additional
Contact name: l.?(t.�T w F 1 .P���T Furnace,etc.
Address: Gas heat pump
�W N►06 mit Wall/suspended/unit heater
City/State/ZIP: • DV eQ.tbtJ/ O A Water heater
Phone:(q-(0 �Y( _ (pos-s Fax::( ) Fireplace
Range
E-mail:
.Kv.„.1 t pE rzic- 7,5- &_,..6 t"t M L.. co rte( Barbecue
CONTRACTOR ...i:.; Clothes dryer(gas)
Business name: Other:
MECHANICAL'PERMIT FEES* "t,
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
/(� State surcharge(12%of permit fee)
2N4().(:- 7.0
CCB lic.: l J L 12 /1?
2 //?7/.7 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: v * Fee methodology set by Tri-County Building Industry Service Board
Print name:
ME„VA- (�6)% P E - Date: \\A5 /t,
\ \\
I:\BuildingPermitsECC_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 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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11905 SW FONNER ST, TIGARD, OR, 97223 November 20, 2017 at
4:28:17 PM
Record Type: Record ID:
Residential - Mechanical MEC2017-00903
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Wrong inspection scheduled.
Will add a mechanical rough in inspection.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11905 SW FONNER ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2017-00903
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide timer or de humidistat for bath fan. M1507.4
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11905 SW FONNER ST, TIGARD, OR, 97223 July 11 , 2018 at 7:59:05 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00903
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor