Permit (179) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00050
Date Issued: 01/23/2018
TEC Pl 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S 134AD02000
Jurisdiction: Tigard
Site address: 11367 SW LAKEWOOD CT
Project: HIJ Subdivision: ENGLEWOOD Lot: 60
Project Description: Installing new electric range with downdraft.
Contractor: MHC LLC Owner: IONEL HIJ
4 NE 202ND AVE 16933 SE FOSTER RD
PORTLAND, OR 97230 GRESHAM, OR 97080
PHONE: 503-317-3321 PHONE: 503-998-0276
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 01/23/2018 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 01/23/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/23/2018 $56.61
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OU C by calling 50 .232.1987 or 1.800.332.2344.
Issued By: ''� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE LSE ONLY
•-, if'ir--,
City of Tigard
. .4 13125 SW Hall Blvd.,Tigard,OR 97223
III R E 0 F"),' ::L, ReceivedDateBMAMMA
Date/By:
Plan Review 40 ya Permit Noc...„..... i _ ,401 5 0
..,.
Phone: 503.718.2439 Fax: 503.598.1960 JAN 2 n 2019 Date/By: Other Permit: - /
Inspection Line: 503.639.4175
TIGARD Date Ready/By: Juris: 66 See Page 2 for
Internet: www.tigard-or.gov C71 -, , ' '' , Notified/Method: Supplemental Information
BUll_ ;,;,; LTYPE OF WORK
COMMERCIAL FEE*SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
D New construction gl Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
1=1 Demolition I=1 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY Of CONSTRUCTION ' '-‘,'''''' ' ' ' -• .,
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
p1-and 2-family dwelling 1=1 Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family El Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
;„, , / ,,, .1 Air conditioning 46.75
Job site address: )136-7 'iiti t_ckicie_w(z _ L jt". Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: (-1--‘of,,r1._ Og- 47. -3 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DEscRipu6s,.op woRic, ,,,. , Gas fireplace/insert 33.39
Flue vent for water heater or gas
kity;ke-kk ow) e-kuAYkc rckyTige., WI Ic\,. fireplace 23.32
kpoJ6. - Log lighter(gas)
Wood/pellet stove 23.32
cir.\
33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
*R OPERTY °WNEW'::` ':4ti TENANT :'11'' ;' Other:
5` '3, '*': ' 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
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT: , -,',4 le: 1.gli14;FACT PERSON ' - Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
i • .
Contact name: "IvykizA V\--% Furnace,etc.
Gas heat pump
Address: tcd.,1' r Sc: c-c, k-CAr- e ..-
Wall/suspended/unit heater
City/State/ZIP: C:5\yeS\nei„._r-,..-v Ora_ q-70-150 Water heater
Phone:(S' S) qCar-0):1 co Fax::( ) Fireplace
Range
E-mail: ...10 rk kex\t)Qt/iCrfrka-1 k .CON/Y1 Barbecue
etilY F lkA CT011. '!.07,i.,;1: Clothes dryer(gas)
Business name: /IA 1.4 c1-ker.„4-10.1 .k. (t=;011.4(/) L-1--c- Other:
'1,', IVIECHANIE*EFERMIT FEES! , ii.:••,
Address: 14 to E 2,01 Ave__ - Subtotal
City/State/ZIP: lik,v4 la„‘. 02_ q Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) .3/.7 -33 9_,I Fax:( ) State surcharge(12%of permit fee)
CCB lie.: /basp , il( 5-7/i.
la.
TOTAL PERMIT FEE , 0,rb
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: T „,..4 ph) Date: 1/13//Si
JABuildingTermits\MEC_PermaApp_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\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11367 SW LAKEWOOD CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00050
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11367 SW LAKEWOOD CT, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00050
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor