Permit CITY OF TIGARD MECHANICAL PERMIT
1 1- COMMUNITY DEVELOPMENT Permit #: MEC2013 00421
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2013
Parcel: 2S102DD00400
Jurisdiction: TIGARD
Site address: 13816 SW FANNO CREEK DR
Project: Fanno Creek Village Subdivision: EDGEWOOD Lot: 3
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Project Description: Replace existing pool heater with like kind.
Contractor: AQUA CARE POOL AND SPA SERVICES Owner: SOLARES HOMES L L C
12532 SW 123RD AVE 13556 TWIN CREEK LN
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
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PHONE: 503 - 590 -7999 PHONE:
FAX: 503 - 590 -1862
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/25/2013 $69.06
Class of Work: ALT Type of Const: Plan Review 07/25/2013 $17.27
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/25/2013 $8.29
Stories:
Project Valuation: $500.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 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: Vent Systems: Total $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Pool heater
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 , rmit— wiIl If is not started within 180 days of
iss ce, or if work • • suspended for more the 180 days. ATTENTION: Oregon law requires you to follow th rules adopted by the Oregon
tility Notification Center. •. - rules are set forth in OAR 952 - 001 -0010 throug OAR 952 - 001 -0090. You ay obtain a copy of the rules
or direct questions to OU • . calli . 03.232.1987 or 1.800.332.2344.
Issued By: ` ? , Permittee Signature: _
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 proje t.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ()NLY
City of Tigard
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v II . ED Received �5' _ Pe Date/By: l l C!/C / — Oa
13125 SW Hall Blvd., Tigard, OR 972 It 1 EIVED Pl
D
ate By: Phone: 503.718.2439 Fax: 503.598.1'61 ar Review Other Permit:
TI G A R D Inspection Line: 503.639 I! , I . 5 ":3 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
OFTIGARD
• TYPE OFI1LVI COMMERCIAL 'FEE* SCHEDULE — 'USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction gl Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 12 Other: r ^ —� mechanical materials, equipment, labor, overhead. and nrnfit
Value: $ BOO r tro
CATEGORY OF •CONSTRUCTION RESIDENTIAL,EQUIPMEI■T. / SYSTEMS FEES*
❑ 1- and 2- family dwelling [ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
/3g /'6 " JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: APS' Q4/ FANN° CAEEK DR Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: - A. t OR. Quay Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: `J Project name: I FA No C6REER 1 /` J/ �C. - D pump 2
�/ Duu ct ct work 23.32
Cross street/diredions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or
#/L LL I? LI/O — - 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas •
fireplace 23.32
Ae ove 4140 i r r X ��J..���j Log d ghte e (gas) 23.32
(,[� G /� 7 Wood/pellet stove 33.39
Pool le_ t neLv 7/ G> 2L. Wood fireplace /insert 23.32
Chimney/liner /flue /vent 23.32
.'`PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: »)4ftR 5DLARE9 Range hood/other kitchen
,� r equipment 33.39
Address: F : g!g 5� /NUa e/2&zx P1 Clothes dryer exhaust 33.39
City /State /ZIP: 0119 RAP D t 917P•42V Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: 03 . 5-1 , 2 !; f 9 / Fax: ( ) Attic /crawlspace fans 23.32
1 •• ' ',* APPLICANT. . ■ CONTACT PERSON Other: 23.32
Business name: . A 41LA- CfiRE POOL E SpAt r / f/ ES Fuel piping:
14.15 for first four; $4.03 for each additional
Contact name: PeR R y W h 1 fwo h ` Furnace, etc.
Gas heat pump
Address: ‹,u) !� RD Ave_
/.7.53 Wall /suspended/unit heater
City/State /ZIP: (` r R D 0Q 9722 Water heater
Phone: ( )) t • � O _7 91? F a x : : (5 3) 5" 9'() '/8(j Fireplace
J Range
E -mail: / /Oa t!l3REPFAGNfIER -COM Barbecue
. CONTRACTOR Clothes dryer (gas)
Other:
Business name: A 44 4» c lue p i
g sw ekvirE5 MECHANICAL PERMIT FEES*
Address: M C 27 2 S w 1 a3g.p 1, Ve Subtotal
64' 00
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City/State /ZIP: Wog p dp q72,23 Minimum permit fee ($90.00) •
///!!!��� Plan review (25% of permit fee) 7 - 17
Phone: 3 ) yC l ll d`(- Fax: ( ' ) � �- f � 2... State surcharge (12% of permit fee)
CCB lic.: L I 7 t TOTAL PERMIT FEE 9 (, 2-
5 e This permit application expires if a permit is not obtained within 180
I days after it has been accepted as complete.
Authorized signa /� ` " • Fee methodology set by Tri- County Building Industry Service Board
Print name: ' - * 1 , ■ / Date: -. _ —1
1:\Building\Permits\MEC_Penni • pp_040113.dm 440 -46171' (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.
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$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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