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Permit (120) ,� CITY OF TIGARD : s/ /��` MASTER PERMIT 1. . COMMUNITY DEVELOPMENT '.., ,0 , /A, Permit#: MST2019-00366 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 �, Date Issued: 09/12/2019 Parcel: 1S133DD12100 Jurisdiction: Tigard Site address: 11912 SW 126TH PL Subdivision: VILLAGE AT SUMMER LAKE PARK NO.4 Lot: 158 Project: Lan Project Description: Adding(1)beam and footings for kitchen remodel. 10/7/19: REPRINT to add(2)single duct exhaust fans. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Total: sf Value: $2,000.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add.]500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 Owner: Contractor: FRIEDE FAMILY TRUST CORNERSTONE BUILDERS INC Required Items and Reports(Conditions) BY LAW,TANA M&GERALD K TRS 7849 SW CIRRUS DR 11912 SW 126TH PL BEAVERTON,OR 97008 TIGARD,OR 97223 PHONE: PHONE: 503-671-9538 FAX: 503-671-9640 Total Fees: $333.17 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All wort i,,will be done in accordance with approved plans. This permit will expire if work is not started within 180 days issuance, or i is suspended for ore the j180 days. ATTENTION: Oreg./ - requir-s you to follow e r -s adopted by the Oregon Ur. • .0 ion - ter. Those .les are set fo'h in 'AR 952-001-0010 through O - 001 9-.4. You i obtain- •py J7e rules or direct questions t.sill NC by c-ling r_. 987 0 1.800.332..s44. f Issued By: �1 / Permittee Signature: ��_ ,/ �l Call 503.639.4175 by 7:00 a.m.for the next available inspec,on date. - 1—•77 This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application �i FOR OFFICE USE ONL\' City of Tigard R I N 1p'eceived Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 7 Plan Review m Phone: 503.718.2439 Fax: 503.598.1960OCT 2019 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: I Bf See Page 2 for Internet: www.tigard-or.gov CITY OF II GARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK } ''a"' , +t MMERC AL FEE* SCHEDULE USE CHECKLIST c , th �r' apical permit fees*are based on the value of the work ❑New construction ddition/alteration/replacement - I/ `ormed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: r f/' mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* cal_and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: r 1 `" 2 Air conditioning 46.75 Job site address: } y t� 11,4" p 7 rt.._ � Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:''' Fr,7th �`7 i L„,, 7 Furnace 100,000+BTU(ducts/vents) 54.91 } Heat pump 61.06 Suite/bldg./apt.no.: C Project name: G W Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or 1IV ()A) i L 1 (5,I, '-`.w.- hydronic) 23.32 p' , �,. d 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: I Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater _ 23.32 DES ION O''W©t2IC Gas fir eplace/insert 33.39 Flue vent for water heater or gas ! ,', fireplace 9,/ � ` ' � J .. Pg Log lighter(gas) 23.32 23.32 4 Wood/pellet stove 33.39 jKt )l h �C 0 t&' e'A 41,1 —61-44 S + Wood fireplace/insert 23.32 e ►rvt � '` �7t� 1!J/ ,r C��i � Chimney/liner/flue/vent 23.32 Other: 23.32 Ch` flPERT'Y OWNER (�ti TBIVAN I r Environmental exhaust and ventilation: Name:--71^ ' t” ? V ' 7 ,../A vv Range hood other kitchen equipment 33.39 Address: j/ .' ( ''°t M- Clothes dryer exhaust 33.39 Ci /State/ZIP: !! „ Single-duct exhaust(bathrooms, ty 8 t C r` ` 1 toilet compartments,utility rooms) 23.32 Phone:( 3) t -- Vie/ Fax:( ) Attic/crawlspace fans 23.32 APPLICANT f ' 0'CONTACT PERSON Other: 23.32 �-, Fuel piping: Business name: " % � �.' � $14.15 for firstfour;$4.03for each additional Contact name: w Furnace,etc. �° pump Gas heat um Address: 7-72,1 5 "T, , ,,, Wall/suspended/unit heater City/ tate/ZIPt ter Phone: " • ' Fax: : Fireplace - Range E-mail: /y/ t(-4. 8, ' tri _ &e(✓' „ ( t.'., Barbecue CONTRACTOR Clothes dryer(gas) Business name: 1'1 Other: " L `"' MECHANICAL PERMIT FEES* Address: 72721 f G` Subtotal City/State/ZIP: .,,,,tMinimum permit fee($90.00) Plan review(25%of permit fee) Phone:(.4-7;2'4 2' Fax:( ) State surcharge(12%of pe,utit fee) CCB lit.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 y days after it has been accepted as complete. Authorized ' ture `" „ ' * Fee methodology set by Tri-County Building Industry Service Board Print name _ tZ,.." ; . Date: ' l:\Building\Permits\MEC_PermitApp_0401I3.do 440--4617T(111//02/CI M/WEB) INCITY OF TIGARD MASTER PERMIT 71 COMMUNITY DEVELOPMENT Permit#: MST2019-00366 Date Issued: 09/12/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S133DD12100 Jurisdiction: Tigard Site address: 11912 SW 126TH PL Subdivision: VILLAGE AT SUMMER LAKE PARK NO.4 Lot: 158 Project: Lan Project Description: Adding (1) beam and footings for kitchen remodel. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Total: sf Value: $2,000.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 1 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+amp/volt: ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Ecompasing: Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 Owner: Contractor: FRIEDE FAMILY TRUST CORNERSTONE BUILDERS INC Required Items and Reports(Conditions) BY LAW,TANA M&GERALD K TRS 7849 SW CIRRUS DR 11912 SW 126TH PL BEAVERTON,OR 97008 TIGARD,OR 97223 PHONE PHONE: 503-671-9538 FAX: 503-671-9640 Total Fees: $280.93 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 issUan�comer ifif work is suspended or more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notif ••• Center. Y ose rules are et forth in OAR 952-001-0010 through OAR 952-001-0090. You tain a co• • •- .ules or direct questions to OUNC callin•503 - .1987•r 1.801 332.2344. Issued By: `_ e , ----..---- - ,e •tteeSignature: - 111111111111116.11111141.1411111_ e 13.639.4175 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. Building Permit Application Residential t r ,., 1OltOI1lc!: Isl.o I.l CI of TI and Received p� Ty g SF P 1 2019 Date/By: ( Ji l"-�C-gj?r /11'-O r?&o M 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review :1114 I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: T 1 G A R D Inspection Line: 503.639.4175 %,..., i r Date Ready/By: I Juris: Ea See Page 2 for Internet: www.tigard-or.gov f�UI L N C f.„' ::-..,,,+ . tified/Metho • Z• L Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING n 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all V 'Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 1/4, 2V 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 12Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /./ S Vi L fk I7 /1-L` / New dwelling area: square feet /City/State/ZIP: 1o L)m Garage/carport area: square feet Suite/bldg./apt.no.: Project name: l� Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 5 us rat(01,1t&U..bri S 5L J 17Jp Qz Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. ♦, f 4f— Valuation: $ ,y Existing building area: square feet /13-6-P, ' .i /1}/6 New building area: square feet lit PROPERTY OWNER 0 TENANT Number of stories: Name: .1- VIA !j 1--...0,71.4 /Alley Type of construction: Address: // 5 it/ 1 '1 rL Occupancy groups: City/State/ZIP: /4(A nv' Existing: Phone: '3) q,C" - t_&lei Fax:( ) New: ELAPPLICANT 04.CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) _ Business name: 1`�'�, I L Structural plan review fee(or deposit): Contact name: dent im •p-It � 7� a1 I -� FLS plan review fee(if applicable): Address: Z pj C City/State/ZIP: 1 `— LT. T * Total fees due upon application: Phone: ) �✓% 9. Fax::( Io) Amount received: E-mail: A/1 fl J cor,„ 6�t9�,i(e(e,1 ' l PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR I roof-top mounted Photo Voltaic Solar Panel System. Business name: r1°liB il/� /J Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: -7,�7 L J Cv` L"r j Solar Installation Specialty Code checklist. City/State/ZIP: ��-2 JIri0� 7�� Permit Fee(includes plan review $180.00 J and administrative fees) Phone:9-4,73) (FiI; 7/ �?� Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic:V Total fee due upon application: $201.60 Authorized signatur�' , This permit application expires if a permit is not obtained _....000 within 180 days after it has been accepted as complete. Print name: �j''� Date: *Fee methodology set by Tri-County Building Industry �� 'f//��-�it © i �/�® (11 Service Board. I:ABuilding\Permits\BUP-RESPermitkpp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist t One- and Two-Family Dwelling FOR OFFI( I I 0\I.1 City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associ 1.1% Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: - TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW \eS \o 1/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ El 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 ❑ architect licensed in Ore•on and shall be shown to be a s s licable to the .ro'ect under review. It RISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit No.: 111 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review = Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: 7wis: IZ See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction e'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* 42f-1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: f f `2( h ft. f Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:1744. ©,f t7 7 2j/ � Furnace 100,000+BTU(ducts/vents) 54.91 / Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 `_ 1 ' ( Residential boiler(radiator or _4 / /fL.. � R. /( `�" S hydronic) 23.32 S ]���� / Unit heaters(fuel-type,not electric), V / 2I2 ' f 2 -- 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 O WORK Gas fireplace/insert i 33.39 Flue vent for water heater or gas .. /yefireplace 23.32 4S �i'1 w, a - Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent . 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:.. ` ,/111Je/7.1/ _1 A( Range hood/other kitchen Address: /•t/` / �+ > equipment 1 33.39 /9i�� c� ,..., Clothes dryer exhaust 33.39 City/State/ZIP: Y 1 f/ (�J� �J`� Single-duct exhaust(bathrooms, / toilet compartments,utilityrooms) 23.32 �� P Phone:(�j) ( --' '?! 'i f Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: / Fuel piping: .L Y-Y\4 fry" �e__-6,,,,,,#/ /�1� $14.15 for first four;$4.03 for each additional Contact name: Allem -ran fl , Furnace,etc. �L /r - Gas heat pump Address: -7-72_,J !� {A�� ,/� �'J Wall/suspended/unit heater City/State/ZIP:e/ jig It- e�.3,1,1- s v" 6 - f, ? Water heater ' Phone:f3) _ Fax::( ) Fireplace (J�`/ Range E-mail: ireeiz a C '4i t7 L[ tt, Barbecue CONTRACTOR Clothes dryer(gas) Cerilje0-4. ,..e., ��a!kv °, /6 Other: Business name: MECHANICAL PERMIT FEES* Address: -7772.f � V'T Z9--g...._,t l) o Subtotal � 'r 9 m� Minimum permit fee($90.00) City/State/ZIP:j�` f ,�^ Phone: "'�` L �L� Fax:( ) Plan surchargerevw(25%1of permit fee) State (12/n of permit fee) CCB lir.: TOTAL PERMIT FEE 1110111.' • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized'u1.e: ' ` '` * Fee methodology set by Tri-County Building Industry Service Board Print name: 1__ / j/J,a ,/� Date: 17/40/!° I:\Building\Permits\MEC_PermitApp_040113.do '`` 440-46I7T(Il/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. I:\Building\Permits\MEC_PennitApp_040113.doc 2