Permit CITY OF TIGARD MECHANICAL PERMIT
IIIICOMMUNITY DEVELOPMENT
Permit#: MEC2018-00040
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2018
t t�� � g Parcel: 2S 112 BC09800
Jurisdiction: Tigard
Site address: 8070 SW VIOLA ST
Project: Baese Subdivision: RAZE MEADOWS Lot: 21
Project Description: Adding(1)gas line for kitchen range.
Contractor: ENERGY EFFICIENT CONSTRUCTION INC Owner: BAESE, CRAIG A
30323 SW HEATER RD COUTURE, LINDA L
SHERWOOD, OR 97140 8070 SW VIOLA
TIGARD, OR 97224
PHONE: 503-505-4490 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 01/17/2018 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 01/17/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/17/2018 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ tel,.
Issued By: �`, i d L Air— 40 'ermittee Signature: / , f�
/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ,1.
'
€ FOR OFFICE USE OM.I'
City of Tigard a Received
PermitN
13125 SW Hall Blvd.,Tigard,OR ' Oy1 Date/By: Aljrr . ' '
C Phone: 503.718.2439 Fax 5 i � �� Plan Review
�y .) Date/By: Other Permit:
T I G A K U Inspection Line: 503.639.4175 a �.^ Q _>
t 4,? �, Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov 'a
�y s Notified/Method:
.,�a ,>' .� Supplemental Information
TYPE OF WOy { V COMMERCIAL FEE* SCHEDULE'=USE`CHJECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alterationcement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other: :
;� CATEGORY OF Value:$
CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
R1-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 INFORMATION AND LOCATION" ,, Heating/cooling:
Job site address: t ,�. Air conditioning 46.75
v 5t.0 1/7 r)I 0 cJ . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -"Ty-GIC,�T(' ci 7: ti Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I J Project name: 7 Heat pump 61.06
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
"r x DESCRIPTION"OF WORK 3 : a Gas fireplace/insert 33.39
/— Flue vent for water heater or gas
C '� l
`� [ n PO C— K 1 '1(_,�� 6-) 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 ' 't Other: 23.32
.F i. ., z_. ❑hxTENAN ;
�' Environmental exhaust and ventilation:
Name: /
l f?'L j C' 1z x.I.G.S� Range hood/other kitchen
Address: -7 5: 1 y l-c 1 Q. equipment 33.39
<- Clothes dryer exhaust 33.39
City/State/ZIP:`\c Cti t�C{ °R._ Single-duct exhaust(bathrooms,
Phone ( -
toilet compartments,utility rooms) 23.32
�0,� )(02 y -.,'?� . Fax:( ) Attic/crawlspace fans 23.32
APPLIC NT .0CONT.Ah'T�°PERSON Other: 23.32
Fuel piping:
Business name:
IL-t�-,� - ,� i._,,,4- C 0 a'L;S� $14.15 for
Contact name. / first four;$4.03 for each additional
1 C Furnace,etc.
Address: 3C; -7Ths i_iecvr rte,K d Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: _...-5-1,.\k, h ,r c iL -�/`�
a��' /C 7 Water heater
Phone:( ,3 i Fax::( ) Fireplace
E-mail: �r Range 1
vt e r [e c C CC A F#-1-o c^11,._---4,--.4-1..(4-,‘c,,./, a'_si eve,1 (((r o 44 Barbecue
. 'CONTRACTOR
' � � Clothes dryer(gas)
Business name: Other:
Address: , MECHANICAL PERMT EES*
,?�. , ,
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
_ State surcharge(12%of permit fee)
CCB lie.: , ci ``(/ t5, TOTAL PERMIT FEE j' a,
72)
This permit application expires if a permit is not obtained within 180
.'"--"Wdays after it has been accepted as complete.
Authorized signature: fir. Fee
* methodology set by Tri-County Building Industry Service Board
Print name:�� ,1/ , Date:
�-� . I 1--/7_18-
I:\Building\Permits\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
TotalYaluation: 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