Permit (261) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
aPermit#: MEC2018 00035
13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 , i Date Issued: 01/16/2018
(I c�t1 f f g TParcel: 2S 102CA00908
110 Jurisdiction: Tigard
Site address: 13440 SW ASH AVE
Project: Stockberger Subdivision: VILLAGE GLENN Lot: 8
Project Description: Replace(1)exhaust fan for bathroom remodel. 1/17/18:REPRINT to add(1)exhaust fan for bathroom remodel.
Contractor: OWNER Owner: STOCKBERGER, SARAH
WETZEL, NATHAN
13440 SW ASH AVE
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 01/16/2018 $46.64
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: Mechanical Permit-RES 01/16/2018 $43.36
Occupancy Grp: 12%State Surcharge-Mechanical 01/16/2018 $10.80
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ` r ✓'e� Permittee Signature: jt 30'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A lica ' ' ,':
qpi' FOR OFFICE USE ONE)
'f a` 1 Received
City of Tigard - . . ermit NV.: _/1
Date/By: //7 /ti -1 . to 00 S.
ei 13125 SW Hall Blvd.,Tigard,OR 97223 i 1N 1 7 n is Plan Revi-w
:111111 ll Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 c i`Ty ,t ) ,A-4,--,, Date Ready/By: .loris: la See Page 2 for
Internet: www.tigard-or.gov z 11,, ,-,1,( i� I` rF t x Notified/Method: Supplemental Information
TYPE OF WORK . - COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction NJ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
�,.
CATEGORY OF CONSTRUCTION ;- RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building
.N
Multi-family 0 Master builder For special information use checklist.
CI Description Qty. Ea. Total
'' JOB SITE INFORMATION AND LOCAHeating/cooling:
TION
_ Air conditioning 46.75
Job site address:13
�`��' .]1�;.) 1"-41 F)),C_.i Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1 R c\--),2Q3 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
4 DESCRIPTION OF WORK' ,-"" Gas fireplace/insert 33.39
., ' ' ' Flue vent for water heater or gas
-'4\SIRw.t,t')
\;'(..-r'1" U,.iJ ,it \. Aw"t)i.,��, 3 l 4 A %6 fireplace 23.32
Log lighter(gas) 23.32
eXt. /7/4:,"` /476-4-)PI/7----
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
se, Other: 23.32
V PRC PERTY,OWNER I:" r' 121T N 1T'17::-'''''' Environmental exhaust and ventilation:
Name: Thrt \.�L. Range hood/other kitchen
kv equipment 33.39
Address: \�.),�"t-...10 4--)t.,\:, i a VA, (1.'t i Clothes dryer exhaust 33.39
City/State/ZIP: '' , `` ( Single-duct exhaust(bathrooms,
1 U'r V '� toilet compartments,utility rooms) 23.32
Phone:6-LI 1 ) .-)(,\.) ,1 2,16 Fax:( ) Attic/crawlspace fans 23.32
"❑'-APPLICANT - 0 CONTACT PERSON z. Other: 23.32
Fuel piping:
Business name:
$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
CONTtAC 1R Clothes dryer(gas)
Other:
Business name:
MEC } CAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
( ' lr "ler days after it has been accepted as complete.
Authorized signature' * 7.7,—, __ * Fee methodology set by Tri-County Building Industry Service Board
Print name�`)C, c,\\ C'S'2LA., c t ItDDate: \I1 ) IX
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: Permit Fee: re.
$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
CITY OF TIGARD MECHANICAL PERMIT
114 is
COMMUNITY DEVELOPMENT
Permit#: MEC2018-00035
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2018
Parcel: 2S 102CA00908
Jurisdiction: Tigard
Site address: 13440 SW ASH AVE
Project: Stockberger Subdivision: VILLAGE GLENN Lot: 8
Project Description: Replace(1)exhaust fan for bathroom remodel.
Contractor: OWNER Owner: STOCKBERGER, SARAH
WETZEL, NATHAN
13440 SW ASH AVE
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 01/16/2018 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/16/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/16/2018 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions t UNC by calling 503.232.1987 or 1.800.332.2344. `
Issued By: • '�,
Permittee Signature: vim''?
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application.i::i-,,; :.. i. ‘i;,—A si!, FOR OFFICE l SE O\L\
CO —,-,, —R4 Received
City of Tigard Ayr/L.-
„0 1-21 Permit No era20.4--tera
„ il 13125 SW Hall Blvd.,Tigard,OR 97223 A\I 1 6 2018
III Date/By: •
Plan Review
: 11 Phone: 503.718.2439 Fax: 503.598.1960 '' ' Other Permit:
Date/By:
TIGARD
Inspection Line: 503.639.4175
Date Ready/By: Jens. See Page 2 for
Internet: www.tigard-or.gov t.,,,,t r ''' '- 1 ' ''., Notified/Method. Supplemental Information
It! )TYPE OF WORK ” •
--COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction W Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORYOF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ..
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist
g
Multi-family 0 Master builder 0 Other: Description
Qty. Ea. Total
Heating/cooling:
,JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: \ ]tic.) v)k.) i)20\"1 PVC" Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: --\--,I cir,,_ , 0R, )1 X...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: 1.— '/1((t 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
„,< DESCRIPTION OF WORK Gas fireplace/insert 33.39
, - Flue vent for water heater or gas
NtAA-; OCA\- Cksr1 \fA6k11(A9r1 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
4-410)ritt1'y (*NEE, ., , gl,, 1:1 TENANT
Environmental exhaust and ventilation:
Name: -rAN., %\.-0 aaoti-ces1/4...r— Range hood/other kitchen
equipment 33.39
Address: \St..i 40 'Es.) N.\-1 6.4.. Clothes dryer exhaust 33.39
City/State/ZIP: .-1-)(Nt.,,-A, , 0 g_ Cli Aa3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:(cAt ) --)(.06 qs Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTIFACirpR, , z4, Clothes dryer(gas)
Other:
Business name: (i1/ 7772-
' - ' MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) , re
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) / ,ii)
CCB lie.: TOTAL PERMIT FEE /
This permit application expires if a permit is not obtained within 180
signature. ,
; days after it has been accepted as complete.
Authorized Sj,
* Fee methodology set by Tri-County Building Industry Service Board
Print name: C:3 \..‘ S\--1)(..tr...<6 - Date:
I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation ry 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