Permit (47) CITY OF TIGARD MECHANICAL PERMIT
- 8.. COMMUNITY DEVELOPMENT
Permit#: MEC2018-00470
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2018
T ftt4E�-O Parcel: 2S111 DB09000
Jurisdiction: Tigard
Site address: 15490 SW OAKTREE LN
Project: JENKINS Subdivision: SUMMERFIELD NO.10 Lot: 551
Project Description: Relocating(1)clothes dryer exhaust.
Contractor: OWNER Owner: JENKINS,T JOYCE WATTS
JOYCE WATTS JENKINS 15490 SW OAKTREE LN
15490 SW OAKTREE LN TIGARD, OR 97224
TIGARD, OR 97224
PHONE: 971-242-9431 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 06/21/2018 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 06/21/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/21/2018 $56.61
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1 ':i. . •
Issued By: — Permittee Signature: IfOix,, V CI'Lr
//
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatiR
lEC
EIVE . FOR OFFICE USE ONLY
' --" 13125 SW[tall Blvd.,Tigard,OR, 97223
9,1 2_01B Plan Review
City of Tigard
DateBy: Permit No.:
: . Phone: 503.718.2439 Fax: 503.598.1960 „MN -
CrI Received
, (0k-tie r 817--
Date/By: t1126020 8- a
Other Remit deetylay paoi3d it
Inspection Line: 503.639.4175
T I GARD
Internet: www.tigard-or.gov OV IIG X
it Date Ready/By. huts 63 See Page 2 for
CV" OI Ir....6 Supplemental Information
DIN G N
TYPE OF wyjulli DIVIS1 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ' Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition /.... Other:Dryer Vent mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
_.... RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
a. I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist
0 Multi-family 0 Master builder 0 Other: Description I Qty Ea. Total
Irleating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: 15490 SW Oaktree Lane
Furnace 100.000 BTU(ducts'vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,0001 wru(ducts/vents) 54.91
........
Heat pump 61.06
Suite/bldg./apt.no.: Project name:
Duct work 23.32
Cross street/directions to job site: livdronic hot water system 23.32
Residential boiler(radiator or
jydronic) 23.32
Unit heaters(fuel-type,not electric),
_._..., _ in-wall,M-duct,suspended.etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision:Summerfield 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
Adding dryer vent from garage(on outside wall). fireplace 23.32
I,og lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
P PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name:Joyce Watts Jenkins Range hood/other kitchen
equipment 33,39
Address:15490 SW Oaktree Ln
Clothes dryer exhaust 1 33.39 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(971)242 9431 Fax:( ) Attie/crawlspace fans 23.32
0 APPLICANT ' CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
_ $14.15 for first four;$4.03 for each additional
Contact name:Ben Jenkins Furnace,etc. _
Gas heat pump
Address:14380 SW McFarland Blvd
WalUsuspended/unit heater
City/State/ZIP:Tigard,OR 97224
Water heater
Phone:(971)242 9431 Fax::( ) Fireplace
-- Range
E-mail:eben.jenkins@live.com
Barbecue
CONTRACTOR Clothes dryer(gas)
Other
Business name: 011iztrei-•••
MECHANICAL PERMIT FEES*
Address:
Subtotal -1Z.,3 ri
City/StaterZIP: Minimum permit fee($90.00) .(0
- Plan review(25%of permit fee) •---
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE h, ).,fil,
This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
y_.e....t_.... /:yee-nir...i..- e--, * Fee methodology set by Tri-County Budding Industry Service Board
Print name:Joyce Watts Jenkins Date:6/20/2018
i\Building1PermasWIEC PermItApp 040111 dm 440.46171(1110:VCOMIWEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
e `
Fee Schedule: Residential Fire Suppression Systems:
�,y (1 }� may,
Sio �I Ztie %n Qty. Fee(en) 1 E 1 �" lre Sq �4/.,, ,. L+ , PI f�t We♦
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54
7,201 and greater $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 '
Yiitlatl0Il: giiiiffVt ez ; ...
Storm&Rain Drain-1st 100' 62.54
$1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
leee�} nta1
each additional$100.00 or fraction thereof,to
���'° �" �����'��� ����� � and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity by Fixture Type
Fixture,Type for Replace) lr lili 'bing; l�stalla � .,..
Work Performed:- Capped Added Relocate = Plan review is required for any of the following.
Baptistry/Font Please check all that apply.
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
-Jacuzzi/Whirlpool greater,except systems designed and stamped by licensed
Car Wash -Each Stall engineer.
-Drive Thru ❑ New exterior plumbing site utilities for any complex structure
Cuspidor/Water Aspirator as defined in OAR918-780-0040.
Dishwasher -Commercial ❑ Medical gas and vacuum systems for health care facilities.
-Domestic ❑ Any multipurpose fire sprinkler system.
Drinking Fountain ❑ Any complex structure as defined in OAR918-780-0040.
Eye Wash
Floor Drain/sink -2" Submit 2 sets of plans with any of the above.
-3"
Car Wash Drain � ,� 1er.:Diagram", f ,. 5
Garbage -Domestic-non-food ❑ Isometric or riser diagram is required for new buildings
Disposal -Domestic-food related that meet the qualifications above.
-Commercial-food related
-Industrial-food related
Ice Mach./Refrig.Drains
Oil Separator(Gas Station) Comments regarding fixture work:
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink/Lav -Non-food related
-Bradley
-Commercial-food related
-Service
Swimming Pool Filter
Washer-Clothes *Note: If the fixture work under this permit results in an
Water Extractor increase of sewer EDUs,a sewer permit will be issued and
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
Macintosh 2 HD:Users:WendyBen2:Downloads:PLMF_PermitApp.doc 2