Permit . ,y
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00148
13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -4171 DATE ISSUED: 4/13!2006
PARCEL: 2S103CD -04400
SITE ADDRESS: 13530 SW 121ST AVE ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Bathroom remodel 1 exhaust.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
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:
Owner: FEES
MICHAEL BROWN Description Date Amount
13530 SW 121ST AVE
TIGARD, OR 97223 [MECH] Permit Fee 4/13/200€ $72.50
[TAX] 8% State Surcha 4/13/200€ $5.80
Total $78.30
Phone: 503- 590 -6879
Contractor: •
MASTERCRAFT ENTERPRISES INC
11440 SW LANE WOOD ST
PORTLAND, OR 97225 REQUIRED ITEMS AND REPORTS
Contact #: PRI 671 -0212
Reg #: LIC 56602
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.
Issued By: Permittee Signature: , ,0 Air ��
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 OFFICE USE ONLY
ti City of Tigard Date/By: '/ — 47 - 611 6 VTOL Permit No.V- c....2/4 /J')� o0 / p ' V
III 13125 SW Hall Blvd., Tigard, OR 97223 $ Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 3 2006 Date /By. Other Permit:
TIGARD Inspection Line: 503.639 Date Ready/By: Surfs: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: -y)6.-- Supplemental Information
BUILDING DIVISION
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: $
❑ 1 and 2 family dwelling ❑ CommerciaUindustrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
75 ---- _ s L t', ( _ /
Air heat pump
Job site address: 1 em
l (requires site plan showing placement) 14.00
City /State /ZIP: / /4'7247, 640e_ 477z= . Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU ( ducts/vents) 17.90
Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00 _
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. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00 .
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
-? 'j,» 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
AEI OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00 _
Name: .. 44 - leortit/t..) Environmental exhaust and ventilation
Address: S T • Range hood/other kitchen • �'
) 3S 5 -6 ( / /9' equipment 10.00 •
City /State /ZIP: 7 V i� �'7 Via Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms, /
Phone: (c am) 7
� o-j ,0 1, 7
79 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
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
. CONTRACTOR Barbecue
Business name: 7�7+�a��� 8/�O/u-v'd� Clothes dryer (gas)
!�� Other:
Address: / S, a/r 1J7+"/zelb s MEGHANICAL.PERMIT FEES*
City /State /ZIP: O4 97 .. Subtotal
Minimum permit fee ($72.50) D
/�� C � i
Phone: (93) $ 4611 Fax: g) c 13 70 li Plan review (25% of permit fee)
CCB lic.: s ---z # ,6, 0 —2___ • State surcharge (8% of permit fee)
TOTAL PERMIT FEE • .i
Authorized Signature: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: d �� Date:/,f73 * Fee methodology set by Tri- County Building Industry Service Board .
L\ Building \Permits\MEC- PermitApp.doc 04/06/06 A40 .46I CT (I I/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.
I:\ Building \Permits\MEC - PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: mr;r200S00 )48
13125 SW Hall Blvd., Tigard, OR 97223 '0
DATE ISSUED: 4/13i200ii
Phone: (503) 639-4171 mit ti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/1912006 TIME: 7:02AM PAGE:
417
SITE ADDRESS: 1:3630 SW 121ST AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: BROWN
DESCRIPTION: Bathroom remodel 1 exhaust.
OWNER: BROWN, MICHAEL PHONE #: f43
CONTRACTOR: MASTERCRAFT ENTERPRISES INC PHONE #: 671-0212
Inspection Request Scheduled For: Date: 4I1912006 Pour Time:
Code # Inspection De • , ion Confirm # Contact # Message
609 Meshani final 02E3316-01 503449-4646
Corrections /Comments/ Instructions:
•
•
In PASS n PARTIAL APPROVAL
CANCEL 0 NO ACCESS
fl FAIL 111 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: Date: 1 111 6 Phone #: (503) 718- 4f/Y