Permit CITY OF TIGARD MECHANICAL PERMIT
14 s . COMMUNITY DEVELOPMENT Permit#: MEC2020-00274
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2020
Parcel: 2S111AD05500
Jurisdiction: Tigard
Site address: 8750 SW PINEBROOK ST
Project: Smith Subdivision: PINEBROOK TERRACE Lot: 78
Project Description: Replace NC and furnace and repair some ducting.
Contractor: ADVANCED HEATING&AIR CONDITIONING INC Owner: SMITH, NICHOLAS I
5825 SE FOSTER RD 8750 SW PINEBROOK ST
PORTLAND, OR 97206 TIGARD, OR 97224
PHONE: 503-774-0161 PHONE:
FAX: 503-774-4391
FEES
Specifics: Description Date Amount
Air Conditioning 05/20/2020 $46.75
Type of Use: SF Furnaces<100K BTU 05/20/2020 $46.75
Class of Work: ALT Type of Const: Duct Work 05/20/2020 $23.32
Occupancy Grp: 12%State Surcharge-Mechanical 05/20/2020 $14.02
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $130.84
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.2J .1987 or 1.800.332.2344.
Issued By: /� Permittee Signature: ,? ,
xer4‘.....
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.3/s/
Mechanical Permit ApplicaCE I V E D
City of Tigard Received `
Date/By: d /�/2...C/ sQ 0 Permit N F-- n�2e,Jia4, 7�
;�: . 13125 SW Hall Blvd.,Tigard,OR 97223 IA Ay 0 b 2020 Plan Review ^'C V L�`�/fr/ Go
Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit:
T I G,11t U Inspection Line: 503.639.4175 ,(.J i Y O F Irr GA
p ' Date Ready/By: r / lugs: Fa See Page 2 for
Internet: www.tigard-or.gov �./ 7iif"lP3 Notified/ ethod:�/Iy 26) .w Supplemental Information
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4' TYPE OF WORK COMMERCIAL FEE* SCHEDULE —'USE CHECKLIST''
Mechanical permit fees*are based on the value of the work
❑New construction [2.Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
t Value:$
( CATEGORY OF CONSTRUCTION i
"' RESIDENTL4.L EQUIPMENT/SYSTEMS FEES*7-5'+
®1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special inJbrmulion use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea Total
JOB SITE INFORMATION AND LOCATION K,� E ' e Heating/cooling:
.lob site address: Air conditioning 1 46.75
8750 SW Pinebrook Street Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: Ti Ti.and OR 97224 Furnace 100,000+BTU(doets/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 1 23.32
Cross street/directions to job site: Off of Hall 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:
"fax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Nrr Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace the furnace and AC and repair some ducting. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
`"4'. Other: 23.32
ER PROPERTY OWNER 0 TENANT : _
Environmental exhaust and ventilation:
Name: Nick Smith Range hood/other kitchen
Address: 8750 SW Pinebrook Street equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
Eia APPLICANT ❑ 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
E mail: f� L S� Range
Barbecue
.,?` a' t,Paf a. "` Clothes d er(gas)
Business name: 4....4 ic�N(Z) --i,...Z--7.Al c 4�� Other
�`77' MECHANI,CAL.PERMITFEES,,
Address: SeF,2 J J -- s TIC_ ,e6 Subtotal 1 16.87_
City/State/ZIP: /`),7 7 L . � / 1 C " /�
9,701d _ Minimum permit fee permit
fee)
Plan review(25%of permit fee)
Phone:�03) '7 /�. -B ! Fax:( ) State surcharge(12%of permit fee) /yl p
CCB lie.:9,s 73 TOTAL PERMIT FEE `30fer
a Thu permit application expires if a permit is not obtained within 18
days after it has been accepted as complete.
Authorized signature: fi * Fee methodology set by Tri-County Building Industry Service Board
Print name: r I Date: 5/5/2020
I'.1BuildingWPermits/MEC PcnnitApp_040 113.doe 440-46171(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit lee:
$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:1Building\Pennits\MEC_PermitApp_040I 1 3.doc 2