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Permit F {: CITY TIGARD MECHANICAL PERMIT I� DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00037 — � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/23/2006 PARCEL: 2S111 BA -04200 SITE ADDRESS: 14040 SW 98TH AVE ZONING: R -4.5 SUBDIVISION: MCDONALD ACRES LOT: 017 JURISDICTION: TIG Project Description: Gas insert fireplace. 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: DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1 > 10000 cfm: GAS OUTLETS: 1 Owner: FEES BOB MCMILLAN Description Date Amount 14040 SW 98TH [MECH] Permit Fee 11231200E $72.50 TIGARD, OR 97223 [TAX] 8% State Surchar€ 1/23/200E $5.80 Phone: 503 620 - 9425 Total $78.30 Contractor: CENTER POINTE CONSTRUCTION 17214 NE 224TH AVE REQUIRED ITEMS AND REPORTS BRUSH PRAIRIE, WA 98606 Contact #: PRI 503- 260 -0271 FAX 360 - 883 -4856 Reg #: LIC 127655 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: L� Permittee Signatur~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. Mechanical Permit Application pE f {Y °' FOR OFFICE USE ONLY City of Tigard im R'� Y Received Date/By. - . .1 ,7 Qb l:/ /� Permit No.. • / . 1 / U (N /�� `� 03 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 / /� , 1...y iDate/gy Other Permit: Inspection Line: 503.639.4175 JAN 2 2006 , 1 1 Date Ready/By: NM ®See Page l for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information CITY OF TIGAF�L� Beil ( nt1 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction E Addition/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: $ ©' i - and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial ❑ Accessory building For special information use check list. ❑ Multi-family ❑ M aster builder ❑ O ther: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling C/ (1 t C� c Li Air conditioning or heat pump Job site address: ! J (requires site plan showing placement) 14.00 City /State /ZIP: -r- C 4/-6/ () Furnace 100,000 BTU (ducts/vents) 14.00 l 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: p- y ( 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 6 e) i �NcP� ✓ %Z Gas fireplace vent for water heater or gas / 10.00 � }l /.� f• = 5 Flue vent for ' ^� / fireplace 10.00 t r) f 0 � - 7 r l i ' t Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: !, I3 C ,. ,, (7.7 (' a K)N Environmental exhaust and ventilation ( S� f , Range hood/other kitchen Address: • t-- / f U t-/U f equipment 10.00 City /State /ZIP: -- it s p a (A''-( Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (SC.'J ) 61 J- �7 / 1S Fax: ( ) toilet compartments, utility rooms) 6.80 4=APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: C -3-3 4,_,-6,;,,,_-/- � ��h fi re. C f 9 J •- Fuel piping Contact name: J , 2 Q it $5.40 for first four; $1.00 for each additional Address: / ` Z / `r Al ,z.._ 2-2 1 / 7 A i./-f Furnace, etc. _ � Gas heat pump ;-. City /State /ZIP: yL.iJ ki pr fisj, rr� h Wall/suspended/unit heater Z b i 7 _ Water heater Phone: (5 ) C7 Z � / Fax: : ( ) Fireplace J E -mail: Range CONTRACTOR Barbecue Business name: 514A--Y1--K, Clothes dryer (gas) Other: Address: • MECHANICAL PERMIT FEES* _ City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lie.: ( 2-1 G 5C - -1 � ' 0 State surcharge (8% of permit fee) ,i--�\ TOTAL PERMIT FEE -7,. ,./..7 0 Authorized signat 1 / /� This permit applicat expires if a permit is not obtained wi 180 -- / , days after it has been accepted as complete. Print nam� (2 ,) /2 4, Date: / f Z ?/d G ' Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits\tvtEC- PernitApp.doc 12/03 440 -4617T (1 l /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 #: liv1E,C2006.00037 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/23/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 4W LL INSPECTION WORKSHEET FOR DATE: 1/24/2006 TIME: 6:58AM PAGE: 56 SITE ADDRESS: 14040 SW 98TH AVE CLASS OF WORK: SUBDIVISION: MCDONALD ACRES LOT #: 017 TYPE OF USE: PROJECT NAME: MCMILLAN DESCRIPTION: Gas insert fireplace. OWNER: MCMILLAN, BOB PHONE #: 503-620-9425 CONTRACTOR: CENTER POINTE CONSTRUCTION PHONE #: 603 Inspection Request Scheduled For: Date: 1124/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 025573-01 503-260-0271 F Conions/Comments/Instructions: (oi I AV • r • MIIMPIMEILVM:741-7 • sr " • PASS PARTIAL APPROVAL [ CANCEL n NO ACCESS I I FAIL I I CALL FOR INSPECTION ADDITIONAL EES ASSESSED 4 A Inspector: MI 116 & ( , Date: Pk Phone #: (503) 718- 2A 2-3 Wor-