Permit i
.,. '`, Ju CITY OF TIGARD
MECHANICAL PERMIT
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PERMIT #: M007 -00686
COMMUNITY DEVELOPMENT DATE ISSUED: MEC2007-00686
rIGARD 21/2200 00 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 00507
SITE ADDRESS: 11180 SW ERROL ST ZONING: R - 4.5
SUBDIVISION: ECHO HEIGHTS LOT: 010 JURISDICTION: TIG
PROJECT: MEEKER
Project Description: Move clothes dryer, extend gas line, vent dryer, add exhaust fan
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
•
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Owner: FEES
MEEKER, TIM JANE A Description Date Amount
11180 SWERROL ST
TIGARD, OR 97223 [MECH] Permit Fee 11/21/20C $72.50
[TAX] 8% State Surchar€ 11/21/20C $5.80
Total $78.30
Phone: 503- 367 -7601
Contractor:
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws.
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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center.
Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued By: r Permittee Signature: � u' 1p� `.l
/ Call 503.639.4175 by 7:00 a.m for inspections that business day. .
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 Applicati 0.41 . '* it' FOR OFFICE USE ONLY
kJ 10 - 1 a' / Received
City Of Tigard Date/By: Permit No.m�6 n -�_ pp
° 13125 SW Hall Blvd., Tigard, OR 97223 ° y ?PT! r OC 1c 0�
II : Phone: 503.639.4171 Fax: 503.598.1960 N V 2 1 Z00 l Plan Review Other Permit:
Inspection Line: 503.639 s
. T I G A R D Date/By:
Internet: www.tigard-or.gov w � Supplemental Date Ready /By: luris: See Page 2 for
t ., Notified/Method: S Information
t 7
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
ID 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.
CATEGORY OF CONSTRUCTION Value: $
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 11180 SW Errol St. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, Or 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: 112th Duct work 14.00
walnur� south on 112 left on Errol, 1 house on right. Hydronic hot water system 14.00
If Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: 2S103AD00507 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Move clothes dryer - externd gas line to dryer, vent dryer, add exhaust fan Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: Tim Meeker Environmental exhaust and ventilation
Range hood/other kitchen
Address: 11180 SW Errol St equipment 10.00
City /State /ZIP: Tigard, Or. 97223 Clothes dryer exhaust 1 10.00 f p,p0
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 2 6.80 13, 64)
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: Tim Meeker $5.40 for first four; 51.00 for each additional
Address: 11180 SW Errrol ST Furnace, etc.
Gas heat pump
City /State /ZIP: Tigard, Or, 97223 Wall /suspended/unit heater
Phone: (503) 367 -7601 Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: ..45.---( _ U > ( _
Clothes dryer (gas) 1 6:c.) S.4/t)
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) '7 d,.S L)
Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee) 5 . (e'
TOTAL PERMIT FEE 7 g, .)
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: /4-1 , j1./pep,t Date: /// S 7 • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 04/06/06 440- 4617T(11 /02 /COM/WEB)