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Permit
1 i a CITY OF TIGARD MECHANICAL PERMIT '' ° , COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00527 � 'TIGARDi 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/4/2007 PARCEL: 2S112AB -01200 SITE ADDRESS: 07325 SW BONITA RD ZONING: I -L SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: HORIZON RESTORATION Project Description: Install (2) bath fans. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES TENNANT INVESTORS Description Date Amount PO BOX 1658 PORTLAND, OR 97207 [MECH] Permit Fee 9/4/2007 $72.50 [TAX] 8% State Surcha 9/4/2007 $5.80 [MECH] Permit Fee 9/4/2007 $72.50 Phone: [TAX] 8% State Surcha 9/4/2007 $5.80 Total $156.60 Contractor: HORIZON RESTORATION 7325 SW BONITA TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 620 -2215 FAX 503- 624 -0523 Reg #: LIC 160672 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued - ��111 j_L/ Permittee Signature f / ��j ` / ' ' Call 503.639.4175 by 7:00 a.m. for inspections 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. �i s R 5 Tt(i 14ti a > r �{� t� N As V } r KU li 'IVlec:banical Permit Applica L1,— ''' ''''' -', . i oR 9FF>CE usE oN �' gt i t Y ' ; I, I ': . C y g a? : d � , , at Y . © W / P No 13125 SW Hall Blvd., Tigard, OR 97223 Ph one:. 5036394171 Fax: 5035981960 Date/By: l Review , r $. ° • ., . . . .Other Permit: f 0 2007 Date Ready/By: R D" Inspection Line: 503.639.4175 T I CARD" R D p � - •• • I Ready /By: luris: la See Page 2 for :,I Internet: www.tigard - or.gov p� Notified/Method: TIC....." TIC....." Supplemental Information Ci 1 I� ur 1 10AR g ) TYPE ' W T • COMMERCIAL FEE, *. SCHEDULE , — USE CHECKLIST Mechanical permit fees* are based on the value of the work 0 New construction 0Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. ' ' CATEGORY OF. CONSTRUCTION , .- . . Value: $ RESIDENTIAL EQUIPMENT /. SYSTEMS' *- ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ` For special information use checklist. ❑ Multi- family ❑,Master builder ❑ Other: Description Qty. I Ea. Total ' JOB SITE-INFORMATION AND LOCATION Heating/cooling Job site address: 73 a. 5 5�' f h_ Air conditioning Tres iti plan s in or heat pump ( (requires site plan showing placement) 14.00 City /State /ZIP: • T - �•� ' mil j Fumace 100,000 BTU (ducts /vents) 14.00 i Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: r �z'� r q / Gas heat pump 14.00 Cross street/directions to job site: 'J Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 _Other: 10.00 Tax map /parcel no.: Other fuel appliances " DESCRIPTION . OF' WORK . • r Water heater 10.00 Gas fireplace 10.00 — da" / L / -ivy Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ❑' PROPERTY OWNER ' . • 0 ' TENANT Chimney /liner /flue /vent 10.00 Other 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 . 0 , APPLICANT . 0. CONTACT PERSON,. Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; 51.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR : Barbecue Business name: 6-11 j--1 d-U� /� e!J /Ol(c t O dryer (gas) Other: Address: 7 3 i,..6- 5'w 86,1N.311 86,1N.311 Other 91 MECHANICAL PERMIT FEES* City /State /ZIP: j -T—( D✓, Subtotal Minimum permit fee ($72.50) , SD Phone: (I'd3 ) 6,9 — 15 Fax: ( ) Plan review (25% of permit fee) CCB lic.: l i p o(p-1. State surcharge (8% of permit fee) J • 5tj i TOTAL PERMIT FEE. 9 --y..3 0 Authorized si nature: //i - ' X117 This permit application expires if a permit is not obtained within' 180 g '�iqi r days after it has . been accepted as complete. Print name: w, 5 fre 5 i Date: /y /67 * Fee methodology set by Tri- County Building lridustry.Service Board 1 : \ Building \Permits\MEC- PermitApp.doc 01/19/07 440-4617T (11/02/C0M/WES) Mechanical Permit Application - City of Tigard Page 2 Supplemental Information Commercial Fee Schedule: Total. Valuation: ; Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1: \Building \Permits \MEC- PermitApp.doc 01/19/07 2 CITY OF TIGARD BUILDING DIVISION ,.�` / PERMIT #: MEC2007- 00.527 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2007 Phone: (503) 639 -4171 ° i1i• t� Inspection Requests (24 Hrs.): (503) 639 -4175 ': p ,��' INSPECTION WORKSHEET FOR DATE: 9/5/2007 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 01325 SW BONITA RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HORIZON RESTORATION DESCRIPTION: Install (2) bath fans OWNER: TENNANT INVESTORS, PHONE #: CONTRACTOR: HORIZON RESTORATION PHONE #: 503.620.2215 Inspection Request Scheduled For:. Date: 9/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 055118.01 503. 793.5359 N Corrections /Comments/ Instructions: ' ' 1-Wil CA11//A. 4- 1-6., - 2.--0 al , o0 Li __ dik____, c7 )...._ 1 ' * zzy - PASS .__. PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED • �Y Z Inspector: . Date: 9/% ) Phone #: (503) 718 - c./