Permit (22) t CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00341
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/10/2018
TG{ a1 p � g Parcel: 2S115AA09600
Jurisdiction: Tigard
Site address: 10860 SW BRETTON CT
Project: Brady Subdivision: BRETTON WOODS Lot: 1
Project Description: Relocate range hood and gas piping.
Contractor: DONOGH CONSTRUCTION SERVICES INC. Owner: WHITECOTTON-BRADY, DANA
601 SUNSET CT 10860 SW BRETTON CT
NEWBERG, OR 97132 TIGARD, OR 97224
PHONE: 503-538-4553 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 05/10/2018 $33.39
Type of Use: SF Fuel Piping 05/10/2018 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 05/10/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 05/10/2018 $42.46
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speci.ty -odes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is no&t ed wit n 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow tae re. ado,ted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You f of ain a c',py of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: d ,71
Permittee Signature:
Jiff 1�
Call 503.639.4175 by 7:00 a.m.for the next available inspection e. r'
This permit card shall be kept in a conspicuous place on the job site until co, etion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Agplicat' ii FOR OFFICE USE ONLY
Cl of Tigard 1VED Received G f /+ �A _ /
g Date/By:✓ ft �Q t �� Permit N /�G o20e,� L5� 'Y!
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
II Phone: 503.718.2439 Fax: 503.598.1960 MAY 0 2018 Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: R. See Page 2 for
Internet: www.tigard-or.gov CITY OI- i OC3AHD Notified/Method: Supplemental Information
BUILDING DIVISION
""' COMMERCIAL FEE* SC IEDIJLE- USE CHECKLIST
; �': TYPE�OF WORK
Mechanical permit fees*are based on the value of the work
0 New construction 5,Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
C ORY yOF1NSTRUCTION -
°' RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
' JOB$,IT INFORMA (N AND LOCATION Heating/cooling:
Job site address: 1 OS 67 e> 5 U * ' + Air conditioning 46.75
l j I Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: --1(ei e bt �`71 t�' Furnace 100,000+BTU(ducts/vents) 54.91
1 Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: 1, Duct
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
01.--4 :.".ION O . ORK Lf:,
�" (� /.,�,�'' �` x "� Flue vent for water heater or gas
c � 14Ck11� t - - L� cit. tit fireplace 23.32
OLog lighter(gas) 23.32
)�� " I Wood/pellet stove 33.39
ir�riG�(.-�-
lire
j � '�/� Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
" Other:
. 23.32
, PROPERTY 3' .` „fr., ❑ TENANT 0,F.
Environmental exhaust and ventilation:
IP Name: I)a fr 1�� Range hood/other kitchen
/ -510
L h ( y equipment 33.39
Address: (1�(r 6 J L .Z)4
�i Clothes dryer exhaust 33.39
City/State/ZIP: --ii,,, 4 72�
cr ' J Single-duct exhaust(bathrooms,
�� 11 1 toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
A'iPLIr" * . {s ,.., 4.;ACT*NON ': Other: 23.32
1 Nr
Business name: s^� Fuel piping:
o° L. CZE;.t�4 t v "�"�-�! tJ _ f- $14.15 for first four;$4.03 for each additional
Contact name: (t I n De'v L Furnace,etc.
l �
Address: P' Gas heat pump
`�'C J � ` ' ' Wall/suspended/unit heater
City/State/ZIP: � � - 7 Water heater
Phone:(46 scZI'14_ 1 0 Fax::( ) Fireplace
E-mail: l ` Range
�` c, 1 � b°L e.4)-1..'"'— Barbecue
. `C.1 R4 "-OR ' '. Clothes dryer(gas)
Other:
Business name: SZV
::,,,, i;".:1;.14�GHAWAiERMITTEIS h ,.
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00) het,G'0
Phone:( ) Fax
( Plan review(25%of permit fee)
State surcharge(12%of permit fee) /G? .,f7).
CCB lic.: /
Sr�x TOTAL PERMIT FEE L-1, , A3
,,jf This permit application expires if a permit is not obtained within 180
1/f days after it has been accepted as complete.
Authorized signature: l / .510//k
/ /k * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:
I.\Buiding\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 :
$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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10860 SW BRETTON CT, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2018-00341
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor