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Permit
7 yi p ' pi44404 P CITY OF TIGAR® MECHANICAL PERMIT ` a ' COMMUNITY DEVELOPMENT Permit #: MEC2009 -00578 1,'G 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/30/2009 Parcel: 2S111 DD01 Jurisdiction: TIG Site address: 8845 SW AVON CT Subdivision: Lot: Project: QUINN Project Description: Installation of furnace. This permit replaces expired permit MEC2003- 00673. Owner: FEES QUINN, LINDA L Description Date Amount 8845 SW AVON CT TIGARD, OR 97224 Furnaces < 100K BTU 10/30/2009 $46.75 12% State Surcharge - Mechanical 10/30/2009 $10.80 PHONE: 503- 656 -9888 Minimum Fee Adjustment- Mechanical 10/30/2009 $43.25 .Contractor: BELL HEATING 15550 SE PIAZZA AVE CLACKAMAS, OR 97015 PHONE: 503- 656 -1184 FAX: 503- 656 -4650 Type of Use: SF Class of Work: ALT Typeof Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: 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 alf.other applicable law. All work will be One 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 Notifi ter. Those rules areset forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain a copy of the rules or dire questions to 0 . 7 Iina- 503.246.6699 or 1.800.332.2344. k Iss' ed By: 0 1i Permittee Signature: ( Call 503.639.4175 by 7:00 a.m. for an inspection that business; day. 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. u 4 (, i , �x n �,�', T ,a � \d 'i Y wV�ht7},11, 11�,, 1 4.,�'�.Ir r ��f ^pl i P, ,, f�� „ �1' N , ,4,, �i� Permit Application , �,� . ' % , a , , , FOR7o �F+FICC us :6'g aA ' '' , t ; 04 Mechanical Application � ' ��, r r a dtu, � •tt � • Received City of Hall Date/By: �Q d 3 PeiMiitNo. Hge: ,9 005 ° 13125 SW Hall Blvd., Tigard, OR 97223 . Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By:' Other Permit: l (0 3 -; 7 Inspection: Line: 503.639.4175 Date Ready /By: See' Page 2"for ""�Y V+T[ GA 1LD Internet: www tigard- or.gov Notified/Method: Supplemental Information, • {,- • . . '. . ' " TYPE OF WORK .. COMMERCIAL FEE* HE • SCDULE —. USEICHECKLIST. ❑ 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: �5 �- / ' mechanical materials, equipment, labor, overhead, and profit: I a nd 2-family CATEGORY OF CONSTRUCT[ON, Value dwelling Commercial /industrial 4 ,._, RESIDENTIAL 'EQUIPMENT / SYSTEMSFEES* y g ❑ ❑ Accessory building Multi-family M builder For special rnformatron use checklist. ❑ y ❑ ❑ Other: Description. 1 Qty. Ea. Total .,"; JOB, SITE "INFORMATION AND ?LOCATION Heating/cooling ■ Job site address: Olt 5- e_ L Air conditioning � � (requires site plan show placement) 46.75 City /State /ZIP: • C9 al Fumace 100,000 BTU (ducts/vents) / 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 at i S � d Hydroni hot water system 2 S Residential boiler radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in- ::wall,.in -duct, suspended, etc. 46.75 Flue /vent:forany of above 23.32 Subdivision: Lot no.: Other 23.32 Tax map /parcel no.: Other fuel appliances _, r DESCRIPTION OF WORK- .r ' heate 23.32 � Water Gas fireplace 33.39 1 / 4 -x - NF■-t 7 -e-e-• �/.- -d ,[2�.Q-Jr-A c'�`'5 Flue :vent for water heater or gas l 4.. " 0 .-R fireplace 23.32 �) t43.-4,-- - ,, `I - t Log lighter (gas) 23.32 Q -tT— i CAR - t;�� w�• , Wood /pellet stove • 33.39 `" C Wood'.fireplace /insert 23.32 -- � - Chimney /liner /flue /vent 23.32 ` PROPERTY •OWNER • . ® TENANT/ ° : ' Other: 23.32 Name: g . ,,�, ` . Environmental exhaust and ventilation Range hood/other kitchen Address: . 2 .. _ t © .equipment 33.39 City /State /ZIP: lit ('9• U T�6, Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (S'(3 (Q ( q Fax: (cD"3 33 6 -?-'f) / toilet compartments, utility rooms) 23.32 ' , b' Attic/crawlspace ❑APPLICANT' , fi m wCONT PERSON m ' acefans 23.32 p Other: 23:32 Business name: Fuel t to P g Contact name: „-_.Qo $14.15 for first four; 54.03 for each additional Furnace, etc. Address: Gas heat pump Cify /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range 'CONTRACTOR' ; 14 Barbecue Business name: / Clothes dryer (gas) Other: Address: . 'MECHANICALTERMIT?FEES* r' • City /State /ZIP: c p:etz-e_vr,. �, c1.� Subtotal ,) � ) Minimum permit fee ($90.00) A Li , Phone: ((5U31-, ( c t (9 "I Fax: ( ) Plan review (25% of permit fee) ...e— CCB lic.: 4/ tJ . State surcharge (12% of permit fee) (0 .( ll _ TOTAL PERMIT FEE / 00 ,Q$ This permit application expires if a permit is not obtained within 180 Authorized signature: � . I — - days after it ex accepted as complete. Print,narne: 1.2/./...)D l 0 Lt .t -.. r Date: (Q -3� J •* Fee methodology set by Tri- County Building Industry Service. Board I:\Building \Permits \MEC PermitApp. 10/01 /09 440 -4617T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi - Family Fee Schedule: Total;Valuation: <Perniit Fee: r $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. 1:\ Building \Permits\MEC - PermitApp.doc 10/01/09 2