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Permit CI TY OF TIGARD MECHANICAL PERMIT f ' Ii A DEVELOPMENT SERVICES PERMIT #: MEC2006 -10054 �I '; ;; DATE ISSUED: 3/31/2006 '-` -- -- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 114 B B -04800 SITE ADDRESS: 10080 SW PICK'S CT ZONING: R -4.5 SUBDIVISION: PICKS LANDING NO.1 LOT: 025 JURISDICTION: TIG Project Description: ADDING GAS LINES FOR METER CHANGE. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MARCHANT, ROBERT J AND Description Date Amount DEBORAH DEWIT - MARCHANT 10080 SW PICK'S COURT [MECH] Permit Fee 4/6/2006 $72.50 TIGARD, OR 97223 [TAX] 8% State Surcha 4/6/2006 $5.80 Total $78.30 Phone: Contractor: B + S HEATING BOX 1623 OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 720 -5608 Reg #: LIC 45838 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 By: 4 1�! ._ Permittee Signature: per, 4G�JCl (•� - �r Cali 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. Mechanical Permit An :. a te' Ili L � :i of o i. i ici l�til � t � • City of o Tigard Received / /L Permit Nom E goo b ' 4,5%. 13125 SW Hall Blvd., Tigard, OR 97223 ► Plan Rev iew MAR 3 1 20 I Other Permit: Inspection Line: 503.639.4175 Phone: 503.639.4171 Fax: 503.598.1960 - *rte . , . Date/By. t w III ,1 Date Ready/By: ®See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIG ' " "r Notified/Method: NM Supplemental Information BUILDING DIVISION TYPE OF. WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST • ❑ New construction ddition/alteration/replacement Mechanical permit fees' are based on the value of the work 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 FEES* and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑ Multi family For special information use checklist. ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling (� f -' Job site address: © ®E J .LN , f 1-C, icS C , Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: 'Z` L3 c L B -s o e, GZ ) 2 2 3 Furnace 100,000 BTU (ducts/vents) 14.00 N Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street /directions to job site: Duct work 14.00 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. 10.00 Flue/vent for any of above 10.00 Subdivision: Lot no.: Other: _ 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 , r S � ^ C f - ( 144t--c9-7- Gas fireplace vent 10.00 I'VE (/ l f� v �.-- Flue vent for water heater or gas fireplace 10.00 Ci\.a°‘s-2r U t ( 6A'S c k f)- Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 'ROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 • Other: _ 10.00 Name: . 13 0-6 ' uLct,w L Environmental exhaust and ventilation Range hood/other kitchen Address: t 0 O S- p S CA-) Pdy./� C•A equipment 10.00 City /State /ZIP: 7 )- 6,.G ,,j__ e a__ c' - 2 Z ) Clothes dryer exhaust 10.00 p G Single -duct exhaust (bathrooms, Phone: (5 ) 6 ?e) , V [ G 3 Fax: ( ) toilet compartments, utility rooms) 6.80 LICANT CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; $1.00 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: R tS 1 �- ' /�� � 5 1 „ a0 Ot C dryer (gas) L> Y rc�r �/"� . °-- Other: Address: P,0 . 6 tc.ii 1622 . MECHANICAL PERMIT FEES* ,_� City /State /ZIP: 0 (\r `J • 7 & V - C A y 6 f q 2 0� S Subtotal . �� � j Minimum permit fee ($72.50) Phone: ($03) 6 .1..S e7 N Q S' S Fax: ( SO� ) 51 8-- ( �3 L- Plan review (25% of permit fee) CCB 1ic.:4 S ` -3 y5 30 4s:sz _,.ee____, State surcharge (8% of permit fee) TOTAL PERMIT FEE 1 Authorized signature: This pe rmit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: t3` J . 5 ' (�.,y4P Date: 3 .3 (p • 2 ' Fe methodolo set by Tri- County Building Industry Service Board i:\Building\Permits \NEC- PermitApp.doc 12/03 440 -4617T (11 /02/COM/WEB) 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. i:\Building\Permits'MEC- PermitApp.doc 12/03 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC200E:100E,4 13125 SW Hall Blvd., Tigard, OR 97223 . '' DATE ISSUED: 3/31 /2000 . fi g Phone: (503) 639 -4171 . r i4 Inspection Requests (24 Hrs.): (503) 639 -4175 F. INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:0 PAGE: 68 SITE ADDRESS: 10080 SW PICK'S Cl CLASS OF WORK: SUBDIVISION: PiC (S LANDING NO.1 LOT #: 025 TYPE OF USE: PROJECT NAME: MARCHAN T DESCRIPTION: ADDING GAS LINES FOR METER CHANGE. OWNER: MARCHANT, ROBERT J AND, PHONE #: CONTRACTOR: B + S HEATING PHONE #: 503- i2U Inspection Request Scheduled For: Date: 4/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message E+10 Gas line 028350-01 503.250.0550 N Corrections /Comments /Instructions: 1 q /<— ., ,...,, / ► _iw_ , t-q 1) ( 6 t CF: -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 i Date: ZU ' C.3 Phone #: (503) 718- l' 6q/