Permit (192) CITY OF TIGARD MECHANICAL PERMIT
III • COMMUNITY DEVELOPMENT Permit#: MEC2018-00971
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2018
T I i ;l I:I's g Parcel: 1S135DB06700
Jurisdiction: Tigard
Site address: 11245 SW 94TH AVE
Project: Gering Subdivision: O'NEEL ACRES Lot: 7
Project Description: Adding(1)bathroom to new bathroom.
Contractor: EXTERIOR CARE PDX Owner: GERING,JEANNE
429 7TH ST 11245 SW 94TH AVE
LAKE OSWEGO, OR 97034 TIGARD, OR 97223
PHONE: 503-925-3907 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 12/13/2018 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/13/2018 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 12/13/2018 $66.68
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: 7 i illid% e. tures L� c
,, ,.,..g.4". / ,...,,,/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. -Y''
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.
Mechatical Permit Application FOR OFFICE USE ONLY
City of TigardDb'� ate/Bed , I
Iiii : 13125 SW Hall Blvd.,Tigard,OR 97223 y / ��♦� �, '— ��
Phone: 503.718.2439 Fax: 503.598.1960 DEC 1 3 2018 Plan Review
Date/By: �� ,
T 1G A R D Inspection Line: 503.639.4175 Date Ready/By: loris: H See Page 2 for
Internet: www.tigard-or.gov CIT'Y (.;i2 T(GAR' Notified/Method: Supplemental Information
BUILDING DIV1S1 .,
/ a
' Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$300.00f
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:,.. J it
Air conditioning 46.75
Job site address: 11245 SW 94th Ave. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Or 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Bathroom
Duct work 23.32
Cross street/directions to job site:94th Ave.and North Dakota Hydronic hot water system 23.32
Residential boiler(radiator or
North Dakota is off of Greenburg 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
�� P
' i`",, Flue vent for water heater or gas
Adding a bathroom the home in the garage. The bathroom will have a vent. fireplace 23.32
Log lighter(gas) 23.32
• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�. r•T,\c Other: 23.32
€fit e, ,.. '1/Yhtr,-" ., ... '' .,,,A ,,."&>>;/,,,,. ,.yva, 0 Environmental exhaust and ventilation:
Name:Jeanne Gering Range hood/other kitchen
equipment 33.39
Address: 11245 SW 94'Ave Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32 23.32
Phone:(503)956-0492 Fax:( ) Attic/crawlspace fans 23.32
I,IO .a� 4 ....--0. 0;11t1.. CO- ['� Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Jeanne Gering Furnace,etc.
Address: 11245 SW 94th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater
Phone:(503)956-0492 Fax::( ) Fireplace
Range
E-mail:jgering@outlook.com Barbecue
.-. o , .» 7�ct. ire. ,4 Clothes dryer(gas)
�? ,/� Other
Business name: Ex n cf L k„,.tz._ 1 1-)X f x t 0 L;(2.
J i� <� % 1>4 1*,`ice, 101, ` `�
Address: 29 `� �`'' ` 54 ='J! Subtotal
City/State/ZIP: 6 L, Minimum permit fee($90.00)
l Plan review(25%of permit fee)
Phone:(2(jlA) �� t — ` 3 t—; '--� t _�j �.. r State surcharge(12%of permit fee)
CCB lie.: 1 1 2i �-�`J ) I2-0 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ,1v'�L— 1-c.-
r * Fee methodology set by Tri-County Building Industry Service Board
Print name:JQa vi r /_._e y./, , Date: 1 a _( 3 _ t
I\Building\Permits\MEC_PermitApp_0401133 doe 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Toa Vali at � l
� err . � ��._ em
$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:
11245 SW 94TH AVE, TIGARD, OR, 97223 April 5, 2019 at 11 :35:46 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00971
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor