Permit CITY OF TIGARD MECHANICAL PERMIT
1111- COMMUNITY DEVELOPMENT Permit#: MEC2014-00003
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/06/2014
Parcel: 2S109DA16400
Jurisdiction: Tigard
Site address: 15352 SW OAKMONT PL
Project: Drake Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 83
Project Description: Installation of unit heater in garage.
Contractor: COMFORT ZONE HEATING&AIR COND Owner: JEFF DRAKE
1032 NW CORPORATE DR 15352 SW OAKMONT PL
TROUTDALE,OR 97060 TIGARD,OR 97224
PHONE: 503-667-5595 PHONE: 503-888-8879
FAX: 503-491-8252
FEES
Specifics: Description Date Amount
Unit Heaters(Fuel-Type,Not Electric) 01/06/2014 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 01/06/2014 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/06/2014 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issua . if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
i ity Notification •- ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O • ca' .03.232.1987 or 1.800.332.2344.
Issued By: AV/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
KULE.41VId/
Mechanical Permit Application roll OFFICE USE ONLY
City of Tigard JAN 0 6 2014 Date/By: / (D /4 , Permit No.: j•-ti[ew/ , o6.1d0
. ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
C ' Phone: 503.718.2439 Fax: 503.01VOF Tp�IGACRD Date/By: Other Permit:
"I IGAKD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: luris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST .
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
. Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*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:
/CD SG,) O l ; rt aZ Furnace r conditioning
100,100,000 46.75
Job site address: �, Face 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: . A at Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
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 Y 33.39
l I _ Flue vent for water heater or gas
Oy1l; _. et fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 _
Chimney/liner/flue/vent 23.32
ra'P il(OPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: \ „ ( Range hood/other kitchen
c equipment 33.39
Address: /5- 3 5G-J o0. I; fVt --t 1-- Clothes dryer exhaust 33.39
City/State/ZIP: "-Ti d k Single-duct exhaust(bathrooms,
1 toilet compartments,utility rooms) 23.32
Phone:(5b3 ) efaP B 74 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT / ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address:
Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range •
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
/I /` 4.4e,„/—
r Other:
Business name: �Qy�trtTlQ- 7); A C inc MECHANICAL PERMIT FEES*
Address: /03 2 0/1"-) Chia a+e Subtotal
City/State/ZIP: ---pc),,- -.06_Le
D dj-7Q(aCD Minimum permit fee($90.00)
9 -(--'61 Plan review(25%of permit fee)
Phone:(f ) (9G 7 S S T Fax:( )
State surcharge(12%of permit fee) _ /o• �D
CCB lic.: /(0QQr TOTAL PERMIT FEE /�j•kD
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur Q • Fee methodology set by Tri-County Building Industry Service Board
Print name: IDa,_Jr d Pel,/S-rdi L Date: /— 6-- /Cf
I:\Building\PermitsVMEC_PermitApp_0401I3.doc 440-4617T(I I/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.
$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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