Permit CITY OF TIGARD MECHANICAL PERMIT
111 .
I ' COMMUNITY DEVELOPMENT Permit#: MEC2020-00097
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2020
Parcel: 1 S134DB01200
Jurisdiction: Tigard
Site address: 11015 SW 114TH PL
Project: THRASHER Subdivision: WINTERS ADDITION Lot: 6
Project Description: Replacing(1)furnace and(1)NC unit. Placement of A/C unit must comply with manufacturer's installation
requirements.
Contractor: A ABSOLUTE COMFORT HEATING&COOLING INC Owner: THRASHER, HAROLD DEE
15886 PARK PLACE CT KOVAC, LISA THRASHER
OREGON CITY, OR 97045 11015 SW 114TH PL
TIGARD, OR 97223
PHONE: 503-513-4795 PHONE:
FAX: 503-513-0797
FEES
Specifics: Description Date Amount
Air Conditioning 02/12/2020 $46.75
Type of Use: SF Furnaces<100K BTU 02/12/2020 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 02/12/2020 $11.22
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $104.72
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232. 87 or 1.800. .2344. .. 1,
Issued By: / PemMr e Signature: a7 0 4c L_-_
,,,,,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
. City of Tigard Received
Date/By: �Q�-- Permit No.: 7.
il 13125 SW Hall Blvd.,Tigard,OR 97223 I ` / mix t� G I..A.Y)[7
III RECEIVEDy:ew
Phone: 503.718.2439 Fax: 503.598.1960 DIat e/BBy: Other Permit:
T I GARD Inspection Line: 503.639.4175 Date Ready/By: J s:
Internet: www.ti and-or. ov y y: Supplemental See Page 2 for
g g F n ry Notified/Method: Information
TYPE OF WORT 1 i Y U(` TIGARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction slgt Addition/alteration/rep(acemenf' performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
,❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
1 Air conditioning f 46.75 41 )5
`
Job site address: 11 615 SW 1 J L}-31) ilAGE Furnace 100,000 BTU(ducts/vents) 1 46.75 4449,1)
City/State/ZIP: ?QQ �"VQ� /1t3 Furnace 100,000+BTU(ducts/vents) 54.91
V i l� Heat pump 61.06
Suite/bldg./apt.no.: Project name: Sii. 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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
0 ^,, ��,�[[' G f� (�_•, Flue vent for water heater or gas
1�tO° OA t.)(lot t 1 )lick AND 9JJ EnS tV)) Au Cowni o fireplace 23.32
T. 1A �Z7� (Mk ivi NU . J �&mama_ Log lighter(gas) 23.32
T• Wood/pellet stove 33.39
"V2,' i FQR,ita L Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER Other: 23.32
❑ TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 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
151 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: i.` �y, '/� P ,•` '�;1 Fuel piping:
�' S®WTKi ��tTU3Q/ /V l�t, IIM� �✓V�J- $14.15 for first four;$4.03 for each additional
Contact name: Q hn WAR-1- Furnace,etc.
Address: �Q1 1 Gas heat pump
J5�V ���` ��7` Wall/suspended/unit heater
City/State/ZIIP: O pl,p d I cliy, O p› ? Water heater
Phone:(5() ) -.5 i13v,. 114'/c 5_ i VJ� ax. . 196145 O3)5)J'0919 Fireplace
n _ Range
E-mail: �lpf � /� A"JV Q J) cO POR J ' n^ Barbecue
li CONTRACTOR „` Clothes dryer(gas)
Business name: S AI* As A PP)1,,,,�-,- Other
�+ MECHANICAL PERMIT FEES*
Address:
Subtotal -ti, i 1a,
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) !/, 1)1
CCB lic.: )3 a 07 TOTAL PERMIT FEE 1.A(111,'])s
This permit application expires if a permit is not obtained within 180
/J/ days after it has been accepted as complete.
Authorized signature: C * Fee methodology set by Tri-County Building Industry Service Board
Print name: II 1
` t- Date: a,I)a,(040
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/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.
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