Permit '
lr
a CITY. OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00270
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/30/2008
PARCEL: 2S102BC - 01702
SITE ADDRESS: 12680 SW WATKINS AVE ZONING: R - 4.5
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT: 027 JURISDICTION: TIG
PROJECT: FIELD -EATON
Project Description: Bathroom remodel - (1) vent fan.
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:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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
FRED FIELD -EATON Description Date Amount
12680 SW WATKINS
TIGARD, OR 97223 [MECH] Permit Fee 5/30/200€ $72.50
[TAX] 12% State Surch 5/30/200€ $8.70
Total $81.20
Phone: 503- 620 -5630
Contractor:
OWNER
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.
Issued B • Of :0 it , Permittee Signatur= • ✓ 4 ► I ' `
Call 503.639.4175 by 7:00 a.m. for inspections that business d. y.
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.
t
Y Mechanical Permit Application I FOR OF -- -- __-- -
1 Received 5 / Q� OFFICE USE 'ON � // 27
City of Tigard Date/13y Permit No � ..r
. ° 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review
C Phone 503 639.4171 Fax 503 598.1960 Date/By Other Permit.
TI C A R D Inspection Line: 503 639 4175 Date Ready /By MI ® 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 $
❑ I- and 2- family dwelling 0 Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ Accessory building
For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address:
/ 2(e 8o 5 W hlr4 i K /NS A ✓i (requires site plan showing placement) 14.00
City /State /ZIP: T(, 4. R ! es. i / 7 2 2_3 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: phi-L, lUt( T Duct work 10 00
Hydrontc 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
Subdivision: Lot no.:
Flue/vent for any of above 6 80
Other 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK . Water heater 10.00
Gas fireplace 10 00
B,4 ' 7Re, 0 ,t 1 7E._ M4 DEL 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
. .V4 - ROPERTY OWNER I 0 TENANT Chimney/liner /flue /vent 10 00
Other 10.00
Name: E! F.7 E L D - E N Environmental exhaust and ventilation
Range hood/other kitchen
Address: /26, g O
$W W4l7</N5 A ✓E equipment 1000
City /State /ZIP: - 2 — ? 4,4 R> 6 R q7 Z Z 3 Clothes dryer exhaust 10 00
/ Single -duct exhaust (bathrooms,
Phone: (5 )6, a o _ S(Q 30 Fax: ( ) toilet compartments, utility rooms) 1 6 80
gJ APPLICANT ' ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: F72E j - /E L7) — Eff-TO $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
' , 1 A V , Clothes dryer (gas)
GC
Business name: / /� Other
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72 50) 72,
Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee) .'7
TOTAL PERMIT FEE I . g-c7
• Authorized signal This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: �- l2t•�� Fl '-7)- 6 D I• Date: 5 /2 y /zO.).r • Fee methodology set by Tn- County Building Industry Service Board
1\ Building \Permits\MEC- PermitAppdoc 01/19/07 440- 4617T(I1 /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•\Buildmg\Permits\MEC- PermitApp doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC20013 -00270
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5130/2008
Phone: (503) 639 -4171 otl°(i;l��
Inspection Requests (24 Hrs.): (503) 639 -4175 `':_..
INSPECTION WORKSHEET FOR DATE: 015/200' TIME: 7:00AM PAGE: 2
SITE ADDRESS: 12660 SW WATKINS AVE CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVIL.LE ADDITION LOT #: 027 TYPE OF USE:
PROJECT NAME: FIELD -EATON
DESCRIPTION: Rathroom remodel - (1) vent fan.
OWNER: FIELD- EATON, FRED PHONE #: 503-620-5630
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 0/512008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
699 Mechanical final 0755154 -03 503. 880 -0B46 1+!
Corrections /Comments /Instructions:
►:� -. _;� PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IN FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
d'q
Inspector: \\ � Date: 1 Dl, Phone #: (503) 718- ., ••