Permit (13) 71 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: MEC2019-00758
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2019
Parcel: 2S104DC01800
Jurisdiction: Tigard
Site address: 13643 SW BENCHVIEW PL
Project: Monahan Subdivision: BENCHVIEW ESTATES Lot: 18&PT
Project Description: Replace furnace and A/C. Placement of A/C must meet manufacturer's requirements.
Contractor: COMFORTCO Owner: TAN, SIMSUNDARETH S& KOANN
PO BOX 2386 13643 SW BENCHVIEW PL
GRESHAM, OT 97030 TIGARD, OR 97223
PHONE: 503-761-7777 PHONE:
FAX:
FEES
Specifics:, Description Date Amount
Air Conditioning 10/29/2019 $46.75
Type of Use: SF Furnaces< 100K BTU 10/29/2019 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/29/2019 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 5ptcialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the -rules'adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. .You tiay,.obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
<' r Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicationfb f 1 1 i FOR OFFICE USE ONLY
City of Tigard N- Received
`J g DateBy:/0/...10 7 ',. Permit N e/ �1.,/ /V 75...1)
• 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 2 9 Za 19 Plan Review/ C •moi/ J
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit:
Inspection Line: 503.639.4175 } Date Re
I I C;n R I) V 1'q yA 0 r t Date Ready/By: runs 0 See Page 2 for
Internet: www.tigard-or.gov °s, ' IpN,r,^ ,,;,, Notified/Method:
i' Supplemental Information
OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
e 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. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
1 �2 Air conditioning 1 46.75
Job site address: t -�CO 4 _J s W F.../0LJ',�)€iL pL Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: t/ R Furnace 100,000+BTU(ducts/vents) 54.91
�) Heat pump 61.06
Suite/bldg./apt.no.: Project name:
Duct work 23.32
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
Oth
Subdivision: Lot no.: er' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
r o a N PCG- p of it, / PUL fireplace 23.32
p U S / p i)L L Log lighter(gas) 23.32
H / Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Er
Oth-PROPERTY OWNER 0 TENANTS' 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: C�7,M Fo 0_c co DGA c bM PO2 Other:
Address: e
t7 )3„ a3 g b Lv7tl�Pe_._A--2 J MECHANICAL PERMIT FEES*
Subtotal 97t3 .6
City/State/ZIP: CC y g —yl t Qa.--) 1 4,/"�.3'(} Minimum permit fee($90.00)
i"[< Plan review(25%of permit fee)
hone:( ) Fax:( )
State surcharge(12%of permit fee) /7,, a-2
CCB lic.: a U 9 5 aID TOTAL PERMIT FEE /aef 7.Z.
I This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: c4.... * Fee methodology set by Tri-County Building Industry Service Board
Print name: bH 7i 2e44 C (,j v.e...4„. Date: i 01.2... of ) -," 7/, L 3
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I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) q5
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.
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