Permit (169) CITY OF TIGARD MECHANICAL PERMIT
91 ` COMMUNITY DEVELOPMENT t. It,4. %
Permit#: MEC2019-00205
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2019
AtemParcel: 1S134C601500
Jurisdiction: Tigard
Site address: 12220 SW SUMMER ST
Project: SCHRODER Subdivision: SUMMER HILLS PARK Lot: 16
Project Description: Replacing(1)range hood, (1)vent for furnace,and(2)single duct exhaust for kitchen and bath remodel. 4/17/19:
REPRINTED permit to include gas line to range.
Contractor: OWNER Owner: RUUD,JOREN T
BRENDAN SCHRODER SCHRODER, BRENDAN
12220 SW SUMMER 12220 SW SUMMER ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-936-9552
PHONE: 503-936-9552
FAX:
FEES
Specifics: Description Date Amount
Flue/Vent For Any of Above 04/02/2019 $23.32
Type of Use: SF Range Hood/Other Kitchen 04/02/2019 $33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 04/02/2019 $46.64
Occupancy Grp: Utility Rooms)
12%State Surcharge-Mechanical 04/02/2019 $12.40
Stories:
Fuel Piping 04/17/2019 $14.15
12%State Surcharge-Mechanical 04/17/2019 $1.70
Fuel
Fuel Types:
Gas Pressure:
Total $131.60
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspec n date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard 9 f e-, ;, ;�c '
ill
14
13125 SW Hall Blvd.,Tigard,OR 97223 �"- " '�� •
��
= Phone: 503.718.2439 Fax: 503.598.1960 lan Review Other Permit:
AP
Date/By:
7.1<,A R Inspection Line: 503.639.4175 H r'R 2019 Date Ready/By: Jam: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Y i I f A]r^i
;: yp 4 wO�-1314114000P��t/[�yioN ,iiica►�ei - .. El< ck>K ' e- .=
❑New construction )4 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Othermechanical materials,-.ui ment,labor,overhead,and.rofit
yr s,•,, Value.$
%, ,+ , 'k F94.g2; CATEGORY OF.C(I slit FON': -:::_.jr-- *'T��,if*. „,,. + ''s'
i'�'1-and 2-familydwelling
11',- xDE1TIAL �PMI lYT/6Y ,SIS FEES
0 Commercial/industrial 0 Accesso .uilding 11 ii For special information use checklist
0 Multi-family 0Master builder
❑Other: Description ,I Qty. I Ea. I Tota
���'- i 4i6i SITE mit-oRMA' IOI Heatin
'�ra,'r �, ),IVD�QC�'�l'?tN ...yK f g/cooling• -
Air conditioning 46.75
Job site address: /*2.7 2 n CJ- w 54..),I(1 E-t?- s----r": Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -7--/6,4120 C q'7 -.2-?'3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:B.26,-,,,D74,�.. r c,/4 ra0EZ Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Sw / 7/‘.--1-- G 5; C�u Mme e.57-;; Hydronic hot water system 23.32
/ Residential boiler(radiator or
bydronic) 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: 23.32
Subdivision: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
t '4 ` '''''''474'''''''UES WTION- i';RK It;;; :'':-'-) P k ' ' fir'' Gas fireplace/insert for wat 33.39
,j _ �/ Flue vent for water heater or gas
1/Gi"t/t-', # fi,,t'o✓e C fireplace 23.32
1-17/..'•///,/
1 _Log lighter(gas) 23.32
I,j! , / { - `'`.�r�,'-'+f �' -'.) r Y"� ,, )"f . Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
° 1 120 ' rs)`!, ,r G it Other: 23.32
l� � AlEnvironmental exhaust and ventilation:
Name: A61-4/14.^-)4. .cd-/J20 J£re Range hood/other kitchen
2 7 Z D equipment I 33.39
Address: 5� Sv mM 6 tZ 57"1 Clothes dryer exhaust 33.39
City/State/ZIP: "r"/6:4521> 6212_ q 72 7 3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2 23.32
Phone:O3 q <355 2 Fax ( ) Attic/crawls ace fans 23.32
APRLIC s. A► : RS01V Other: F E b'q �'4Q^--T 2332,,:k Fueli in
PP g
Business name: $14.15 for first four;$4.03 for each additional
Contact name: f3,,&Ni)s4ii c6.)-1 PoDEC- Furnace,etc.
Address: /'2 Z Z 0 _C.L.,...) Com )M(II E-f• !�`]--r Gas heat pump
- Wall/suspended/unit heater
City/State/ZIP: / 1 G t9e- q 7Z73 Water heater
Phone:( 3 (736 9552 Fax::(p ) Fireplace r
E-mail: G ra).4N�-iz�Rf,M� R�2 TZq.^..L> s C..�^'I Range -,`
Barbecue
,.;,:;41-.',,n 01C4>° o' OR t,r b Clothes dryer(gas) I
Business name: Other:
C�'��F t ,L,..5"t NICAL r. i ' ,
Address: Subtotal
City/StateJZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
t This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/O2/COM/WEB) I�
CITY OF TIGARD MECHANICAL PERMIT
`' ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00205
T I( ;A I<,() 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2019
Parcel: 1 S134CB01500
Jurisdiction: Tigard
Site address: 12220 SW SUMMER ST
Project: SCHRODER Subdivision: SUMMER HILLS PARK Lot: 16
Project Description: Replacing(1)range hood,(1)vent for furnace,and(2)single duct exhaust for kitchen and bath remodel.
Contractor: OWNER Owner: RUUD, JOREN T
BRENDAN SCHRODER SCHRODER, BRENDAN
12220 SW SUMMER 12220 SW SUMMER ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-936-9552
PHONE: 503-936-9552
FAX:
FEES
Specifics: Description Date Amount
FlueNent For Any of Above 04/02/2019 $23.32
Type of Use: SF Range Hood/Other Kitchen 04/02/2019 $33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 04/02/2019 $46.64
Occupancy Grp: Utility Rooms)
Stories: 12%State Surcharge-Mechanical 04/02/2019 $12.40
Fuel
Fuel Types:
Gas Pressure:
Total $115.75
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: / �, Permittee Signature:
ASP
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 USE ONLY
City of Tigard ' Received
III
1114
13125 SW Hall Blvd.,Tigard,OR 97223 'Sr
aw` ,'ate/By:Revl� /1?�lJii'tr!`_a�
Ian iew
Phone: 503.718.2439 Fax: 503.598.1960Other Permit:
Date/By:
Inspection Line: 503.639.4175 APR --- 2 2019
T 1 G A R D Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
t'1"."ui a btV k,lQN i, CON ERCIAL FE ...ScHED E .�c cKLf T `
TYPE;OF WOR w
Mechanical permit fees*are based on the value of the work
❑New construction 01 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Val $
` C
CATEGORY OF CONSTRUCT ue.
RESIDENTIALEVIIIPMENT/SYSAMS MS FEES* 'Alp
1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Tota)
t "SOB SITE INFORMATION:AND LOCATION `" - ' Heating/cooling:
Job site address: /✓L n rel&(2 S I AirFurnace conditioning0 ,046.75
2 �� Sc-�!'✓1 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: --/ / 6,4J2 0 ex-"L ex-"LC' 7 "2 2 3> Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: / 'J vD/4. GN ".2D( Duct work 23.32
Cross street/directions to job site: _5"'") / Z/C.-1- {� .5;.(..„0 Ccv AA/11.C. 2. -1--;; 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.: Water heater 23.32
-'71,:' " DES ION, '''''4,:tRIC ;70't4;1-'f!.,-,r4 " Gas fireplace/insert 33.39
k I -HE �,� t� 09' Flue
rep vent for water heater or gas
n� fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
j k Other: 23.32
.'ROP J f R#' ` A,,,ANT, x. u, ..
,rte Environmental exhaust and ventilation:
Name: j 1 tAta. +� ,cej-hr2 vD c 9 e Range hood/other kitchen
equipment I 33.39
Address: /Z Z ,cin_, ... u mM U7 5.7,
Clothes dryer exhaust 33.39
City/State/ZIP: .-"j /( /)2J> q 77 7 3 Single-duct exhaust(bathrooms, ,,
toilet compartments,utility rooms) 2 23.32
Phone:( 6)3 q36 C _5-5 1. Fax ( ) Attic/crawls ace fans 23.32
r,
APPLIC m .. s.{$ a ' A a ItSON Other: `5 tr r �r�---�-}" 23.32
-.... .." . FuelPip I mg:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: roPk EfG.).J poDFC. Furnace,etc.
Address: i 2 Z Z 0 !L.,J G,j evl,/V)Era Com']`r Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: ;I 6/ 49e— q 7273 Water heater
Phone:(. ,-.73. 93'6 --- 955-1....5-1.. Fax::( ) Fireplace
Range
E-mail: be rv,:).4dV E rrGG A+Ma> --R7e T7A> ,D c -'-'^'I
w � Barbecue
s ,; z s CO £.---,4e :.- OR F:4. sem" Clothes dryer(gas)
Business name: Other:
` 4. ) ANICAL30 t ,I_fit " 6..
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lit.: 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: viminimese, -. * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:
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:
Total Valuation: 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\Permits\MEC_PermitApp_040113.doc 2