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Permit • V •I CITY F TIGARD MECHANICAL PERMIT 1 ,„i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00129 "- � - :. 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 DATE ISSUED: 4/6/2006 PARCEL: 2S 104BC -06800 SITE ADDRESS: 14203 SW WALNUT LN ZONING: R -7 SUBDIVISION: BAILEY WOODS LOT: 004 JURISDICTION: TIG Project Description: ADD A/C CLASS OF WORK: OTR 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: 1 DOMES. INCIN: ELE 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 OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES JAMES NAMIKI Description Date Amount 14203 SW WALNUT LN. TIGARD, OR 97223 Total Phone: 503- 329 -3049 Contractor: HANSON HEATING 1916 SE 148TH PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 891 -9138 Reg #: LIC 142382 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: � � ��' _ �.� Permittee Signat e: J • �` * ! - 1___--- Call 503 - 639 -4175 by 7:00 a.m. for inspecti e 1 at 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. K +r 7.7 Yd S' 7�., r;n* tt"• i iu �' urrn -9 F. f3.� ,, •Mechanical Permit Application P r ' ,�rc�li c L1 u� cl �� i t,Ia, 1 of Tigard t � i!'i �.... .�'r J ; ) r r.I ta,e..r Z- l v,, .p r r .7F'v` rI t i rT :'. ,.�r!,±`, l',1 >• Received �Q� 13125 SW Hall Blvd., Tigard, 0' 97223 Permit It b i 0 0.) Permit No. ' a ., 0 0 6 - 0/90 i, , ®, Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permit. Date T 1 G n 1 I Inspection Line: 503.639 h� b 2 Date Ready/By: Juris: RI See Page 2 for 0.1 4 . :', Internet: www.tigard - or.gov Notified/Method '/(, Supplemental Information CITY OF TIGARD TYP$OEp UOIVISIO COMMERCIAL FEE* SCHEDULE - USE CHECKLIST • ❑ New construction gil Addition/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* I and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total - JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: / j O ‘5 ,„„ /, J , I Air conditioning or heat pump ` Alit. (requires site plan showing placement) 14.00 City /State /ZIP: �j A 9' 71° -3 Fumace 100,000 BTU (ducts/vents) 14.00 �,-1 r 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: Ear r a - 5 - f 4);.,„4.5,,,5 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 [f. i Gas fireplace 10.00 Add U 4- ex j � J it) J q 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 I ❑ TENANT . Chimney /liner /flue/vent 10.00 Other: 10.00 Name: ■ v . e n 10A. 't k Environmental exhaust and ventilation Address: JA/010 , • / 7 1-I p 1 Range hood/other kitchen � .. LA) !�L/i -//V a / �l / equipment 10.00 City /State /ZIP: ) tt© i d op 9 -2 3 Clothes dryer exhaust 10.00 J p Single -duct exhaust (bathrooms, Phone: (�5 3) c '3 .9 Gi - 3t0 A] / / Fax: ( ) toilet compartments, utility rooms) 6.80 a APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 1 Other: 10.00 Business name: „� w eig J JUT Fuel piping Contact name: 7 es /�o$B.0t) JJ $5.40 for first four; $1.00 for each additional Address: / 9/ � r 5 ' ` , 8 : - ' 1 e Furnace, etc. Gas heat pump City /State /ZIP: TO Y7 4 �i41t9 " . 9"X2.33 Wall /suspended/unitheater (� S9/ .- g, ?ice Fax: (573) 7650. 375-90 Water heater Phone: / Fireplace E cy Range • /4..A.z575. CONTRACTOR � Barbecue Business name: � A.., !! /- h dryer (pas) 9� // ���A O Ottherer: : Address: / 9/ � 5 E / S" c , MECHANAL PERMIT FEES* City /State /ZIP: p r 7 , 47 () , 9 2''`.33 Subtotal Minimum permit fee ($72.50) Phone: (533) g'1/ . 7), 3 F ax: 3) - ., 9a Plan review (25% of permit fee) CCB lic.: / .47 7 y/2,0/, 6, State surcharge (8% of permit fee) t • ,/ TOTAL PERMIT FEE Authorized signatur . � , 0.i, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: - i/ J , iii ;# Date: - e * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Pennits'MEC- PermitApp. 04 /06/06 4.1-4617T( /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. 1:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2 c p /103 3 L kLA)ucf L 1; ,4ro OR 9 7)Q 3 s 1 I I 3o' tt �] /kiki N' �5 b k1 �1-� 5 t'5 iu il o 01/6 Vo