Permit (166) CITY OF TIGARD MECHANICAL PERMIT
I ' ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00132
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/07/2019
T t C r\R.T) g Parcel: 2S103CCO2800
Jurisdiction: Tigard
Site address: 13965 SW AERIE DR
Project: MITRA Subdivision: EAGLE POINTE Lot: 3
Project Description: Replacing(2)bathroom fans.
Contractor: MAUGHAN DESIGN INC Owner: MITRA, KEERTHI A
1910 NW LOVEJOY ST SRIKANT,ARCHANA
PORTLAND, OR 97209 13965 SW AERIE DR
TIGARD,OR 97223
PHONE: 503-241-4059 PHONE:
FAX: 503-241-7029
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 03/07/2019 $46.64
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/07/2019 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/07/2019 $43.36
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 50 .232.1987 or 1.:00.332.2344.
.Z /
Issued By:707 , ' ee Signature:
6
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 Application_... FOR OFFICE t SE ONLv
s'`' %' Received
•
City of Tigard Date By: q ' ��
v 13125 SW Hall Blvd.,Tigard,OR 97223 ra
Afi
Phone: 503.718.2439 Fax: 503.598.1960 .1%;? Plan Review
i °'1"IN Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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lid :i 11 �
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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
ATR (R O Cl1I�1F11?N
Value:
r;
..
,.: . :: . > : '- �71f+Itt+t1{ iszcFttt,s5t1*tms*
11 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
JOB r 1D toeATlON ` Heating/cooling:
Air conditioning 46.75
Job site address:13965 SW Aerie Dr Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000-F BTU(ducts/vents) , 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:MITRA Duct work 2 23.32 46.64
Cross street/directions to job site:SW 1231m TERRACE 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.:2S103CCO2800 Water heater 23.32
i ikii, `T NOF Oilie Gas fireplace/insert 33.39
Flue vent for water heater or gas
REPLACE 2 VENT FANS IN BATHROOM fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
�a PROP. RTY€1WNE = # :i 1+AkI
,. Environmental exhaust and ventilation:
Name:Keerthi Mitra&Archana Srikant Range hood/other kitchen
equipment 33.39
Address:13965 SW Aerie Dr Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)579-3534 Fax:( ) Attic/crawlspace fans 23.32
ASN ONT.Aie- g,EII N Other: 23.32
Business name:MAUGHAN DESIGN Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:DARYL OBERACKER Furnace,etc.
Address: 1910 NW LOVEJOY ST. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:PORTLAND OR 97209 Water heater
Phone:(503)241-4059 Fax::( ) Fireplace
Range
E-mail:ORDERS@MAUGHANDESIGN.COM Barbecue
C{NC'`1}R = Clothes dryer(gas) .
Business name:MAUGHAN DESIGN Other:
l4 t A a nR LT FEE
Address:1910 NW LOVEJOY ST. Subtotal 46.64
City/State/ZIP:PORTLAND OR 97209 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee) 22.50
Phone:(503)241-4059 Fax:( ) State surcharge(12%of permit fee) 10.80
CCB lic.:124374 TOTAL PERMIT FEE as .3 0
This permit application expires if a permit is not obtained within 180
�i / / Y/ /. days after it has been accepted as complete.
Authorized signature: // * Fee methodology set by Tri-County Building Industry Service Board
Print name:CASSIDY DESMA'.40 Date:3/6/19
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:
Tota , alt er i +
$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
Tel: 503.718.2439
Location: Inspection Date:
13965 SW AERIE DR, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Mechanical MEC2019-00132
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor