Permit (139) CITY OF TIGARD MECHANICAL PERMIT
111. COMMUNITY DEVELOPMENT Permit#: MEC2017-00919
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2017
Parcel: 2S109AA00600
Jurisdiction: Tigard
Site address: 14275 SW 125TH AVE
Project: Gerhard Subdivision: None Lot: None
Project Description: Expand existing dormer. Electrical work under separate permit.
Contractor: GARZA CONSTRUCTION INC Owner: GERHARD, JOHN C&
2110 NW ALOCLEK DR SUITE 608 GERHARD, AMY L
HILLSBORO, OR 97124
PHONE: 503-360-5522 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 11/20/2017 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/20/2017 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 11/20/2017 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: "---A.zyt„.ee„. Permittee Signature:Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ®V� FOR OFFICE USE ONUI"
City of Tigard � w eCil Received / Permit No.: ` `
lllrrr��� Date/By: Ala ; t
13125 SW Hall Blvd.,Tigard,OR 972 {r'
�p Plan Review
®: Phone: 503.718.2439 Fax: 503.598.19 0 ® ��1 i Date/By: Other Permit: 01 7
T I G A R D Inspection Line: 503.639.4175 NO ci11k�' to Ready/By: See Page 2 for •
Internet: www.tigard-or.gov VC A ItS\I` tified/ Method: liA, Supplemental Information
COMMERCIAL FEE* SCHEDULE — SE CHECICI IST
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION , RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
LJ I-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 L_.4 2:-.7.4:3'. y,/ /? 5 44-, At/L` Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T 1`t" G 0 r. 61 C.O-Ll Furnace 100,000+BTU(ducts/vents) 54.91
t) Heat pump 61.06
Suite/bldg./apt.no.: Project name: (74„,-l;o.,-c 1<1..,,. 5 Duct work 23.32
Cross street/directions to job site: j3 A.i\ iy letkv,-it„\ ; 5 +k( Hydronic hot water system 23.32
Residential boiler(radiator or
(,j;,'5 5 ,-,-4-vee k- 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
g " Gas fireplace/insert 33.39
a „f DESCRIPTION OF WORK,
q Flue vent for water heater or gas
j, 'Wl.P•"- f AI(4'i.\- ‘c9 ✓' fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0'PROPERTY OWNER ® TT+I � µ Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) ( 23.32 )3.3),
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
I'D
0 APPLICANT -" ❑ CONTA ''I' PERSON , Other: 23.32
Fuel piping:
Business name: z
ct S 10l A/ $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
1-" �," . CONTRACTOR Clothes dryer(gas)
a �t
Other
Business name: -7L.,4,7_0. t '
( o'✓,e. -�c,L�',0 v4 (-11„, L MECHANICAL PERMIT PEES* ry
Address:
./�I c�i_.-t �9� , 1;1 e t� subtotal g-3 3�.
City/State/ZIP: ,,\\Sty„,rt, 0 r- 1'-7 1 2(k Minimum permit fee($90.00) /(;),.CC)
Phone:(5 j Gl<�L Fax:( ) Plan review(25%of permit fee)
1,' State surcharge(12%of permit fee) 'tew ig
CCB lic.: ZiC,yI El 17Cvj ..� TOTAL PERMIT FEE 1‘,0,,�� •• Y This permit application expires if a permit is not obtai d within 180
days after it has been accepted as complete.
Authorized signature: --------- --.`.e .-::... ..... -------------.._____ * Fee methodology set by Tri-County Building Industry Service Board
Print name: /.7z,--7re i 1 0 ("1Gk f7., Date: (//26----//7.,
I:ABuilding\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: F rniit 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\Pumits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14275 SW 125TH AVE, TIGARD, OR, 97224 February 15, 2018 at
11 :53:19 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00919
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor