Loading...
Permit (22) CITY OF TIGARD MECHANICAL PERMIT :/11 a♦'. COMMUNITY DEVELOPMENT Permit#: MEC2018-00323 TtGR.L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2018 .A. Parcel: 1 S 134AC06900 Jurisdiction: Tigard Site address: 11011 SW GENEVA ST Project: ALWAY Subdivision: JEFFREY ESTATES Lot: 2 Project Description: A/C installation in crawl space. Placement of A/C unit must comply with manufacturer's installation requirements. Contractor: HANSON HEATING Owner: ALWAY, BARBARA L 1916 SE 148TH 11011 SW GENEVA ST PORTLAND, OR 97233 TIGARD, OR 97223 PHONE: 503-891-9138 PHONE: FAX: 503-760-5590 FEES Specifics: Description Date Amount Air Conditioning 05/03/2018 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 05/03/2018 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/03/2018 $43.25 Occupancy Grp: 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-H90. You may obtain a cop -.f the rules or direct questions to OUNC by calling 503 .1987 or 1.800.332.2344. ` Issued By: - •,',-e Si•nat --- ,/� :dam- /, Call 503.639.4175 by 7:00 a.m.for the next availabl section 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 o1l.l City of Tigard Received Date/By: • `tb + Permit No.: J ,t a _ , II II r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960Other Permit: TI G A R D Inspection Line: 503.639.4175 ` ���°°° Date/By: Date Ready/By: H See Page 2 for Internet: www.tigard-or.gov 'IS Notified/Method: orM, Supplemental Information Ari TYJ E OF WORK \v`t^, "'J p` �`� COMMERCIAL FEE* SCHEDULE - USE CHECKLIST -‘ \0+�; Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/s °t(el �}t�0\1, performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: �V`')\\-9`�l 1a mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF •CONSTRUCTION • RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ,® 1-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling: JOB'SITE INFORMATION AND LOCATION Air conditioning t 46.75 LW ")S Job site address: i> i/ .5.1/C) &-,V 6)—el4E r cf Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: / ,'t11 97 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: 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 DESCIITMON O 4ORK Gas fireplace/insert 33.39 4 -ke - 4- 0 ie y- " Flue vent for water heater or gas IIGr L C_L 343 fireplace 23.32 cLog lighter( as 23.32 i A, CA141-4-. OP Ct &mss g ) Wood/pellet stove 33.39 C f © i✓,,,_ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . Other: 23.32 J ' NANT rr., PROPERI Y OWNE t ' ; ' -, Environmental exhaust and ventilation: Name: I :;_y Range hood/other kitchen -f,A-i-- equipment 33.39 Address: /f 0/i J Lv .t' ` Clothes dryer exhaust 33.39 City/State/ZIP:/ ----jR —q702013—1 — Single-duct exhaust(bathrooms, �.�7 toilet compartments,utility rooms) 23.32 Phone:(3) .3/r 7 7/j Fax:( ) Attic/crawlspace fans 23.32 11FPLICANT NTACT PERSON Other: 23.32 Business name: c Fuel piping: � 4 ` /� •/ $14.15 for first four;$4.03 for each additional Contact name: `&s Furnace,etc. Address: )9/c; 5C J y c,jc'�*✓ , `f y_a Gas heat pump / Wall/suspended/unit heater City/State/ZIP: f&v:ft � &i? --97433— Water heater Phone: 3( g7/ -,9(58-- Fax:: , 6,4e>_..._6---6---9?" Fireplace Range E-mail: Barbecue CONTCTOR Clothes dryer(gas) Business name: }� ,(jam Other: 6 "/ti CS' /o. .1 l''''''' MECHANICAL PE iT FEES* Address: Subtotal 4/140 75- City/State/ZIP: Minimum permit fee($90.00) '70. ,Q Plan review(25%of permit fee) — Phone:( ) Fax:( ) State surcharge(12%of permit fee) Lv,it) CCB lie.: ) C/ '' TOTAL PERMIT FEE ) C This permit application expires if a permit is not obtained within 180 /i o days after it has been accepted as complete. Authorized signatu ►'� * Fee methodology set by Tri-County Building Industry Service Board Print name: A r , s ; Is J Date: / I:ABuilding\PermitsAMEMEC_PennitApp 040113.doc d�/�" 440 4617T(11/ /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation; 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. t • I:\Building\Permits\MEC_PermitApp_040113.doc 2