Permit (70) "' CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2018-00091
a . COMMUNITY DEVELOPMENT
Date Issued: 2018
02/07/
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel 02/2S102AC00800
Jurisdiction: Tigard
Site address: 12549 SW MAIN ST
Project: Spec Space Subdivision: None Lot: None
Project Description: Clothes dryer exhaust.
Contractor: SARKINEN PLUMBING Owner: XU, ERIC(YU)
9502 NE 72ND AVE 10755 SW NAEVE ST
VANCOUVER,WA 98665 TIGARD, OR 97224
PHONE: 503-761-2902 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/07/2018 $69.06
Class of Work: ALT Type of Const: Plan Review 02/07/2018 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/07/2018 $8.29
Stories: Info Process/Archiving-Sm$0.50(up to 02/07/2018 $0.50
11x17)
Project Valuation: $500.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $95.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling‘5,93 232.19 2.2344.
Issued By: ittee Signature: �.._-.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONE\
City of Tigard Received
g Date/By: Permit No.:p Ci
I ,_ a
13125 SW Hall Blvd.,Tigard,OR 972 y,'"" �-,` s, Plan
ENICIMIM
' g: Phone: 503.718.2439 Fax: 503.598.1960 t Date/By: Other Permit: . , 7 ., .�t
TI G A R D Inspection Line: 503.639.4175 7 1 J "< Date Ready/By: See'age 2 for
Internet: www.tigard-or.gov 1-Lit) t U Notified/Method: r Supplemental Information
per,
TYPE OF W 1. `Ins ( O I �qa N - COMMERCIAL FEE* SCHEDULE -USE UHL LIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 5-70,43
y
CATEGORY OF CONSTRUCTION
,, '<: RESWENTIAL E9LTIPMENT/SYSTEMS"FEE'S*;
0 1-and 2-family dwelling A Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
x,."° JOB SITE INF'ORMATIO�I AND LOCATIONHeating/cooling:
Air conditioning 46.75
Job site address: i �—t 4 -f-5 5-6, ►_��� ,, Sr,
Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
City/State/ZIP: `��{ ya/ �'7�ii/7-2-7>73 1Heat pump 61.06
Suite/bldg./apt.no.: Project name: t5a..e "_r..11----_. Duct work 23.32
Cross street/directions to job site: r 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
33.39
bN' ;,,.,. " DESCR'fP"i'ION F WORK Gas fir ePlace/insert
` Flue vent for water heater or gas
(.741 3 e--,,e1,,., 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
"y PROPERTY OWNER `F, CIONANT. Environmental exhaust and ventilation:
Name: Y- cI ` , ),,z, Range hood/other kitchen
! equipment 33.39
Address: (079, Sj' u A,...„0,-e__ ) r. Clothes dryer exhaust , 33.39
City/State/ZIP: • c,,� 1 G�2 l)i7 Single-duct exhaust(bathrooms,
( ( toilet compartments,utility rooms) 23.32
Phone:( a! ) r`-� Fax:( ) Attic/crawlspace fans 23.32
t 0 APPLICANT ��
0 CONTACT PERSON,l"'n Other: 23.32
Business name: <. , { Fuel piping:
,e1/1"k -e -, �f R7L^r_ $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
:
CONTRACTOR _., Clothes dryer(gas)
Business name: t,rk;vie vi p - ;c, Other:
pp` ME� IICALPERMIT FEES*
Address: C.2
cc;2_ iv� 7�d ,4v,,, Subtotal
City/State/ZIP: (�(,1 } Minimum permit fee($90.00) (t
Plan review(25%of permit fee) 17. 7
�-
Phone:( 9 '?6/ C Z c"Z Fax:( ) State surcharge(12%of permit fee) '. -1
CCB lic.: l"7 a)54, TOTAL PERMIT FEE I,5"',IA
This permit application expires if a permit is not obtained within 180
i7 2—-- days after it has been accepted as complete.
Authorized signature:--g Fee methodology set by Tri-County Building Industry Service Board
Print name: ` ;,t ) ' Date: 2---L? 8
I:\Building\Permits\MEC_PermitApp_04011 .doc 440-46I7T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation M1 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.
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