Permit (145) CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2019-00668
T G,1 R l 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2019
t
Parcel: 2S103ACO2800
Jurisdiction: Tigard
Site address: 11075 SW ERROL ST
Project: Pierce Subdivision: None Lot: None
Project Description: Post and beam duct work.
Contractor: PRO COM HOME SERVICES Owner: PIERCE, DARREN F REVOCABLE LIVIN
2033 6TH AVENUE STE 236 PIERCE,AMY J REVOCABLE LIVING TRUS
SEATTLE,WA 98121 11075 SW ERROL ST
TIGARD, OR 97223
PHONE: 206-429-8327 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Duct Work 09/18/2019 $23.32
Type of Use: SF 12%State Surcharge-Mechanical 09/18/2019 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/18/2019 $66.68
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is • started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow --'rul- -••*ted by the Oregon
Utility Notification Center. Those rules are s- forth in OAR 952-001-0010 through OAR 952-001-0090. .0 •- obtain a copy of the rules
or direct questions to OUNC by calling 503.232. 87 or 1.800.332.2344.
Issued By: // / / Permittee Signature: A
Call 503.639.4175 by 7:00 a.m.for the next available inspection d (" r
r *.'
This permit card shall be kept in a conspicuous place on the job site until comp) •n of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application rolz order LSE o1i.1
Cityof Tigard Received
1111 - 131SW Hall Blvd.,Tigard,OR 97 � Date/By: �� i ��/
g SJ c E�V`® Plan Review
I Phone: 503.718.2439 Fax: 503.598.1 i.I �./ Date/By: Other Permit
T I c-A R D Inspection Line: 503.639.4175 SEP Date Ready/By: t la See Page 2 for
Internet: www.tigard-or.gov 2019 Notified/Method: Supplemental Information
QTY OF TIGARRD
N <: -TATARY-Affffilana.DIVIWN, - - COMMERCIAL FEE•.SCRED -_IJSE.CHEMIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
r Air conditioning 46.75
Job site address: ted-75- S.,\)_.1t'iv"� 1 S\-'. Furnace 100,000 BTU(ducts/vents) 46.75
G100,000+ 54.91
/'�, I "est 22 Furnace BTU(ducts/vents)
City/State/ZIP: t ,p� �.yZf ,i `J 2"' 1 Cs J Heat pump 61.06
Suite/bldg./apt.no..: 1 Project name: Q\2 Cc j _ Duct work 1 23.32
Cross street/directions to job site: """CCC 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 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
Other: 23.32
0 PROPERTY OWNER .- 0 TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT Q CONTACT PERSON Other: 23.32
x Fuel piping:
Business name:(),�V , �� %',r $14.15 for first four;$4.03 for each additional
Contact name: J R. ZC., A"-�. Furnace,etc.
ZV-33 �tN n �� Gas heat pump
Address: t� Fd^���
`���- � t Wall/suspended/unit heater
Zify7STaatelZlP -- Z�. -V,_-- O 745 t,2# -Wa1erheater
Phone:( L�O7 1..". -9- 1 Fax::( ) I Fireplace
_ Range
E-mail:3>, p,mc,1 `'�„r\ Barbecue
• CONTRACTOR Clothes dryer(gas)
Other:
Business name: S tv4u� MECHANICAL FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: ?j -2_,--ti '2 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur'.-� y
* Fee methodology set by Tri-County Building Industry Service Board
•
�Print name: 5v... nizi ) Date: -6(1 ctI:\Building\Permits\MEC_PennitApp_040113.doc TT02/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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