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
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
Furnace, incl. ductwork, vent, and liner
Air conditioner (site plan required)
Heat pump (site plan required)
Duct work, alterations and additions
Residential boiler (radiator / hydronic)
Unit heaters (fuel-type, not electric), in-
wall, in-duct, suspended, etc.
Flue/Vent for any of the above
Gas fireplace/insert/stove
Chimney/liner/flue/vent w/o appliance
Oil tanks/gas/diesel generators
Environmental exhaust and ventilation
Range hood/other kitchen equipment
Whole-house ventilation/Radon mitigation
$15.00 for first four; $7.50 for each additional
Wall/suspended/unit heater
Fireplace/log lighter/gas log
Permit Fee (minimum $60.00)
Plan review ( 65 % of permit fee)
State surcharge (12% of permit fee)
This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
Mechanical Permit Application
City of Tualatin
18880 SW Martinazzi Ave.
Tualatin, OR 97062
Phone: 503-691-3044 Fax: 503-692-0147 www.tualatinoregon.gov
__________OFFICE USE ONLY__________
Date received: ____________ Permit # _______________________
Date Issued: ______________ By: _____ Receipt: ____________
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signature
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