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Permit CITY OF TIGARD MECHANICAL PERMIT 11111 '. COMMUNITY DEVELOPMENT Permit#: MEC2021-00301 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/5/2021 Parcel: 2S 109AC09100 Jurisdiction: Tigard Site address: 13080 SW FORAN HILLS CT Project: Foran Hills,lot 12 AC Unit Subdivision: None Lot: None Project Description: Addition of AC unit to new detached dwelling Contractor: COMFORT ZONE HEATING&AIR COND Owner: 1032 NW CORPORATE DR TROUTDALE,OR 97060 PHONE: 503-667-5595 PHONE: FAX: 503-491-8252 FEES Specifics: Description Date Amount Air Conditioning 05/05/2021 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 05/05/2021 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/05/2021 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: j{ably- Vaw De/Weq,e Permittee Signature: OYt'A L%GA.tion Pp Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. �12__ — s--0-k mechanical Permit Application, /� `/ FtHt OFF It r I tit l City of Tigard EI r Epermit No... ME(. wZ1-rzt33e.J1 ' ' . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 ` �1fq i'i ,; Wi i Datc/Ry: Other permit: I 1 c t Inspection Line: 503.639.4175 Date Ready/fly: luris ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGAR' \s-\2-1 g NotiEed/Me[hod: Supplemental Information 3UILDING DIVISION TYPE OF WORK COMMERCIAL FEE„ SCHEDULE— ESECHECKLIST Mechanical permit fees'are based on the value of the work ®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* D I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooliag: Air conditioning 1 46,75 Job site address: 13080 SW Foran Hills Ct. Furnace 100,000 B"I'll(duels/vents) 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Foran Hills Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fucl-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above X 23.32 Subdivision:Foran Hills Lot no.: 12 Other: 23.32 Other fuel appliances: Tax map/parcel no.: Watcr heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas NiNew, single family residence fireplace t 23.32 eXl 1� Log lighter(gas) 23.32 im C V \ Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 [ElPROPERTY OWNER © TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Stone Bridge Homes NW, LLC Range hood/other kitchen Address: 4230 Galewood St. Suite#100 equipment 33.39 Clothes dryer exhaust X 33.39 City/State/ZIP: Lake Oswego, OR 97035 Single-duct exhaust(bathrooms, toilet compartments.utility rooms) )f 23-32 Phone:( 503)387-7577 Fax:( ) Attic/crawlspace fans 23.32 IX) APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: Stone Bridge Homes NW, LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Permit Tech Furnace.etc. )i Address: 4230 Galewood St. Suite#100 Gas heat pump • Wall/suspended/unit heater City/State/ZIP: Lake Oswego, OR 97035 Water heater `t. Phone:( 503)387-7577 Fax::( ) Fireplace '4 Range yQ E-mail: portlandpermits@stonebridgehomesnw.com Barbecue CONTRACTOR Clothes dryer(gas) Business name: Comfort Zone Other: MECHANICAL PERMIT FEES* Address: 1032 NW Corportate Dr. Subtotal City/State/ZIP: 1032 NW Corportate Dr. Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 503)667-5595 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 110091 TOTAL PERMIT FEE ((')O. 06 This permit application expires if a permit is not obtained within 180 ,-1 �7 [,,7�.7 ��7� days after it has been accepted as complete. Authorized signature: CWIC1'T(e1414ta 7 ' Fcc methodology set by Tri-County Building Industry Service Board Print name:David Heldstab Date:5-5-2021 1Alluilding\Permits\MEC_PermitApp_040113 doe 440-461 TI'(I 1/02/COM/WEB)