Permit (53) CITY OF TIGARD MECHANICAL PERMIT
a '' COMMUNITY DEVELOPMENT Permit#: MEC2016-00449
T f{_A R JD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/20/2016
Parcel: 1S136AD02601
Jurisdiction: Tigard
Site address: 7007 SW PINE ST
Project: Post Subdivision: VILLA RIDGE Lot: 5
Project Description: Gas lines for range and future water heater.
Contractor: OWNER Owner: HYLAND, BONNIE
MATT&BONNIE POST 7007 SW PINE ST
7007 SW PINE ST PORTLAND, OR 97223
TIGARD, OR 97223
PHONE: 503-522-4933
PHONE: 503-522-4933
FAX:
FEES
Specifics: Description Date Amount
Fuel Piping 06/20/2016 $14.15
Type of Use: SF 12%State Surcharge-Mechanical 06/20/2016 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/20/2016 $75.85
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct• = '• • OUNC b calling 503.232.1987 or 1.800.332.2344.
lss •d By: , # 0(u� Permittee Signature: 1/' PriVd\PO-12:}\--Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR 0141( II I SF 0 y IA
v
City of Tigard d
Date/ReceiBy:
- /4 �. / Permit No.: H t i 4,,.. 60
ai 13125 SW Hall Blvd.,Tigard,�� _d Y
;� Plan Review Other Permit:
. Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
l I(;A R I) Inspection Line: 503.639.4175 JUN 0 2 f1ll16 Date Ready/By: tuns: VI See Page 2 for
Internet: www.tigard-or.gov 2 i'`` Notified/Method: Supplemental Information
S T,ig ti0 511
C014)11 c!A!AL FEE!SC EIIULE,r USE CIIIECKLISf .
1 M Mechanical permit fees*are based on the value of the work 1
/Q New constructionAddi Io"a teratton/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
' CA`1CLGOR! F MSTRtJC)t'ION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
VI I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
, tojitNtic1NiiblittiOtoN,SND LOCATION! ..'
Heating/cooling:
_ Air conditioning 46.75
Job site address: -700-7 Si PN t s f t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7( 6,. O CZ._ q 72 23 Furnace 100,000+BTU(ductslvents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Pt,. E/6 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
Other: 23.32
Subdivision: Lot no.:
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
6-ef5 Li 7 . STOt,6/ovE/_ ,� fireplace 23.32
c IV e_ C" 1 T2 s' O Log lighter(gas) 23.32
^� /y M 1 �-"` Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: /\147T �, RI S 1— Range hood/other kitchen
I equipment 33.39
Address: 75C> Sw f ild E. Sr Clothes dryer exhaust 33.39
City/State/ZIP: .T1 6-4er) oQ 97 z z 3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone: (>� 7 2— y9 33 Fax:( ) Attic/crawlspace p
ace fans 23.32
.�"
APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: •
$14.15 for first four;$4.03 Tor each additional
Contact name:j1/11 P2 j Furnace,etc.
Address: 76 6 7.0 w p A,& Gas heat pump
t Wall/suspended/unit heater
City/State/ZIP: 776 j2 ce_ 17 e 2 3 Water heater /'
Phone:(5-03 S'2?—yq 3 3 Fax: :( ) Fireplace
Y �/ t
Range
E-mail: .�T r e05-7-6/ O C6 Barbecue
l '
,, '','.?":44.'11-,i4.,1', ,`. .. .._ -.:-2-f0OrlitiVarplit r Clothes dryer(gas)
/� LD _ 1 IV t 2 Other:
Business name: C/ MECHANICAL PERMIT EES*
Address: Subtotal p
City/State/ZIP: Minimum permit fee($90.00) /d' e.,a
Plan review(25%of pennit fee) -
Phone:( ) Fax:( )
State surcharge(12%of permit fee) /U•ke
CCB lic.: TOTAL PERMIT FEE /OO, reO
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date:6"00-16.
I.Building Permits MEC PermitApp_040113.doc 440.4617T(I I 02 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
:Tota'V to tion ...
$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`Permits\MEC_PennitApp_040113.doc 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN1 ,a
1Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: t.)11 DATE ' CEIVED:
DEPT: BUILDING DIVISION
ECEIVED
FROM:
ZOZ JUN 15 2016
CITY OF TIGARD
COMPANY: BUILDING DMSIOIN
PHONE: al — ' � 2
RE: fa3a0 SW ' - , 4Numbe0r)
(Prof cTnam r subdivision name and lot n i er)
ATTACHED ARE THE FOLLO `G ITA,.
Additional set(s)o'pl. Revisions:
Cross section(s) . d detai . Wall bracing and/or lateral analysis.
Floor/roof fr. ' ing. Basement and retaining walls.
Beam calcu .tions. ngineer's calculations.
Other(ex.' .in):
REMARKS: 6-ree-74 i\— -75 / cT/c r'rf
Routed to Permit Tec ician: Date: j — / C Initials:
Fees Due: ❑ Yes No Fee Description: Amount Due:
6A $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes El No ❑ Done
Applicant Notified: /)! L. Date: (a`/6/6 !4?, Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012