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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2020-00540 T IGARr3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/18/2020 Parcel: 2S111 DD06800 �0 7/�11-33151 Jurisdiction: Tigard Site address: 15735 SW 88TH AVE Project: 100547 Subdivision: STRATFORD Lot: 65 Project Description: ADD DUCTLESS MINI SPLIT. 10/7/20: REPRINTED permit to include(1)additional heat pump. Contractor: PYRAMID HEATING&COOLING Owner: RUBOTTOM, GRAYDEN A&DEBORAH L 9409 NE COLFAX 15735 SW 88TH AVE PORTLAND, OR 97220 TIGARD, OR 97224 PHONE: 503-786-9522 PHONE: FAX: 503-786-3432 FEES Specifics: Description Date Amount Heat Pump 10/07/2020 $122.12 Type of Use: SF 12%State Surcharge-Mechanical 10/07/2020 $14.65 Class of Work: ADD Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total S136.77 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - Permittee Signature: �/ 7.., Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard ReceivedEIZIMPLIIIMM. 14 i • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.1960 Date/By. Other Permit: T l CARD Inspection Line: 503.639.4175 Date Ready/By: h ia.. M See Page 2 for Internet: www.tigard-or.gov Notified/Method: 'l a Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECIQ,I "t! Mechanical permit fees*are based on the value of the work ❑New construction ©Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. n Value:$ ei CATEGORY OF CONSTRUCTION � • .. • RESIDENTIAL EQUIPMENT/SYSTEMS FEES" .. ® 1-and 2-family dwelling ❑Conunercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder El Other: Description Qty. Ea. Total JOB SITE INFORMAT)(QN Air c D LOCATION n diti oling: Air conditioning Job site address: 15735 SW 88th Ave (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: 100547 Heat pump (requires site plan showing placement) 1 61.06 t['wI'CV Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: -s.. ,,' DESCRIPTION OF WORK Water heater 23.32 ADD 2 MITSUBISHI DMS SYSTEMS PLEASE ADD SECOND DMS TO PERMIT# Gas fireplace 33.39 Flue vent for water heater or gas MEC2020-00540 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 [$ PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: GRAYDEN RUBOTTOM Environmental exhaust and vendladon: Address: 15735 SW 88TH AVE Range hood/other kitchen equipment 33.39 • City/State/ZIP: TIGARD,OR 97224 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:(503 ) 869-6735 Fax:( ) toilet compartments,utility rooms) 23.32 (i APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Business name: PYRAMID HEATING AND COOLING Other: 23.32 Fuel piping: Contact name: CAITLIN ALTON $14.15 for first four;S4.03 for each additional Address: 9409 NE COLFAX ST Furnace,ctc. Gas heat pump City/State/ZIP: PORTLAND,OR 97220 Wall/suspended/unit heater Phone:(503 ) 786-9522 Fax: :( ) Water heater Fireplace E-mail: permits(npyramidheating.com Range CONTRACTOR Barbecue Business name: PYRAMID HEATING AND COOLING Clothes dryer(gas) Other: Address: 9409 NE COLFAX ST MECHANICAL PERMIT FEES* City/State/ZIP: PORTLAND,OR 97220 Subtotal >✓�'" Minimum permit fee($90.00) Phone:( 503 ) 786-9522 Fax:( ) Plan review(25%of permit fee) N/A CCB lie.: 59382 State surcharge(12%of permit fee) )I- 5-- TOTAL PERMIT FEE �f This permit application expires if a permit is not obtained within 180 Authorized signature: .eY GL9IL days after it has been accepted as complete. Print name: CAITLIN ALTON Date: 10/1/2020 * Fee methodology set by Tri-County Building Industry Service Board I:\Building\Pcrmiis'.MEC-PermitApp.doc 09/09/10 440-44517T(I 1/02/COM/WEB) Q 35 am.,'7 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\PcrmitstMEC-PennitApp.doc 09/09/Ia 2