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Permit
4 CITY OF TIGARD MECHANICAL PERMIT 2 COMMUNITY DEVELOPMENT Permit#: MEC2020-00627 Date Issued: 9/28/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111CB01739 Jurisdiction: Tigard Site address: 10430 SW HOODVIEW DR Project: Stevens Subdivision: HOOD VIEW NO.2 Lot: 38 Project Description: Install gas line for range and fireplace and flue vent for fireplace. Contractor: OWNER Owner: STEVENS, LINDA SUE 10430 SW HOODVIEW DR TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Flue Vent for Water Heater or Gas 09/28/2020 $23.32 Type of Use: SF Fireplace Class of Work: ALT Type of Const: Fuel Piping 09/28/2020 $14.15 Occupancy Grp: 12%State Surcharge-Mechanical 09/28/2020 $10.80 Minimum Fee Adjustment-Mechanical 09/28/2020 $52.53 Stories: • Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 clays. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions ttoo OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1q) f i►� (/, Permittee Signature: On ap� )t?c' 1-, �, "vv' " ` Calll�5003.639.4175 by 7:00 a.m.for the next available Inspection date. 1 This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicatiol r «�.�.i�} r FOR OFFICE USE ONLY City of Tigard M t f eceived ;�.- . 13125 S W Hall Blvd.,Tigard,OR 97223 Date/By: �/ //Zb QQ 0 Permit No.nE/r ��b�/ 7 � r V 2 1 2020 Plan Reviewl (. Y� Phone: 503.718.2439 Fax: 503.598.1960 C Date/By: Other Permit: i i t,n Ii U Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Date Ready/By: Jer s: ® See Page 2 for Notified/Method /2,f1A7 -Iv �i„ Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST El New construction Mechanical permit fees*are based on the value of the work Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑Master builder Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: !d / 'D t.S� 11'C9d V- iv- we Air conditioning 46.75 n Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: '(7/I Rd (// i 7 .7 Q/ Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bidg./apt.no.: r t/J Project name: i!k"' 1/7/ Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 4/e s7 �' 1/66)U Residential boiler(radiator or C Z•�j+ J 1r 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 7 Other: 23.32 Lot no.: 38 Other fuel appliances: Tax map/parcel no.: D. ` l ' C B 01-7 3'.] Water heater 23.32 _ DES RIPTION OF WORK 1 Gas fireplace/insert 33.39 Ae2 �4i1.- /4 - k Flue vent for water heater or gas a-fG7i fireplace 23.32 D3. Log (gas) 23.32 Wood/pellet pellettstove 33.39 Wood fireplace insert 23.32 Chimney/liner/flue/vent 23.32 18-TRO/P/ERTY OWNER El Other: 23.32 Name: �t✓1/?/ yet,t+ Environmental exhaust and ventilation: ✓ F Range hood/other kitchen Address: S!1 ! i tars equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, Phone: toilet compartments,utility rooms) 23.32 ( ) Fax:( ) Attic/crawispace fans 23.32 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: 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:(5o3) 361..., Jci g Fax: :( ) Fireplace �) 1l Range E-mail: 1—,, ( dC �S s}e\w< q0`6,6 f cum. Barbecue C CTOR V Clothes dryer(gas) Business name: Other: Address: ,� Q�� '�') MECHANICAL PERMIT FEES* � Subtotal * lJ ) City/State/ZIP: © �a'� ''Minimum permit fee($90.00) 0 .00 Plan review(25%ofpetrmit fee) > Phone:( ) Fax:( ) State surcharge(12%of permit fee) /G t D v! , CCB lic.: y TOTAL PERMIT FEE (`�� t 7xi„,...„,,,__, This permit appscati r t hasrbs if a cc ptet is not pi within t d/ days after it has been accepted as compili /Qp �d Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: L' Date: O I:\Building1PermitsNEC_PermitApp_040113.doc 440-461 (I I/O 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. I:\Building\Perinits\MEC_PermitApp_040113.doc 2 TIGARD City of Tigard September 8, 2020 Linda Stevens 10430 SW Hoodview Dr Tigard, OR 97224 RE: Mechanical Permit Application Hello Ms. Stevens, Thank you for your permit application submittal. Unfortunately, we are unable to process it as we require the following information be completed on the application: • Applicant phone number. • Applicant email address. • Contractor information: o Provide licensed contractor information if hiring a licensed contractor to perform the work. o Write `owner' for the contractor business name if you are performing the work as the property owner. Please return the completed application by: • Mail to City of Tigard—Building Division, 13125 SW Hall Blvd, Tigard, OR 97223. • Email a copy to TigardBuildingPermits@tigard-or.gov. • Submit hardcopy of application to the drop box in the lobby of the Permit Center, Monday-Thursday, 8 am to 5 pm. We are closed on Fridays. Please allow 1-3 weeks for process the permit. We will contact you by email when the permit is ready to issue and provide instructions for the fees to be paid online. Thank you. 4:::,. ...V4A-.Alittra..--) Di anna L. Ornelas Building Division Services Supervisor 503-718-2430 dianna@tigard-or.gov Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov Mechanical Permit Application I OR Di I I( l_ I :NI.O,yI.) City• of Tigard Received g Date/By: Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ■ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A Ii.U Inspection Line: 503.639.4175 Date Ready/By: Juts: H 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 ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 'Other: Description Qty. Ea. Total JOB SITE INFORMATION AND AND� 4t/ K,LOCATION , Heating/cooling: Job site address: Ld yZ ) ISHOP/D' V! 4 a Air conditioning 46.75 n Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: %1 �!*I as ©lf ? 1 07-Q'I Furnace 100,000+BTU(duct/vents) 54.91 Suite/bldg./apt.no.: f 1 Project name:?`�t'G� I n Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 ReAI�l e sT 7 /44d 1� ...J hydronic)di boiler(radiator or f 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: Subdivision: 7 Lot no.: 3 $ Other fuel appliances: 23.32 Tax map/parcel no.: D.S t it CT O'V 7 39 Water heater 23.32 DJ�;S� ION OF WORK Gas fireplace/insert 33.39 /.71.4.4„Erfe_24:4Flue vent for water heater or gas fireplace [ (23.32 D3.3a"! Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 TENANT Other: 23.32 tROPERTY OWNEREnvironmental exhaust and ventilation: Name: &I✓dit jrp/e Range hood/other kitchen S4c�„l s� 4) �LA"( d"( equipment 33.39 Address: _l Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: 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 r 114. 1s Range II E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other MECHANICAL PERMIT FEES* Address: Subtotal V. it- City/State/ZIP: Minimum permit fee($90.00) 0 , X) Phone:( ) Fax:( ) Plan review(25%of permit fee) ) State surcharge(12%of permit fee) !O t 1O • CCB lic.: TOTAL PERMIT FEE /3.7., l i''7 This permit application expires if a permit is not obtai within 180 f r days after It has been accepted as complei M 0, eO Authorized signature: y �! ,. xi,„,..._, • Fee methodology set by Tri-County Building Industry Service Board Print name: LI. .. + �� Date: g c 'ab 1:\Building\Permits1MEC PermitApp 040113.doc 1 1, 440-461 (I I/0ICOM/WEB)