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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00287 T t G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/23/2010 Parcel: 2S112CB05600 Jurisdiction: Tigard Site address: 15322 SW 82ND PL Subdivision: ASHFORD OAKS NO. 2 Lot: 70 Project: Wahl Project Description: Gas insert and gas piping. Owner: FEES WAHL, JOSEPH M & LORA OSAKI Description Date Amount 15322 SW 82ND PL TIGARD, OR 97224 Gas Fireplace 06/23/2010 $33.39 12% State Surcharge - Mechanical 06/23/2010 $10.80 PHONE: 503 - 639 -5722 Minimum Fee Adjustment - Mechanical 06/23/2010 $56.61 Contractor: GASPRO INC 7603 SE LOUNSBERRY LN PORTLAND, OR 972056 PHONE: 503 - 775 -7020 FAX: 503 - 775 -7019 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issua • , r i • suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oreg.n U • ity Notification CenP= . T • e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtai . c■ py of t I s •r direct questions to OU / ^ by balling 503.246.6699 or 1.800.332.2344. sued By: 4 r!K4t-tA-kit Permittee Signature: (\'' ` A Call 503.639.4175 by 7:00 a.m. for an inspection that busineday. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. `o-' �° ," "ra 4,, , ,,, , va$', ,,, , e �,a+Ti�a�3o Ar eo Mechanical Permit ApplicatioIRECEIVED r , � * a . l OaP ©ll Icl x-15 q � ;;; li ". 1 t'4' . � " ,� ; i: .'t 4skl.' 2i a1 tii �,,,AAf _.it•,i•ii 4 x..�w.. . , ieva .w � .. .k. ..�r. w... r u +...J.. :'' C of Tigard Received Permit No.: 1 111 4 a 13125 SW Hall Blvd., Tigard, OR 97223 N 3 200 y /D P ���, /�� ,'� , C ; Phone: 503.639.4171 Fax: 503.598.1960 'U Other Permit: � Plan Review Date/By: I I C `lt 'D. Inspection Line: 503.639.4175 T%GAD Date Ready/By: Juris: la See Page 2 for Internet: www.tigard CITY () V I' Notified/Method: Supplemental Information BUILDI TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 111 New construction ❑ 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* ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. J Total ' JOB SITE INFORMATION AND LOCATION " Heating/cooling Job site address: 15 3a2 S `C . h V V PL. Air conditioning (requires site plan showing placement) 46.75 City /State /ZIP: 2—'1'4 V q LI Furnace 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 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 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace f 33.39 Cj , ..-1 J Flue vent for water heater or gas fireplace 23.32 Jr hi Q� Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 ROPERTY OWNER ❑ TENANT Other: 23.32 Name: / / .) /- l/ �� Environmental exhaust and ventilation . Address: < 't/ Range hood/other kitchen _ equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 _ Single -duct exhaust (bathrooms, Phone: (C7C/3 6 5 922_ Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT 'PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Fuel piping Contact name: 514.15 for first four; 54.03 for each additional Address: Fumace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace / E -mail: Range ONTRACTOR Barbecue Business name: (H 5- 40 Z ` Clothes dryer (gas) i Other: Address: 7� 3 --(;-: v-i s eetel /4 MECHANICAL PERMIT FEES* • City /State /ZIP: 04 �i ✓ 04 q 7 j Subtotal Phone: (� j (- 75 �D) Q Fax ( f '7,7 / - 70) Minimum permit fee ($90.00) // Plan review (25% of permit fee) CCB lic.: /5 7 ," State surcharge (12% of permit fee) 3 /� TOTAL PERMIT FEE signature: Thi permit application expires if a permit is not obtained within 180 Authorized V / days after it has been accepted as complete. Print name: /���1 ��M Date: AW * Fee methodology set by Tri- County Building Industry Service Board 1: \ Building \Permits\MEC- PermitApp.doc 10/01/09 44e'617T(11/e2 /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. 1:\ Building \Permits\MEC - PermitApp.doc 10/01/09 2