Permit CITY OF TIGARD MECHANICAL PERMIT
'- COMMUNITY DEVELOPMENT Permit#: MEC2018-00002
T t GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2018
Parcel: 1S125DB00500
Jurisdiction: Tigard
Site address: 9285 SW 70TH AVE
Project: Bathroom Subdivision: SHADY DELL Lot: 5
Project Description: (1)bathroom exhaust fan.
Contractor: STEPHEN ANDREW ENGHOUSE&JOHN EDWARD V Owner: OTT, JENNIE
202 NE 170TH HIMAN, HILARY MARTIN
PORTLAND, OR 97230 9285 SW 70TH AVE
TIGARD, OR 97223
PHONE: 503-407-8900 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 01/02/2018 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/02/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/02/2018 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set fo a 'a OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.19. or 1.800.33 : 44.
Issued By: eF�rr tttee Signature: 9
if7, 47.,z... .„1 0 ce '1.)-<6/-----.......,4t,7
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ., , l FOR OFFICE USEO\EV
City of Tigard , j q ' A'"' Received
N Date/By: l ff ' Permit No.:
13125 SW Hall Blvd.,Tigard,OR 9722 — �,).,,
C Phone: 503.718.2439 Fax: 503.598.196 III
Plan Review
?y Date/By: Other Permit: II 7_,
T I G A R D Inspection Line: 503.639.4175 ,_
,i,..\\,, Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov
S Notified/Method:
i ,s,.1,,,' -r T} Supplemental Information
TYPE OF WOR ,,kf l 4 •' N iSi y':. .
�� q�� _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteratiONOcement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
`` , RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-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 INFORI�IA,TION AND LOCATION' Heating/cooling:
fir
Job site address: C '5 C Air conditioning 46.75
--),s75.
� , (.� h
`�� y+" Ace l - Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: d n
f / ( / 1 0 fL 7 4 t, Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Lf I Project name: Heat pump 61.06
'-77-.?,4,/
� L...;‘,.--&-
Duct work 23.32
Cross street/directions to job site: ! t �J tri r v -- 7 Hydronic hot water system` i { Ir l3 Residential boiler(radiator or 23.32
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: I Lot no.: Oth23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
DESCTLIP ION OF ?V+1 ( '' 23.32
Gas fireplace/insert 33.39
/ �p Flue vent for water heater or gas
/J'1 377 l/ /�C_- LI) ,et/•l�£� / _/ 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 `"` a Other: 23.32
Environmental exhaust and ventilation:
Name:
t/i 1'ti ��,�,� /`2 Range hood/other kitchen
Address: rit 0...g- 5-1.)i 704 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: (� ,� Single-duct exhaust(bathrooms,
�„ J ` r~G' ( 7/ L toilet compartments,utility rooms) i 23.32
Phone:( v ) 5-02, /3 �3,�/�
r Attic/crawlspace fans 23.32
i= : O. Aii'PuCANT - CONI T PERSOl4 4x" '` 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
City/State/ZIP:
Wall/suspended/unit heater
Water heater
Phone:( ) I Fax::( ) Fireplace
E-mail: Range
Barbecue
ONTIIACTOR Clothes dryer
. ��. � , -. (gas)
f ap er:Business name: C A/ W„/,z4 . rte'447d
"`[it't[} v. ,MECIIAlIICAI RERMIES
Address: `� t * ne,
2 2_ / 7J 74t t.. E T/ 1,1 f. c�✓r' Subtotal 21. ;-
City/State/ZIP: - f� }, `
�Q0/ tn/c�( Ue r7-;2-;10 1 g. a Minimum permit fee($90.00)
Phone: '' C Plan review(25%of permit fee)
(5�.�) � � Fax:( ) State surcharge(12%of permit fee) q0,44:.)
CCB lic.: / 3 tl !! TOTAL PERMIT FEE int) 8Z)
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: "1 , * Fee methodology set by Tri-County Building Industry Service Board
Print name: /IlkAli / A Date:t 2_ Z.a
I:\Building\Permits\MEC_PermitAp 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\PermitsNEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9285 SW 70TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00002
Inspection Type: Inspector:
699 Mechanical final Allyson Armstrong
Result:
PASS - NoCofO
Comments:
Correction complete
Violation Summary:
Inspector Contractor