Permit (120) CITY OF TIGARD MECHANICAL PERMIT
91 II COMMUNITY DEVELOPMENT Permit#: MEC2018-00636
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2018
Parcel: 2S 102 BA01900
Jurisdiction: Tigard
Site address: 9885 SW JOHNSON ST
Project: Landwehr Subdivision: None Lot: None
Project Description: Replacing(1)range hood and installing(1)exhaust fan.
Contractor: OWNER Owner: LUKE AND JENNIFER LANDWEHR
LUKE&JENNIFER LANDWEHR 9885 SW JOHNSON
9885 SW JOHNSON ST TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-741-9792 PHONE: 503-741-9792
FAX:
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 08/15/2018 $33.39
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 08/15/2018 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 08/15/2018 $10.80
Stories: Minimum Fee Adjustment-Mechanical 08/15/2018 $33.29
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copy of the rules
or direct questions to OUNC by calling 503.232.1987 04.
Issued By: •• iiittee Signature: .�
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 'ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONEY
Received
Cityof Tigard y t �' Permit No.: d y )f_3 4,
g Date/B : ii i ysem' wVi
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review Other Permit:
= Phone: 503.718.2439 Fax: 503.598.1960 Date/B
`"4 y. L Ci i"1,
T 1 G A R D Inspection Line: 503.639.4175iReady/By: g
. ,,,. Date ® See age 2 for
Internet: www.tigard-or.gov Notified/Method: PAII
Supplemental Information
- COMMERCIAL E' SC1-IEDULE -USE CHECKLIST
TYPE`OE WORK
. `.Or Mechanical permit fees*are based on the value of the work
❑New construction -Addition/alterr l _ performed.Indicate the value(rounded to the nearest dollar)of all
gl I l t ° "' mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other: �1 p
.. VATE ORY OF ONSTRUCTI N Value:$
ra SIDtraf ,L4, PMENT/SVSTEMS FEES*
0,1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
Y Heating/cooling:
JOB SITE"I ( RMATION'AND LOCATION
Air conditioning 46.75
Job site address: `Pbf?5 SLJ cct4V LC., S.1-- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 07.I9 i j 4t+ Ttiea— j"-fi"1 S i t"\ 3 d/ cj,��S Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: / ,;- _a, /_Y Duct work 23.32
Cross street/directions to job site: QOi4y0 ."'W`V W�+ Hydronic hot water system 23.32
J 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
DESCRIETIONUVQRIz Gas fireplace/insert 33.39
(� (� PY Flue vent for water heater or gas
Ntu) l_ K NAv(t l d IA ci / i , :. t X1/1 yAX/ - fireplace 23.32
f Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
'FiOPERTY-'WN* ..,, q=. ❑ TENANT
,,,— >. . < ,.., Environmental exhaust and ventilation:
Name: ,(C KA tCY l.c N NYt'.k✓ /Range hood/other kitchen 7
- equipment ` 33.39 '3, )1Address: 15Y_C) Suu S 4V)jun 3\-, Clothes dryer exhaust 33.39
City/State/ZIP: 1-1 a! O� 91 223 Single-duct exhaust(bathrooms,
/ toilet compartments,utility rooms) 1 23.32 dc.3..3,1
Phone:(1-0y ) r]tt CT rl l 2 Fax:( ) Attic/crawlspace fans 23.32
``' la APPLICANT ❑''CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: y C ,,, , c aI. Furnace,etc.
Address: �J`' r C �L Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: 0.0 J Ctit ni.i [Alta h ONVYtctl \, COM Barbecue
CONTRACTOR J Clothes dryer(gas)
Other:
Business name:
nt//„,.ce-- ,,•`tk3ECHAN1CA ? JT $ES*",
Address: Subtotal . ,7 i
City/State/ZIP: Minimum permit fee($90.00) I U„ >
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEI t 1'X .eSt
This permit application expires if a permit is not obtained within 180
/(17----.
days after it has been accepted as complete.
:),P I
Authorized signature: et..... / * Fee methodology set by Tri-County Building Industry Service Board
Print name: �h N� y We GI I/ Date: 9 (? 1 6
I:\Building\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:
rotai Valuutio i x, 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.
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:
9885 SW JOHNSON ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2018-00636
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor