Permit (259) ili '' CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2018-00043
" 77 a COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2018
[ a t Ei.[� Parcel: 2S 111 AD02800
Jurisdiction: Tigard
Site address: 14600 SW 89TH AVE
Project: MARONEY Subdivision: PINEBROOK TERRACE Lot: 25
Project Description: (1)bathroom exhaust fan.
Contractor: OWNER Owner: MARONEY, SHARON
SHARON MARONEY MURPHY, DANIEL A
14600 SW 89TH AVE 14070 SW HALL BLVD
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-260-7751 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 01/17/2018 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/17/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/17/2018 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0p90. Yni may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.:•s .- . .
Issued By: — _ 4 /_.
r7 �i ')Perms ature
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
FOR OFFICE USE ONE)'
� '`t,6 Received
City of Tigard ` ,k Date/By: l s Permit No.: •
13125 SW Hall Blvd.,Tigard,OR 97 �, ® � �� �t /_ I[
■. Phone: 503.718.2439 Fax: 503.598.t 60 '1(\
Plan Review
•1 '1(\\ Date/By: Other Permit: 444 *010, •
T I G A R D Inspection Line: 503.639.4175NA 1 Date Read/B , - �
Internet: www.tigard-or.gov 'a Ready/By: See '''age l for
' 1. Notified/method: Ifflsupplemental Information
TYPE OF Ws., v," COMMERCIAL
cFEE*`SCHEDULE -USE CHECKLIST
A Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/altera itYement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
_. CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS;FEES*
❑ 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 INFORMATION AND,LOCATION Heating/cooling:
j 11
/ C O `' (j g Air conditioning0 ,046.75
Job site address: !`7 C� t/""
-+ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �11' A r tea' ,r;K 2' 7 a /" Furnace 100,000+BTU(ducts/vents) 54.91
[[ c� / 7 Heat pump 61.06
Suite/bldg./apt.no.: Project name: a r 4-7 -e' Li Duct work
23.32
Cross street/directions to job site: `g 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
f q.
T DESCRHPTION::OF ....,f0.:=., y;, .*- Gas fireplace/insert 33.39
Flue vent for water heater or gas
0) 9,2tht/itkV 1 ev'e(s•Oi t,,4- -�f�,,j fireplace 23.32
1�"' Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
-*�� ' ' PROPERTY-OWNER ;�% r LL 13 TENANT
Environmental exhaust and ventilation:
Name: 5 a co (4, a c 0 a e Range hood/other kitchen
equipment 33,39
Address: 0 0 3 % 4f e,70 C-� cid
e�� Clothes dryer exhaust 33.39
City/State/ZIP: Tl cz �' 0 J Single-duct exhaust(bathrooms,
(�— toilet compartments,utility rooms) I 23.32 3.3).
Phone:y 5 ) .—`' ' \ / Fax:
l� .. L �c� ( ) Attic/crawlspace fans 23.32
❑s APPt ICMI`II 0 yCO 1 tCT FERSON-** Other: 23.32
Business name: S Fuel piping:
�. $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
"` *" CO14'TRACTOR "''`
Clothes dryer(gas)
Business name:
OWN?"
y��?, Other:
�'W MECHANICAL PERMIT FEES* ,.: 1'
Address:
Subtotal ? ,i,L
City/State/ZIP: Minimum permit fee($90.00) r C.
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE (t)Z1,
This permit application expires if a permit is not obtained within 80
Authorized Signa a L� i days after it has been accepted as complete.
/ _ )21/4 * Fee methodology set by Tri-County Building Industry Service Board
SL
Print name: 5 OG Pt //1[�'1 t:,42 , Date: /-- /I — j K
i
t
I:\Building\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: ,-11ernut Fee: `t
$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_PennitApp_040113.doc 2