Permit (84) CITY OF TIGARD MECHANICAL PERMIT
i. COMMUNITY DEVELOPMENT Permit#: MEC2018-00381
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2018
Parcel: 2S102CB03600
Jurisdiction: Tigard
Site address: 10010 SW GARRETT ST
Project: HAUPT Subdivision: FREWING'S ORCHARD TRACTS Lot: 10
Project Description: (2)single-duct exhaust fans.
Contractor: OWNER Owner: HAUPT, ROBERT ADAM
10010 SW GARRETT ST 10010 SW GARRETT ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 971-222-4898 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 05/23/2018 $46.64
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/23/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 05/23/2018 $43.36
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.Issued By: •- •.',•e Signature:
.L.r
G7
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By: S/�3/f Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 ,�,a, .�1y.'do �.I
IN
_ Phone: 503.718.2439 Fax:
503.598.19 '0ED
DPlaatne/RBeyv:iew
Other Permit:
7—(L)JIns
Inspection Line: 503.639.4175TIGARD
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov l3\ Notified/Method: Supplemental Information
OM
41 44 TYPE OF WORK, � �Gp COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
❑New construction s �P1V l*j Q Mechanical permit fees*are based on the value of the work
Addition/alteratli,�l� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: ��pAA mechanical materials,equipment,labor,overhead,and profit.
> ,:CATEGORY OF CONSTRUCTION "
Value:$
Ed 1-and 2-family dwelling ❑Commercial/industrial RESIDENTIAL EQUIPMENT/SYSTEMS FEES
*
❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITEINFORMATION'AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: C) co ✓vc
c00 i " 4'"+ 1 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: i9 r„,e1 0 ii). /.7 I_Z Z Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: 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
: � Gas fireplace/insert 33.39> DESC' ON OF WORK' ,- j. I
. .
Flue vent for water heater or gas
S t* (-4- w,- Q-'16ISM,s ,1 (214hS fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
4 g l p*, Ti cs' VNER .. '; "0 T NAKNTr - <', Other: 23.32
Environmental exhaust and ventilation:
Name: A .1I'
c�..-•-. I+e•-..t) r Range hood/other kitchen
Address: equipment 33.39
10)0,i
a .3 i,../ pi-(:,-„,,v,,,,,_ Clothes dryer exhaust 33.39
City/State/ZIP: • �,,,vk t e 1.--1 Z 2z, Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2 23.32 y 1p 494
Phone:('1 II ) 2 2 2- L4 C7 t V Fax:( )
Attic/crawlspace fans 23.32
-'' 4:4-4i'LI6Afi i' 11"CQNT CT hittN '' Other: 23.32
Business name: Fuel piping:
et.; '1'b6A $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/Z1P: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
,. .h . .. 1 CONTRACTOR ,
Clothes dryer(gas)
Business name: ,„�� Other:
Address: r
4;;MECHANICAL&MITIT FEES* "w
Subtotal i (y 4
City/State/ZIP: Minimum permit fee($90.00) q`�',„,:t,
Phone: Plan review(25%of permit fee)
( ) Fax:( ) State surcharge(12%of permit fee) , 4' .
CCB lie.: TOTAL PERMIT FEE IV-84
This permit application expires if a permit is not obtained within 180
/� days after it has been accepted as complete.
Authorized signature: i„ ht,4
i Iti-r * Fee methodology set by Tri-County Building Industry Service Board
Print name: ,61,( ( Date:
I:\Buildmg\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 Fed
$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\Pennits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10010 SW GARRETT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00381
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Vent fans ok.
Violation Summary:
Inspector Contractor