Permit CITY OF TIGARD MECHANICAL PERMIT
I,
�'' COMMUNITY DEVELOPMENT Permit#: MEC2015-00708
i Date Issued: 10/19/2015
TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Parcel: 2S103DB05900
Jurisdiction. Tigard
Site address: 13355 SW GENESIS LP
Project: Dynak Subdivision. GENESIS NO 2 Lot. 27
Project Description: Bath fan and vent for bathroom remodel
Contractor: OWNER Owner: DYNAK,ALAN
13355 SW GENESIS LOOP
TIGARD, OR 97223
PHONE PHONE
FAX
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 10/19/2015 $23 32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/19/2015 $10 80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/19/2015 $66 68
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
issuance, or if work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through CAR 952-001-0090 You may obtain a copy of the rules
or direct questions to 0 NC by calling 503 232 1987 or 1 800 332 2344
Issued By: I 7/e Permrttee Signature 642,
• 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
11 ! -t
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Mechanical Permit Applicati s FOR OFFICE USE ONLY
City of Tigard ro Dale/Byd/d N Lc Ingle h, tttN . CAD/SDO 70,
° 13125 SW Hall Blvd.,Tigard,OR 97223OCT 1 9 ZO15
Plan Revie
INI
0 Phone: 503.718.2439 Fax: 503.598.1960 ft� Date/B}, Other Pernut
T I G A R D Inspection Line 503.639.4175 CtT ll O DRAM) Date Ready/By Juns 10 See Page 2 for
Internet' www.tigard-or.govUILDIN^ YP�4 @�ll�� Notified/Method Supplemental Information
TYPE OF WORK (�p 1� 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*
I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special i,zforma:io,,use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46 75
Job site address: `23 S15' -) is Li'
Furnace 100,000 BTU(ducts/vents) 46 75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54 91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: t/ ,q.A
/ Duct work 23 32
Cross street/directions to job site: Hydronic hot water system 23 32
Residential boilei(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 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
VA 'ROPERTY OWNER Other: 23 32
❑ TENANT
Environmental exhaust and ventilation:
Name: i _,\ .'r, Range hood/other kitchen
Address: r _ /
equipment 33 39
� � Ills i_A ��._ _I.i_J, Clothes dryer exhaust 33 39
City/State/ZIP: ir ix_2 OIL — Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3.32
Phone:( , Fax:( ) Attic/crawlspace fans 23 32
�il� �� ter_=�
IF
II A' 'LI 4161.7 ❑ CONTACT PERSON Other. 2132
Business name: Fuel piping:
$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 diyer(gas) _
Business name: Other:
MECHANICAL PERMIT FEES*
Address: Subtotal % t
City/State/ZIP: Minimum penntt fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /D i cf3-0
CCB Ire.: TOTAL PERMIT FEE frz) .ipO
This permit application expires if a permit is not obtained within 180
i . days after it has been accepted as complete.
Authorized si nature: hI A' ._� * Fee methodology set by Tn-County Building Industry Service Board
Print name:
IV -�a� / Date:rm
I\!hold mg\Pe,inns\M EC_Pei!IAA.0_040113 doe 440-4617 r(it/02/COM/WEI3)
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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I.\Building\Permits\MEC_PenmitApp_040113.doc
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13355 SW GENESIS LP, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00708
David Young
Note: per phone conversation with owner, new bath fan vents to exterior.
Not accessible for inspection.
Violation Summary:
Inspector Contractor