Permit (104) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00026
s 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/13/2016
2S102CB06000
Jurisdiction: Tigard
Site address: 10435 SW GRANT CT
Project: Blossom Hair Salon Subdivision: WINSOME TERRACE Lot: 4
Project Description: Adding vent fan to salon area.
Contractor: OWNER Owner: STOKES, RYAN &WENDY
RYAN&WENDY STOKES 10435 SW GRANT CT
10435 SW GRANT CT TIGARD, OR 97223
TIGARD, OR 97223
PHONE: 503-708-9524 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 01/13/2016 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%Slate Surcharge-Mechanical 01/13/2016 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/13/2016 $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
UtilityNo�e
tmer. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d- ct questions to O C b calling 5'03,.2,32.�1987L/'or 1.800 332 2344 /+
I sued By: CC�T/�`�' Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection ddatee..!'"'—
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 A 1' ' X11' ETA
City of Tigard 1 777
(4 (� pcmlit No13125 SW Hall Blvd.,Tigard,OR 972237 ��C�r�Phone: 503.718.2439 Fax: 503.598.1960 Odle,Permit11 _Inspeetion Line: 501639.4175 �. 1 3 fInternet: www.ti and-or. ov eady'By Jura. ® See Page2for
g g d: SIpplemenlal Information
�ll'1'lJl� al(,AKU
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 profid.
Pjj Value:
]-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
Multi-family ❑ Master builder ❑Other: Description I Qty. Ea. Total
Heating/cooling:
' J Air conditioning 46.75
Job site address: L �j(,c/ Furnace 100,000 BTU(duosvcma 46.75
City/State/ZIP: f G Z Furnace 100,000+BTU(ducts venlsl 54.91
Heal pump 61A6
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: `F e H dronic hot water system 23.32
Residential boiler(radialor or
h dronic) 23.32
Unit healers(fuel-type,not electric),
in-wall,in-duct,suspended,ele. 46.75
Flue/vent for any of above 23.32
: 23.32
Subdivision: Lot no.: Other
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( as) 23.32
Wood/ elletstove 33.39
Wood fireplace/insert 23.32
Chinue /liner/flue/vena 23.32
WIOPERW OWNER ❑ TENANT - Other: 2332
• _ - - � Environmental exhaust and ventilation:
Name: W e 75 Range hood;other kitchen
equipment 33.39
Address: 10 c / /d rt C Clothes dryer exhaust 33.39
City/State/ZIP: T /t`l �p` 223 Single-duct exhaust(bathrooms,
loilet compartments.utilityrxans) 23.32
Phone:(5103) Fax:( ) Attic/emwls ace fans 23.32
y t .c • '.! CANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for firs[four;$4.03 for each additional
Contact name: Furnace,Lie.
Address: Gas heat pump
Wall suspended unallealcr
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail:
Barbecue
Rwir6: .>• :RWY
a �=; Te,''!�j :rf Clothes dryer(gas)
Other
Business name:
rG
�%�� �
Address:
Subtotal
City/State/ZIP: Minimum permit fee(S90.00)
eo
Plan review(25%ofpermit fee) f
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /U•to
CCB he.: TOTAL PERMIT FEE /00 -90
this permit application expires Bus permit is not obtained within 180
�> days after it has been accepted as complete.
Authorized signature: (� f� • Fee methodology set by Tri-(ounly Building Industry Ser'tee Board
Print name: Date:
1.Buildup Pcnnla MEC PtunnA,0,10113.dnc 440461',111 02(`0x1 N'I In
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-F mily Fee Schedule:
Total Valuation: srimi ;f~e�i_,
$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.
I Building Pcnnits MEC_PenmtApp 040113die2
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
10435 SW GRANT CT, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00026
David Young
Violation Summary:
Inspector Contractor