Fillable Mechanical-Permit-Application-FIll Mechanical Permit Application

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Mechanical-Permit-Application-FIll Mechanical Permit Application

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U.S.A. forms for City of Hood River

BROWSE CITY OF HOOD RIVER (OR) FORMS

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Mechanical Permit Application
PERMIT NUMBER:
City of Hood River
211 2
nd
Street, Hood River, OR 97031
Phone: 541-387-5202 Inspection Line: 541-387-5211
Schedule Inspections Online: BuildingPermits.Oregon.gov
CATEGORY OF CONSTRUCTION
Single Family Dwelling
Duplex
Other
Townhouses
Commercial
Detached Accessory Bldg.
Multi-Family (3 or more)
TYPE OF WORK
New
Addition/Alteration/Replacement
Demo
DESCRIPTION OF WORK:
JOB SITE INFORMATION AND LOCATION
Job site address:
City:
State:
ZIP:
Map No.:
Lot No.:
PROPERTY OWNER
Name:
Address:
City:
State:
ZIP:
Phone: - -
Fax: - -
E-mail:
Owner acknowledges installation is being made on property owned by
owner or member of immediate family.
Signature:______________________________Date:_______
CONTRACTOR
Business name:
Address:
City:
State:
ZIP:
Phone: - - Fax: - -
E-mail:
CCB license no.:
Print name:
Signature:___________________________Date:__________
APPROVAL
This permit is issued under OAR 918-440-0050. Permits are issued only
to the person or contractor doing the work. Permits expire if work is not
started within 180 days of issuance or if work is suspended for 180 days.
Approval: Date:
Title:
Commercial Project Valuation
Commercial mechanical permit fees are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
mechanical
materials, equipment, labor, overhead and profit. $__________
**SEE COMMERICAL PERMIT FEE SCHEDULE**
Commercial Permit Fee Schedule
$0 to $5,000 $65.00
$5,001 to $10,000 $65.00 plus $1/$100 above $5,000
Over $10,001 $115.00 plus $2.50/$1,000 above $10,000
**A list of equipment must be submitted prior to issuance**
Residential Equipment / Systems Fees
Description Qty.
Cost
ea.
Total
cost
Heating / Cooling
Furnace/burner including duct work
/vent/liner
$10.00
$
Air conditioner
$10.00
$
Heat pump
$10.00
$
Mini split system
$10.00
$
Floor furnace, including vent
$10.00
$
Hydronic hot water system
$10.00
$
Evaporative cooler other than
$10.00
$
Suspended heater, recessed wall
heater, or floor mounted unit heater
$8.00
$
Other heating/cooling items
$8.00
$
Other Fuel Appliances
Gas water heater
$10.00
$
Gas or wood fireplace/insert
$10.00
$
Wood/pellet stove
$10.00
$
Pool or spa heater, kiln
$8.00
$
Decorative gas fireplace
$10.00
$
Chimney/liner/flue/vent
$10.00
$
Oil tanks/gas/diesel generators
$10.00
$
Other fuel appliance
$10.00
$
Environmental Exhaust and Ventilation
Range hood/other kitchen equipment
$10.00
$
Clothes dryer exhaust
$8.00
$
Single-duct exhaust (baths, toilet
compartments, utility rooms)
$6.00
$
Radon mitigation
$10.00
$
Attic/crawl space fans
$6.00
$
Water heater / gas fireplace flue vent
$10.00
$
Other
$8.00
$
Fuel piping / Pressure test
$5.00 for first four; $1.00 for each additional
Gas Fuel Piping Outlets (first four)
$5.00
$
Each additional
$1.00
$
MECHANICAL PERMIT FEES
Permit Fee (Minimum $40.00)
$
State Surcharge 12% of Permit Fee/Hourly Rate
$
Commercial Plan Review 50% of Permit Fee
$
Investigation Fee (Time and Material)
$
TOTAL Fees
Rec # Date:
$
Electronic Signatures and Similar Markings are Recognized as a Legal Binding Signature by the City of Hood River and the State of Oregon. ORS 84.0001 to ORS84.061
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Mechanical-Permit-Application-FIll Mechanical Permit Application

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Completed 11 July 2020

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