Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00431
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2007
PARCEL: 1 S 136CA - 02009
SITE ADDRESS: 10900 SW 78TH AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: RONNIE
Project Description: Add vent fan for attic bathroom, add gas piping and hood for new gas range.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
SCOTT & JULIE RONNIE Description Date Amount
10900 SW 78TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 7/17/2007 $72.50
[TAX] 8% State Surcha 7/17/2007 $5.80
Total $78.30
Phone: 503- 341 -5695
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue By: , � / / Permittee Signature:
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 Application - - ' FOR USE O ' '
• `' „' City of Tigard Date /By: 7 / i/ U 7 Permit No.: `j �1 e , + '>� 5
11,
.
q 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review w
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready /By: ®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.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. 1 Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Air conditioning or heat pump
'
/ 00 Ste ' (requires site plan showing placement) 14.00
CityIState /Z1P �i G 2 � o R 5 3'a a-3
Furnace 100,000 BTU (ducts /vents) 14.00
■ Furnace 100,000+ BTU (ducts /vents) 17.90
QMNil Suite/bldg. /apt. no.: Project name: 3F N\ Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above I / 6.80
Subdivision: Lot no.:
. Other: 10.00
Tax map /parcel no.: Other fuel appliances
, • DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
ADO 44-1}} t zo e.+ f ft , '. 6 S- roLJ ) 1 MC , 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
PI: PROPERTY OWNER El TENANT
Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
� Range hood/other kitchen
Address:
/ C 5. 4-? TO l equipment / 10.00
City /State /ZIP: , G „ A Ra 0 (1 73/113 Clothes dryer exhaust 10.00
1 Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
_ Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Fax: Phone: ( ) ( ) Water heater
Fireplace
E -mail: Range f
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
fie R Other:
Address: / 3/00 MECHANICAL PERMIT FEES*
City /State /ZIP: 1, Ci -AQ Q 6 7 �z�? Subtotal
G Minimum permit fee ($72.50) — 7, - ,{• 0
Phone: (9:13 ) 3 t J e 5 - Fax: ( ) Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee) b. g 6
TOTAL PERMIT FEE '7 '.
Authorized SI nature: This permit application expires if a permit is not obtained within 180
g days after i t has been accepted as complete.
Print name: c it I " Date: 7-6 4_ / 4 * Fee methodology set by Tri- County Building industry Service Board
co /� '
el/ tP 7
1:\ Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and •
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1: \Building \Permits \MEC- PermitApp.doc 01/19/07 2
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 00431
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 7/17121)07
Phone: (503) 639 -4171 l��iia ', i
Inspection Requests (24 Hrs.): (503) 639 -4175 p° � 9 !0-, '� ..
INSPECTION WORKSHEET FOR DATE: 2/13!2018 TIME: 7 :01AIVI PAGE: 21
SITE ADDRESS: 10900 SW 78TH AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: RONNIE
DESCRIPTION: Add vent fan for attic bathroom, add gas piping and hood for new gas range.
OWNER: RONNIE, SCOTT & JULIE PHONE #: 503- 341- 5695
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 7J•13/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064954 -01 603-341-5695 N
Corrections /Comments/ Instructions:
10 APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater /S OA Phone #: (503) 718 -y