TYPE OF WORK
New construction Addition/alteration/replacement
Demolition Other:
CATEGORY OF CONSTRUCTION
1- and 2-family dwelling Commercial Accessory building
Multi-family Industrial Other:
JOB SITE INFORMATION AND LOCATION
Job site address:
City/State/ZIP:
Suite/bldg./apt. no.: Project name:
Cross street/directions to job site:
Subdivision: Lot no.:
Tax map/parcel no.:
DESCRIPTION OF WORK
OWNER
Name:
Address:
City/State/ZIP:
Phone:
Email:
APPLICANT
Business name:
Contact name:
Address:
City/State/ZIP:
Phone:
E-mail:
CONTRACTOR
Business name:
Address:
City/State/ZIP:
Phone:
E-mail:
CCB lic.: City or metro lic.:
Authorized
signature:
Print name: Date:
COMMERCIAL - FEE SCHEDULE
Mechanical permit fees are based on the value of the work performed. Indicate
the value (rounded to the nearest dollar) of all mechanical materials and labor.
Valuation: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES
Description
Qty.
Ea.
Total
Heating/cooling
Furnace, incl. ductwork, vent, and liner
15.00
Air conditioner (site plan required)
15.00
Heat pump (site plan required)
15.00
Duct work, alterations and additions
15.00
Hydronic piping system
15.00
Residential boiler (radiator / hydronic)
15.00
Unit heaters (fuel-type, not electric), in-
wall, in-duct, suspended, etc.
15.00
Flue/Vent for any of the above
15.00
Other:
Other fuel appliances
Water heater
15.00
Gas fireplace/insert/stove
15.00
Gas log/log lighter
15.00
Pool or spa heater, kiln
15.00
Wood/pellet stove/insert
15.00
Wood fireplace
15.00
Chimney/liner/flue/vent w/o appliance
15.00
Oil tanks/gas/diesel generators
15.00
Other:
Environmental exhaust and ventilation
Range hood/other kitchen equipment
15.00
Clothes dryer exhaust
15.00
Single-duct exhaust
15.00
Attic/crawlspace fans
15.00
Whole-house ventilation/Radon mitigation
15.00
Other:
Fuel piping
$15.00 for first four; $7.50 for each additional
Furnace
Wall/suspended/unit heater
Water heater
Fireplace/log lighter/gas log
Range
Barbecue
Clothes dryer
Other: Total Outlets
MECHANICAL PERMIT FEES
Fee Type
Amount
Permit Fee (minimum $60.00)
Plan review ( 65 % of permit fee)
State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
City of Tualatin
18880 SW Martinazzi Ave.
Tualatin, OR 97062
__________OFFICE USE ONLY__________
Date received: ____________ Permit # _______________________
Date Issued: ______________ By: _____ Receipt: ____________
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