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Permit 71 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Pe COMMUNITY MEC2022-00640 Date Issued: 7/19/2022 T F G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 125DB04800 Jurisdiction: Tigard Site address: 7185 SW SHADY CT Project: Lawrence Subdivision: SHADY DELL NO.2 Lot: 22 Project Description: Installing(1)gas fireplace. Contractor: GASPRO INC Owner: LAWRENCE, BRIAN J REVOCABLE TRUST 5112 SE LA MESA WAY 7185 SW SHADY CT MILWAUKIE, OR 97267 PORTLAND, OR 97223 PHONE: 503-775-7020 PHONE: FAX: 503-775-7019 FEES . Specifics: Description Date Amount Gas Fireplace 07/19/2022 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 07/19/2022 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/19/2022 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth i R 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Permittee Signature: 14 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE ReceiDateBvedy: _ �� MI '� 13125 SW Hall Blvd.,Tigard,OR 97223 D Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: Inspection Line: 503.639.4175 JUL 1 9 ZOZZ Date/By: A G A R l) Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CI OC-fI � U Notified/Method: Supplemental Information ��Int i)ltll��nr TYPE OF W(�1 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Nil-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 7//Z��q s _ 4 5,Isb i r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ?"%/Ad OA Q /a 3 Furnace 100,000+BTU(ducts/vents) 54.91 / ! 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 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert / 33.39 Flue vent for water heater or gas 6r45 ...r/l 5 ex. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 a PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 13� g / /41/ _.,LZ Range hood/other kitchen �-L equipment 33.39 Address: I f i c 5 4t/ 5 I p4/ L "1- Clothes dryer exhaust 33.39 City/State/ZIP: - / 20 1 7;,2- 3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(55(3) 309 el y(., g Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $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 E-mail: Range Barbecue CONTRACTOR Clothes dryer(gas) �,^ Other: 6Business name: 04 )2g ^'-n� >1' MECHANICAL PERMIT FEES* Address: .5)12 .5�- L 14 m Eli( u/4 tf Subtotal City/State/ZIP: f J:4, ,,i ©& 12.A(D 7 Minimum permit fee($90.00) Phone:(50) / 73 .- `,Q� D Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: )7 7! 9 3 2/51 j TOTAL PERMIT FEE Authorized signaglre:12 .(71 This permit application expires if a permit is not obtained within 180 �i days after it has been accepted as complete. / * Fee methodology set by Tri-County Building Industry Service Board Print name: 2,4j4 J e hi, /1,,s Date: �/�////�0, �„1 I:\Building\Permits\MEC_PermitApp_040113.doc ! 44 0-4617 (T 11/02/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\Permits\MEC_PermitApp_040113.doc 2