Permit CITY OF TIGARD MECHANICAL PERMIT
' . 1E; = COMMUNITY DEVELOPMENT Permit#: MEC2020-00376
Date Issued: 06/20/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102DA00401
Jurisdiction:
Site address: 13125 SW HALL BLVD
Project: City of Tigard PD mod Subdivision: None Lot: None
Project Description: Installing (1)dryer vent fan in the police modular.
Contractor: OWNER Owner: TIGARD, CITY OF
CITY OF TIGARD 13125 SW HALL
13125 SW HALL BLVD TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 971-808-8897 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Mechanical Permit-RES 06/19/2020 $33.39
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/19/2020 $10.80
Occupancy Grp: Occupancy Load: Minimum Fee Adjustment-Mechanical 06/19/2020 $56.61
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $100.80
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
�//" J /`
Issued By: �y .„ , ildf Permittee Signature: 41w/- (.1-31../L"f770f1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard R E� 1\'�® RDateBy� — �l 1,riZIPA
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review .. f` L ~
'I a Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 rf 4�2oOther Permit:
/ L Date/By:
1 i t;Ali I) Inspection Line: 503.639.4175 Date Ready/By: r>vh: ® See Page 2 for
Internet: www.tigard-or.gov CITY OFA�f��D Notified/Method: LI ` Supplemental Information
TB!_III DI:' G !'.!/t <,,^N
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction [ Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family ❑Master builder El Other: Description Qty. Ea. Total
'JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: f 3125 5c_) 144.0( 3/(ii) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: i 4 Q a- g 7 'ZZ 3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: (J Project name: p O A4 O c) ,"t" 0?/ Heatpump 2� / Duct work .32
23.32
Cross street/directions to job site: 0 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
4( � !-- Flue vent for water heater or gas
jns z-, At-Cr U Z fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
FL PROPERTY OWNER ElTENANT Other' 23.32
Environmental exhaust and ventilation:
Name: C--6 1 Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 1 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ,
pi APPLICANT CONTACT PERSON Other. 23.32
_ Fuel piping:
Business name: (-CS i S14.15 for first four;$4.03 for each additional
Contact name: C J 5 h ` Sq,Hes Furnace,etc.
Gas heat pump
Address: SA,,t,
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(5e"?( ) q(]$ — SBg7 Fax: :( ) Fireplace
Range
E-mail: Jy J` -,,,,, (_ \J;,J-Cr t,f)) Barbecue
Ci(0/NTRACTOR ry „as Clothes dryer(gas)
Other:
Business name:
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)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 180
/ days after it has been accepted as complete.
Authorized signature: ,{,JV'� * Fee methodology set by Tri-County Building Industry Service Board
Print name: Ju_41,���`^0 Date:
IABnilding,Permits\MEC_PermitApp_040113.dse 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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