The URL can be used to link to this page

Permit (5) CITY OF TIGARD MECHANICAL PERMIT IN s COMMUNITY DEVELOPMENT Permit#: MEC2020-00070 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2020 Parcel: 2S102CC01900 Jurisdiction: Tigard Site address: 10225 SW HILLVIEW ST Project: SMITH Subdivision: FRELEON HEIGHTS NO.2 Lot: 22 Project Description: Venting for basement remodel: (1)microwave exhaust, (1)clothes dryer exhaust, and (1)bathroom exhaust. Contractor: OWNER Owner: SMITH, JILL C & MICHAEL DAVID MICHAEL&JILL SMITH 10225 SW HILLVIEW ST 10225 SW HILLVIEW ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-410-1037 PHONE: 503-410-1037 FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 02/04/2020 $33.39 Type of Use: SF Clothes Dryer Exhaust 02/04/2020 $33.39 Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 02/04/2020 $23.32 Occupancy Grp: Utility Rooms) Stories: 12%State Surcharge-Mechanical 02/04/2020 $10.81 Fuel Fuel Types: Gas Pressure: Total $100.91 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of th rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. PIssued By: iv' Permittee Signature:Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application , FOR OFFICE USE ONLY 114 City of Tigard mR..,, . � `�� DateBy: 04/3) ° Permit No. 0 - L 13125 SW Hall Blvd.,Tigard,OR 97223 % / Phone: 503.718.2439 Fax: 503.598.1960 r 3 2�L Plan Review n U Other Permit: Inspection Line: 503.639.4175 r Date/By: m SJ`,j C� TIGARD or Date Ready/By: Juris: 0 See Page 2for Internet: www.tigard-or.gov , t v “-- t A-Ai t.-fi Notified/Method: ..4 Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building8 For special information use checklist Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: L 6-u j/u� : S t(t j t �'IY VI D.t. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /clay ©� Q l 2.5 Furnace 100,000+BTU(ducts/vents) 54.91 `, �N1A f � t Heat pump 61.06 Suite/bldg./apt.no.: Project name:--�'{+C'I l0 Duct work 23.32 ' Cross street/directions to job site: Hydronic hot water system 23.32 l°9�1 _ �n Residential boiler(radiator or n a t T G" `c)v{,CI(4 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: 'ti(40( {�`1� Lot no.:. .._, Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 l Flue vent for water heater or gas Iftn,G.;\ vN ` 'i ,,,,It,i ett, i - 1fireplace 23.32 Log lighter(gas) 23.32 ,- c >c.AftV L er S 111 Wood/pellet stove 33.39 triltICRD W 4.0 ,�7)c11g0 i Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: ( 1 Li( A0I�.�( � ..)v4 wk t / Range hood/other kitchen Address: i 0 2�J1 � I'` I Uz J equipment 33.39 �� 1 1l`F( ICJ S Clothes dryer exhaust ( 33.39 , '3 1 City/State/ZIP: O (i�--i.2 Single-duct exhaust(bathrooms, l I toilet compartments,utility rooms) I 23.32 43-1)..,Phone:( RJ�„�( f C f IN 2,' Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: $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: • -4'Ilit •(- C6 CRACOR ( �` / 'CO144, Barbecue Clothes dryer(gas) Business name: Other: c� MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) 0..*5 C CCB lic.: TOTAL PERMIT FEE$/U`).7 1 \ 1 This permit application expires if a permit is not obtai ed within 80 days after it has been accepted as complete. Authorized signature: ! * Fee methodology set by Tri-County Building Industry Service Board Print name: i/� Date: Z _20 2.6 B \ \ME 1:\ uildingPeEmitsC_Pcrmiit"A^ppp_ 113.docc 1 ��yy440-46177T(ll/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_PennitApp_040113.doc 2 IN ■ , City of Tigard I Permit Center T 1 „n SIGN-IN SHEET O Planning/Development Services O Building 0 Engineering Date: i J- - 002+0 * Time in: � � � Your Name (First& Lase): ttcIw , ,.. it_f-tt *Phone or email: 5O 3 `-qi O r i 0 3�7 Sitef arddress(es)/Lo ation s : f Q - 5 5-�J. t-�c' [ (� `u(d _.3- R l o-R/ ®R_ qy9-2_3 Permit/Case# (r plicable):/ Reason for visit: Check all that apply tllApply for New Permits/Submit Plans: Revise Existing Application/Permit ❑ Pay Fee ❑ Pick Up Ready Permit ❑ OTC Appointment ❑ Scheduled Meeting (with/for): ❑ Code Compliance Case ❑ Public Records Request ❑ Other: For office use only: Jurisdiction Verification 0 By: Assisted by: , j-,y,,4_, Time Assisted:2 1 3 3 Time Out: ,' ` Assisted by: Time Assisted: Time Out: `✓U Assisted by: Time Assisted: Time Out: Assisted by: Time Assisted: Time Out Staff Comments: 1:\Community DevelopmentSPermit Counter VSign-in Sheets Rev.01/2019