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Permit CITY TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00027 TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/11/2007 PARCEL: 1 S136AA -09300 SITE ADDRESS: 06955 SW LOCUST ST ZONING: R -4.5 SUBDIVISION: VENTURA ESTATES LOT: 015 JURISDICTION: TIG Project Description: Extension of gas line to generator. 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 TIM MACKEY Description Date Amount 6955 SW LOCUST ST TIGARD, OR 97223 [MECH] Permit Fee 1/11/2007 $72.50 [TAX] 8% State Surcha 1/11/20W $5.80 Total $78.30 Phone: Contractor: A- WESTLAKE APPLIANCES & NC 410 SW 2ND AVE STE 20 REQUIRED ITEMS AND REPORTS LAKE OSWEGO, OR 97034 Contact #: Reg #: LIC 75995 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: )69: ) ? Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that busi • ss 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. !�'� � *J ® K .Y y, `*-•' ... 1 . h -C i' NIt yi ,.. ° ter ;Mechanical Permit Anplicati li i J � :;' I �,lz (�hl IC i ` � c�,� �) „ _ r , . ' City of Tigard Received / � � Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 J 1 1 2007 r -- / 7 ' l � C� 7 ©U 0,2_ I ® Plan Review Other Permit: ;7..;.. 1� Phone: 503.639.4171 Fax: 503.598.1960. Date/BY 1,419" 503.639.4175 t. Ins Inspection Line: +ITY OF TIGARD mtis: T.I C A li' lei P Date Ready/By: Ri See Page 2 for Wa a tai Internet: www.t or.gov B UILDING DIVISION Notified/Method: ) Supplemental Information . T YPE OF WORK COMMERCIAL FEE* SCHEDULE . -- USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction 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: $ RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* dl and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling q ( / Air conditioning or heat pump Job site address: �, /5S Sv/V l 0 G it 5T (requires site plan showing placement) 14.00 City /State /ZIP: - "D 6k Se- N) 1Z_ Cl 71— 3 Furnace 100,000 BTU (ducts/vents) 14.00 no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. j , K ,r 5 a s l \ �e Gas heat pump 14.00 Cross street /directions to job site: J 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.: Otber fuel appliances DESCRIPTION: OF WORK - , ' - Water heater 10.00 Gas fireplace 10.00 111 j ' LI T- e 'T ��P / &"N) { 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 . ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: I . ac, Environmental exhaust and ventilation Address: Range hood/other kitchen 5 0,...\,....e A- equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑'APPLICANT - '❑ 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: Fumace, etc. Gas heat pump City /State /ZIP: Wall/suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E-mail: Range . CONTRACTOR ; _ Barbecue `- Clothes dryer (gas) Business name (JE `% Cvi-) P• Other: Address: MECHANICAL PERMIT FEE City /State /ZIP: Gc Subtotal Minimum permit fee ($72.50) Phone: ('f O j) y i ') on Fax: ( ) Plan review (25% of permit fee) CCB lic.: 7,gc1 S State surcharge (8% of permit fee) TOTAL PERMIT FEE signature: This permit application expires if a permit is not obtained within 180 Authorized Si >'� �� days after it has been accepted as complete. Print name: iii.li I A 17' Date: (.--// — 4'7 • Fee methodology set by Tri- County Building Industry Service Board 1:\ Building \Pernits\MEC- PemiitApp.doc 04/06106 440-4617T(11 /O2/COM/WEB) - • 4' 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 Ai- CITY OFZi-IGARD BUILDING rallAISION PERMIT #: MEC2007-00027 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/11/2007 Phone: (503) 639-4171 Alvoip Inspection Requests (24 Hrs.): (503) -111. /9/67;2007- 7Oa 7 INSPECTION WORKSHEET FOR DATE: 1/12/2007 TIME: 7:04Alkii PAGE: 19 SITE ADDRESS: 06955 SW LOCUST SI CLASS OF WORK: SUBDIVISION: VENTURA ESTATES LOT #: 015 TYPE OF USE: PROJECT NAME: MACKEY DESCRIPTION: Extension of gas line to generator. OWNER: MACKEY, TIM PHONE #: CONTRACTOR: A-WESTLAKE APPLIANCES tic NC PHONE #: Inspection Request Scheduled For: Date: .1/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 610 Gas line 042089-01 603-348-1967 Corrections/Comments/Instructions: 5Cei, Pe -- rr79 .4.are 4--A- „2" • _':-11111 Iff - A/2 - mikar - 4-FrArgc" 0 PARTIAL APPROVAL I CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED 4 4 , Inspector: Date: / — Phone #: (503) 718-