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CITY OF TIGARD MECHANICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MEC2021-00433 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 itDate Issued: 6/21/2021 Parcel: 2S110DD08200 7/ 7 yai Jurisdiction: Tigard Site address: 15760 SW HIGHLAND CT Project: Hendrickson Subdivision: SUMMERFIELD NO.6 Lot: 298 Project Description: (2)exhaust fans and(1)range hood. 7/27/21: REPRINTED permit to include(1)bathroom exhaust fan. Contractor: OWNER Owner: HENDRICKSON, BRAD &CHANTEL A 15760 SW HIGHLAND CT TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 06/21/2021 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 07/27/2021 $69.96 Class of Work: ALT Type of Const: Utility Rooms) Occupancy Grp: 12%State Surcharge-Mechanical 06/21/2021 $12.40 Stories: Fuel Fuel Types: Gas Pressure: Total $115.75 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application �yiiiimmmencrimilart City of Tigard pECE'VEU) Received 7/7/li /�-jj— Permit No.:/115-C-dn.31-0Dt133 13125 SW Hall Blvd.,Tigard,OR 9731 PAR eview ' ■ Phone: 503.718.2439 Fax: 503.598.1960 c 2021 By; Other Permit: T!c; I:!' Inspection Line: 503.639.4175 JUL v Date Ready/By: Ace: H See Page 2 for Internet: www.ttgard-orgov - V,. n,.. .....r,� Notified/Method: �s' Supplemental Information TYPE OF WORK COMMERCIAL FEE'SCHEDULE -USE CHECKLIST Mechanical permit fees'are based on the value of the work ❑New construction Addition/alterationheplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Er 1-and 2-family dwelling 0 Commercial/industrial El Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. I Ba. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: ( 06,v ..q,,c) / C 440 C ' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: --7;-�4- i Q/'? 9 q Furnace 100,000+BTU(docts/vents) 54.91 j Heat�np 61.06 1'rd Suite/bldg./apt no.: jest name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 �q /; / //�,,� � r Residential boiler(radiator or Jti//144. -4F7i- io 6X/f (�6'�pf''` .- hydronic) 2332 aCK7i '-1 "13 k f ' Unit heaters(fuel-type,not electric), /�/L CrCl9^� f/L in-wall,induct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other - 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 2332 DESCRIPTION OF WORK Gas fireplacermsest 33.39 Flue vent for water heater or gas f! 7� �I(I(V �Q/ j fireplace 23.32 /D171 £ 4U - d / Log lighter(gas) 2332 �!'t/ /� Wood/pellet stove 3339 14441 i' MEC0O�.r " t�e)112Wood�place/inse t 2332 Chimney/liner/flue/vent 23.32 .•,PROPERTY OWNER 0 TENANT Other 23.32 Environmental exhaust a nd ventilation: Name: �)Q /44"j4i i Range hood/other kitchen equipment 3339 Address: /2 /,/ Q/(�f'1 Z ,c-^r/ Clothes dryer exhaust 33.39 / v p Single duct exhaust(bathrooms, ?e City/State/ZIP: �f ,44y 1/f '} o/r`. q7 / ( 2 a,! �• t f toilet compartments,utility moms) ( 23.32 Phone:(�QJ) 3'O-03 Fax:( ) Anicierawlspace fans 23 5 ❑ APPLICANT ❑ CONTACT PERSON Other 23.32 Fuel piping: Business name: Z/( SI4.15 for first four;54.03 for each additional name: K Furnace,etc. Address: Gas beat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: 3? 3o1 br t ' qp'U 1's(tie \ (e,� ,p /'.) Barbecue ue t1TRACTOR Clothes dryer(gas) Other. Business name: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB tic.: TOTAL PERMIT FEE This permit application expires if a permit is eat obtained within 180 // days after It Ms Dena accepted as complete. Authorized signature: /J b / A • Fee methodology set by IndustryTri-Coun8wlding Service Board ` (/F/�j�Print name: ;4vy�y� � 1 _--- Date: 49 V/ Branden Taggart From: #Building Permit Technicians Sent: Tuesday,July 27, 2021 2:46 PM To: 'brad hendrickson' Subject: RE: Mec 2021-00433 - 15760 SW Highland Ct. Attachments: Invoice.pdf Hello Brad, I have added (1) additional bathroom exhaust fan to your existing permit MEC2021-00433. The balance due is$14.95, and I have attached an invoice above for you to reference. These fees can be paid online now at https://aca- prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MEC2021-00433 under the Building tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee. Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may email the revised permit paperwork to you. Please note that inspections cannot take place with outstanding fees due. Once these fees are paid, inspections can resume. Thank you, Branden Taggart • City of Tigard a Senior Permit Technician Community Development TICAIM' 13125 SW Hall'Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-or.g ov From: brad hendrickson<3232brad@gmail.com> Sent: Monday,July 26, 2021 12:40 PM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: Mec 2021-00433 Caution!This message was sent from outside your organization. Thank you, we have already installed the fan, hoping to get a quick turnaround!! We didn't know we needed one, thanks again On Mon,Jul 26, 2021 at 12:33 PM #Building Permit Technicians<TigardBuildingPermitsPtigard-or.gov> wrote: Hi Brad, Thank you for your recent permit submittal. This submittal has met the requirements needed to begin review. We will contact you for payment,if applicable, or when the permit is ready to issue. 1 CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT Permit#: MEC2021-00433 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/21/2021 TIGARD 9 Parcel: 2S110DD08200 Jurisdiction: Tigard Site address: 15760 SW HIGHLAND CT Project: Hendrickson Subdivision: SUMMERFIELD NO.6 Lot: 298 Project Description: (2)exhaust fans (1)range hood Contractor: OWNER Owner: HENDRICKSON, BRAD&CHANTEL A 15760 SW HIGHLAND CT TIGARD, OR 97224 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 06/21/2021 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 06/21/2021 $46.64 Class of Work: ALT Type of Const: Utility Rooms) Occupancy Grp: 12%State Surcharge-Mechanical 06/21/2021 $10.80 Stories: Minimum Fee Adjustment-Mechanical 06/21/2021 $9.97 Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 0\C- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City TigardRECEIVE it: of �"'� ." Permit No.:VIE(„zl1ZI-OP W33 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 11, a Phone: 503.718.2439 Fax: 503.598.1960 qpp99 Date/By: Other Permit: T 1 ;n h I) Inspection Line: 503.639.4175 ""1� ISItI Date Ready/By: (el u 1k1 leis: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ,'ITY OF TIGAR(j II . , BUILDING DiVlsiON COMMERCIAL FEE* SCHEDULE- USE CHECKLIST TYPE OF WORK Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,andgrofit. CATEGORY OF CONSTRUCTION Value:$ ,,/�QCY ) .- RESIDENTIAL EQUIPME / YSTEMS FEES Al-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooliug: /_� Air conditioning 46.75 Job site address: IS�` C.Sf./�t,J// 4,�,Q r"r , Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 7/6, d 9 y`,yy` Furnace 100,000+BTU(ducts/vents) 54.91 r Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or c' m 1, e-e 0 cF , ed- hydronic) 23.32 Mo 44/U rS 1 i Unit s(c pe,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: s//'4LL d47 6v2( Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 ®�/I ' ,i / /f /,�f tit /'{'�,"(� /J�/' Flue vent for water heater or gas /'tit'ifrJ4 4,4..1 7�©)' etc ` -1 " '�1' �"if-- fireplace 2332 Log lighter(gas) 23.32 j / y Wood/pellet stove 33.39 c 7/(/. (/4/%� )vL A ,jg'E / Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: 1712.4.0 / 1), 't�f1 J Range hood/other kitchen j 3? equipment / 33.39 e Address: / > C) d"*) /f/'i4j i ' p Cr, Clothes dryer exhaust 33.39 City/State/Z1P: / ;G,1-2 �2 F/7072`7 Single duct exhaust(bathrooms, �`�fr/ toilet compartments,utility rooms) 23.32 Phone:(9r� ) ?/Q —0,19-3, Fax:( ) Attic/crawlspace fans 23.32 ,APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel i i PPnfi: Business name: V1/1 $14.15 for first four;$4.03 for each additional Contact name: � ( Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/Z1P: Water heater Fax :( ) Fireplace Phone:( ) Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other. Business name:Address: _c / • MECHANICAL PERMIT FEES* �! Subtotal /C)S Minimum permit fee(S90.00) e7— City/State/ZIP: Plan review(25%of permit fee) al..V Phone:( ) Fax:( ) State surcharge(12%of permit fee) ' €j C) CCB lie.: TOTAL PERMIT FEE vj,sV This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized sg40 �/ * Fee methodology set by Tn-County Building Industry Service Board Print name: / 1 44 C-ies(6 - Date:0 l:lHuildingl Permits 1MEC_PernritApp 0401I3.doc 440-4617T(11/02/COM/WSe) 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:1Building\Permits\MEC_PermitApp_040113.doc 2 Property Owner Statement RECEIVED Regarding Construction ResponsibilitiesiN 2 1 2021 Oregon Law requires residential construction permit applicants who are not licerts'yo1h- Construction Contractors Board to sign the following statement before a buildi �� issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants,exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Please check the appropriate box: I 1 I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date I I 1 I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or ,k4:1 I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. &40 /46),9 l cAlC ' Print Name of Permit Applicant 9-2______%/./7".•--- 4/0 Signature of Permit Applicant Date Permit#. Address: r' ,�F3iy Yti t CNrr,- ii, w. Issued by: ______ Date: 1�� This Copy for Permit OFfices