Permit CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2019 00847
TL£,.ART? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2019
Parcel: 1S125DD04800
Jurisdiction: Tigard
Site address: 9765 SW VENTURA CT
Project: VANDEGRIFT Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: 56
Project Description: (1)bathroom exhaust fan.
Contractor: PORTLAND CONSTRUCTION SOLUTIONS Owner: VANDEGRIFT, GREGORY
14915 SW 72ND AVE MERKL, JULIE
TIGARD, OR 97224 9765 SW VENTURA CT
TIGARD, OR 97223
PHONE: 503-908-9822 PHONE: 971-808-9106
FAX: 503-336-6557
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 12/04/2019 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/04/2019 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 12/04/2019 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B ,e?7,7,44 y: Permittee Signature.. 4:,_ ` >
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application 1.OR OFFICE USE ONLY
City of Tigard a ° ReceivedDate/By: �firi ti
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
. Phone: 503.718.2439 Fax: 503.598.1960 - n 4. "019 Date/By: l
lMffaligAZIS
1 1 c;A i 1, Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See 'age' or
Internet: www.tigard-or.gov .-, Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,)equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
EI-1-and 2-family dwelling ❑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:
Air conditioning 46.75
Job site address: E2 ?(.'5 5"4! vL�l,,C/L4 ( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -7.-/6,420 U it_ GJ 7 Z'ZY Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump
Suite/bldg./apt.no.: f Project name: ✓,Q,�/ pc rat t 7 Duct wor 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 ,w. Gas fireplace/insert 33.39
Flue vent for water heater or gas
MCC 6-/,1,J t L-A G_ F®/I-- A p U 1 l,`oft/ O/4-- fireplace 23.32
N %itrrii for J/ (/f V7s✓6 Log (gas) 23.32
�� Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth
V' PROPERTY OWNER 0 TENANTS' 23.32
Environmental exhaust and ventilation:
Name: ) p:,1 v c i�( c_. -t Range hood/other kitchen
V equipment 33.39
Address: ' 76` 5- l VVAr7C{FL#O Cr Clothes dryer exhaust 33.39
City/State/ZIP: ..--776 44_0 o q'"7Z7_3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) I 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: J 1. Fuel piping:
�Uti7l�iCl/1/ u�✓�j /I— _? e" " �t)VtAc"r/nJ S $14.15 for first four;$4.03 for each additional
Contact name: J ' -r?4/ j�Ie/zi4NZ Furnace,etc.
Gas heat pump
Address: 7Gf'77 S 70) 7 2 "vD /ve..: Wall/suspended/unit heater
City/State/ZIP: j'd 27v✓t/a7 0 97 Z'Z 3 Water heater
Phone:gz.33) 6 Y6 76//j Fax::( ) Fireplace
Range
E-mail:ru "'"i✓I% 56 -/--Z-67 /90x 6-5 . (0/Pf Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: J) t --7 i( 4/ Qdli( jue�7747,1 t,u o MECHANICAL PERMIT FEES*
Address: /yq/5 5-tit) J ZNv Av4 Subtotal
City/State/ZIP: /Ott 7E_,4_,)v C)(e_ g 7 2 Z 3' Minimum permit fee($90.00)
A / Plan review(25%of permit fee)
Phone:(5.03) ! 0-- - 0 g 'Z Z Fax:( )
State surcharge(12%of permit fee)
CCB lic.: l 7�.G'y Z TOTAL PERMIT FEE G GJ
j This permit application expires if a permit is not obtained withid'180
/`- ---- -......e<
days after it has been accepted as complete.
Authorized Signature: _ / * Fee methodology set by Tri-County Building Industry Service Board
Print name: 7R5 2i./ 5 j,.-.4 Date:/ 2/ Gl/4.1
I:\Building\Perm ts\MEC_PermitApp_040113.doc 440-4617T(I1/02/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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