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Permit Support Document CITY OF TIGARD MECHANICAL PERMIT 1111 2 COMMUNITY DEVELOPMENT II Permit#: MEC2020-00323 7 /7 20 JO Date Issued: 6/1/2020 T RGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S126DC03002 Jurisdiction: Tigard Site address: 9250 SW LEHMANN ST Project: Perry Subdivision: LEHMANN ACRE TRACT Lot: 8 Project Description: Installing vent for bath fan. 7/17/2020: REPRINT permit to add gas piping for water heater,fireplace and barbecue. Contractor: OWNER Owner: PERRY, STEPHEN W STEVE PERRY 9860 SW 92ND AVE 9860 SW 92ND AVENUE TIGARD, OR 97223 PORTLAND, OR 97213 PHONE: 503-407-1115 PHONE: 503-451-1115 FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 06/01/2020 $23.32 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: Fuel Piping 06/01/2020 S14.15 Occu anc Grp: Minimum Fee Adjustment-Mechanical 06/01/2020 S52.53 P Y Stories: 12%State Surcharge-Mechanical 06/01/2020 $10.80 Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: .�/ / // / l Permittee Signature: �� en�1 """IIISSSII! tll...SSS��� afiL.� Ci9--77p"/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ADAhcatti G T 1 °II 01'Elf I: 1 SF I)\I 1 City of Tigard I'� x . � �y� n/�� +1/ -1 Permit NCH !if/lit/ �Q 0 3 4 III 13125 SW Hall Blvd.,Tigard,OR 97223 Flan review ■ Phone: 503.71 8.2439 Fax: 503598.1960J U L 8 `l f�) Other Permit: r1c,nl:n °n Line: 503.639.4175 JUL �0�0 DatRce Internet: www.tigard-or.gov /:I e'1--r'?,3, Date dy�o 1i": ® See Page 2 for bi.. „k';f.• le,�l!- Noti6ed/Method: Supplemental Information BU1 V .e ii!eV Y/ dwfq /� ( e.., ,,„ . .r ..i''„ r y Y'-' , 4 ,bans"-sr;om based£• v 'o fti.e- P.?i�L Mechanical pefmit fees'are on the value of the work ❑New construction dition/alterationh eplacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition Other: . - .,.,. . . Value:$j'�� y" :, - CATEGORY OF CONSTRCTION G,, „ °a a 7a a_Is'6a us ' 91-and 2-family dwelling 0 CnmmerciaLindnstrial 0Accessory building For:peeled injoruradox use dtealfbR ❑Multi-family ❑Master builder 0 Other. Description Qty. Ea. I Total JOB SITE INFORMATION AND'LOCATION rr" Heatinglcooling: Air conditioning 46.75 Job site address: Ct'Z$ S t._1 L,`4,.. ) Furnace 100,000 BTU(ductehreare) 46.75 City/State/ZIP: r i3tt�ta31 A+.+►);, tit. `j't i't-f1 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: 'e Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 lit' {� Residential boiler(radiator or 9 hydronic) 23.32 Unit heaters(tbel-type,not electric), in-wall,in-duet,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: 23.32 Other fuel appliances: Tax map/parcel no.: Water beater 23.32 U: tie ''''''', e'' e��, Gas fireplace/insort 33.39 r�s�„it `ate 0 A µw s-�i,� ``�1` CA� �'• dace waterheaferorgas 23.32 . R..i.-1 44,.if „�,�,Si= s + S f�-'--/ fi.t71.1. V. LogWood/pellet stove 33.39 a r Wood/pellet stove 33.39 i 4 ; -t ^�t�f l(L` - C�I��jZ� Wood fireplace/insert 23.32 Chimney/liner/flur/vent 23.32 tROPERTY OWNER 1( © s Other: 23.32 e ` ' -10 Environmental exhaust and ventilation: Name: S.-k--e c N1. 1._. , 2.-IL Range hood/other kitchen Address: ONCY�� C - ClLA-14 f�'q CN'pm 33.39 , O 7 _ t -�•1'�-- Clothes dryer exhaust 33.39 City/State/ZIP:`7pe,,l 4,_,,,45 , 2 q.--i^1-11..,- Single-duet exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(5 'As) - ‘ t t S Fax:( ) Attic/crawlspece fans 23.32 Er-APPLICANT ❑ CONTACT PERSON Other. 23.32 Business name: Feel piping: $14.15 for first foam$4.03 for each additional Contact name: Furnace,etc. Address: Gas beat pump Wall/suspended/unit heater City/State/ZIP: Water heater 611rS) 1 Phone:( ) Fax::( ) Fireplace ? 1 Range E-mail: Barbecue ( 6A/5.1 1 i W S CONTRACTOIE' Clothes dryer(gas) Business name: Other: Address: Ow [l - MECHANICAL PERML?PEWo "-^`„ Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE This permit epplicetioo aspires If a permit it not obtained within 188 days after it has been accepted as complete. Authorized signature:c\./.?i. " Fee methodology set by Tn-County Building Industry Service Board Print name: 5 ,, jun Date:7- 8- 9...0"l 1:1Buildiog\Permils\MEC_PermilApp_040113.doc 440 4617T(1 1/07/Co]Wwaa)