Permit (196) CITY OF TIGARD MECHANICAL PERMIT
10: > COMMUNITY DEVELOPMENT Permit#: MEC2018-00982
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2018
TIGARD Parcel: 2S102BC03700
Jurisdiction: Tigard
Site address: 12860 SW WATKINS AVE
Project: JD Hill Construction Subdivision: NORTH TIGARDVILLE ADDITION Lot: 31
Project Description: Modifying duct work for(3)supply lines,and installing(1)bathroom exhaust fan.
Contractor: PYRAMID HEATING&COOLING Owner: BIGEJ, KIMBERLY R
9409 NE COLFAX 12860 SW WATKINS AVE
PORTLAND, OR 97220 TIGARD, OR 97223
PHONE: 503-786-9522 PHONE:
FAX: 503-786-3432
FEES
Specifics: Description Date Amount
Duct Work 12/18/2018 $69.96
Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 12/18/2018 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 12/18/2018 $11.19
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.47
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 o -et.-- 44.
Issued By: - rY_ ' ••• •e Signature• A //,/� �2�
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion dat
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Permit No.:
II 111 13125 SW Hall Blvd.,Tigard,OR 97223 rate/By: /? I , /r .Cii1 i/ - I- r — i ,-
a Phone: 503.718.2439 Fax: 503.598.196 ;�Rs''lanReview Other Permit: �`jrr
Date/By: ,O� F /r a
TIC;A R D Inspection Line: 503.639.4175 FIVE Date Ready/By: gill IZI See Page 2 for
Internet: www.tigard-or.gov 0 Er 1 8 Z 018 Notified/Method: Supplemental Information
y� COMMERCIAL FEE* SCHERI)LE - USE CHECKLIST
,: .. v", , ;:h TYPE OF WO) ;i1 �
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alter i -'nDIVISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
v.. Value:$
CATEGORY OF CONSTRUCTION ,� .. :R'-
WDENTIAL EQUIPMENT/SYSTEMS FEES*
.� , w . ._ .
mo
4..1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family El Master builder ❑Other: Description Qty. Ea. Total
JOB SITE"INF 'RMATION . TION Heating/cooling:
Air conditioning 46.75
Job site address: t 211 r� ,,. 3 � � } �. kv� „t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 6 b &Ott Mtt tJ o q"2 -2,2-3 Furnace 100,000+BTU(ducts/vents) 54.91
``^� 6 ` _ ( Heat pump 61.06
Suite/bldg./apt.no.: Project name: ,t 2. „A _ y_ Duct work 3 23.32 q.96
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
Other:
Subdivision: Lot no.: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
fix,, DESCRIPTION OF WORK t Gas fireplace/insert 33.39
v ”' Flue vent for water heater or gas
114°° 6� r �ayr ���� 1( 4- fireplace 23.32
'� _ •,7 VVV��� Log lighter(gas) 23.32
�f, i 1/ Wood/pellet stove 33.39
� � p
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
eft .. ' L, ,, - Other: 23.32f Et , ,, -,.1, ,,,„two
Environmental exhaust and ventilation:
Name: y'( ,.,, „ii ��� Range hood/other kitchen
L 'G equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, ,e)?? 32
toilet compartments,utility rooms) i 23.32 oC 7,.'
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
a APPLICANT I;0. -.' O AC., ' ®1 w Other: 23.32
Business name: :D lie r.iA c.rj/ f, Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: 7D 1 14 Furnace,etc.
Address: V7 -2 �� LA) ,S /_ i /^`e L, g / Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: �i/A,,f D q 2 0/2 Water heater
Phone:(fi'f�7,) 34'7--/0 "1 Fax::( f� ) '�` y�� Fireplace
V�F 1 y _!�(/pyieviI h e � w /f r< Barb
ange
E-mail: ��� i"S-% Barbecue
CONTE Clothes dryer(gas)
Business name: v s� "D i 11i/�j�j ,1/�,� Other:
`�dG F• �( "�� " �/ MECHAI�C��� pERhIIT'FEES* 4
Address: Cj sVe / 5 v Subtotal �3,�
--� l Minimum permit fee($90.00)
City/State/ZIP: /�
ty �' / `� �� Plan review(25%of permit fee)
Phone:513) 7 It 'L ..7_ Fax:( ) State surcharge(12%of permit fee) f/ j /
CCB lic.: 5 .3 a¢ � 't 7
` This permit application expires if a permit is not obtained wt hi 0
�/ �j47/(/( days after it has been accepted as complete.
Authorized signature: -�L��/ 1,C * Fee methodology set by Tri-County Building Indus,. ervice Board
Print name: r/ ' G Date: (� `(� ,
I:\Building\Permits\MEC_PermitApp_04011 .doc 440-46171(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: emit 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\Permits\MEC_PermitApp_040113.doc 2