Permit (2) CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MEC2019-00715
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2019
T'GAR g Parcel: 2S112CB06500
Jurisdiction: Tigard
Site address: 15484 SW 82ND PL
Project: WHALEY Subdivision: ASHFORD OAKS NO.2 Lot: 79
Project Description: Installing range hood and relocating vent.
Contractor: OWNER Owner: WHALEY, CODY M&ANDREA K
CODY WHALEY 15484 SW 82ND PL
15484 SW 82ND PLACE TIGARD, OR 97224
TIGARD, OR 64224
PHONE: 503-839-0941 PHONE:
FAX:
FEES
Specifics: Description Date Amount
FlueNent For Any of Above 10/08/2019 $23.32
Type of Use: SF Range Hood/Other Kitchen 10/08/2019 $33.39
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/08/2019 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/08/2019 $33.29
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou may obtain a copy of the rules
or direct questions to OU .y calling 503.23..1.87 or 1.800i 32.2344.
Issued By: /• / mittee Signature: Cf...
•
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of ' e project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard R E P Date/By:Received r0 ;`i/3 L j�Tle er �,'/(5—'(/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960r89 z O, Date/By: � e i /
,�/ ?
Inspection Line: 503.639.4175T c; tl)
Date Ready/By: Juris: GtJ See Page 2 for
Internet: www.tigard-or.gov .. Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction (�Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
P1-and 2-family dwelling CICommercial/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: 6 gijaht Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tt�� Q( Qf 7 f 7 . el7 z-et- Furnace 100,000+BTU(ducts/vents) 54.91
U 1 t l t, ^�iit� L 6 Heat pump 61.06 Z
Suite/bldg./apt.no.: Project name: �„/ Duct work ' 23.32 2.,3,3
Cross street/directions to job site: ydronic 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: Ask-Grt 0 tkii-, Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
f (t1 �, Flue vent for water heater or gas
t,i- cd1r (c j (ko0 a k) >ilk u.5- prttG( fireplace 23.32
i
-A1/01k '1kt (or � Log Wood/pelletlightestove(gas23.32
g / ' 33.39
MEWL k/ k( 1/44,-1- 40 1441,) C�vV\_ Wood fireplace/insert 23.32
�Y„_ , e S��L Chimney/liner/flue/vent 23.32
'��1�`t'(�` Other: 23.32
PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: W ktRange hood/other kitchen1 3
1 I equipment 33.39
Address: 15 i(ca4' 50 2 ZI/i3O( 960_,.. Clothes dryer exhaust 33.39
City/State/ZIP:- ° t ater4 b r c7 2 24- Single-duct exhaust(bathrooms,
f toilet compartments,utility rooms) 23.32
Phone:(Q3) �3 .0414 1 Fax:( ) Attic/crawlspace fans 23.32
L . JsPLICANT ❑ CONTACT PERSON Other: 23.32
Business nam 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 dryer(gas)
Business name: ��7,-{=�/ Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal 66.7/
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
I days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print n 111111M1 0 tiAtty
Date: 1/17/11
I:\Building:.. its',MEC PermitApp_t'0113.doc 440-4617T(I1. 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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