Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2019-00823
T I G,AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2019
Parcel: 2S102CCO2100
Jurisdiction: Tigard
Site address: 10165 SW HILLVIEW ST
Project: YEE Subdivision: FRELEON HEIGHTS NO.2 Lot: 24
Project Description: Adding(1)wood stove.
Contractor: WEIRWOOD CHIMNEY&STOVES Owner: YEE, DORIAN D& KRISTI S
217 NE 6TH AVE 10165 SW HILLVIEW ST
PORLAND, OR 97232 TIGARD, OR 97223
PHONE: 503-729-2160 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Wood Fireplace/Insert 11/21/2019 $23.32
Type of Use: SF 12%State Surcharge-Mechanical 11/21/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 11/21/2019 $66.68
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are -t forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC lin 3.232. p 87 or 1y 32.2344.
t^ /
Issued By: MF Permittee Signature: A.A.1.key.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
`-I
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ) FOR OFFICEE! USE ONLY
City of Tigard DateBy: ` Pr. q 20,111
, ,L[LL' ',
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
IS Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I GA R D Inspection Line: 503.639.4175 Date Ready/By: Juris: iii See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
; ``, l� Air conditioning 46.75
Job site address: '01�S l�l\\�ce�`. ' , Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tk%N'a ( (`Q, l 1223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: �\JJ Projectname: Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
� A V - Residential boiler(radiator or
\�JC -` �V k- C\'`C\\\�i kE l,C) 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
Flue vent for water heater or gas
1 fireplace 23.32
W `S v Q., • r J 1 0•\,V �On Log lighter(gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplace/insert J 23.32
Chimney/liner/flue/vent 23.32
Oth
0 PROPERTY OWNER 0 TENANTS' 23.32
Environmental exhaust and ventilation:
Name: i 5 Range hood/other kitchen
��
� ` , ` ` ' equipment 33.39
Address:
0`(DS.Su.. 1r T A 1,`V(€1,0 S& Clothes dryer exhaust 33.39
City/State/ZIP 6d Of. Rj 2?,3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 0 ) a4_ (r"\ 7 Y2.4 Fax:( ) Attic/crawlspace fans 23.32 _
0 APPLICANT 0 CONTACT PERSON Other 23.32
Business name: Fuel piping:
t $14.15 for first four;$4.03 for each additional
: `
Contact name .0.e_ Furnace,etc.
0 I Gas heat pump
Address: Ffi ) -
Wall/suspended/unit heater
City/State/ZIP: tr Ore, q 1 a N..3 Water heater
Phone:GD fnl'� i 0'7 Fax::( ) Fireplace
� Range
E-mail: l Y(-n��'ee !� e COvn(Nct t, re` - Barbecue
���444 CONTRACTOR Clothes dryer(gas)
���o � �7 ��} climes:.
Other:
Business name: ullU 1L v-�C� Jnm .� c� I Oes_ MECHANICAL PERMIT FEES*
Address: a 1 �t� (O \ A i e, V Subtotal
City/State/ZIP: �- ` Q o r G ! f 1 "1 Minimum permit fee($90.00)
CX Plan review(25%of permit fee)
Phone:(e3a ---)aci 4 t Lo O Fax: ) State surcharge(12%of permit fee)
CCB lic.: aD 1... '-1 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature914Z)sett.,
* Fee methodology set by Tri-County Building Industry Service Board
Print na Date:`I �L)PI:\Building\Permits\MEC_PermitApp_040113 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.
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