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Permit C ITY OF TIGARD MECHANICAL PERMIT = COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00328 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/24/2008 PARCEL: 2 S 112 BA -018 0 0 SITE ADDRESS: 07970 SW FANNO CREEK DR ZONING: R -7 SUBDIVISION: WAVERLY MEADOWS LOT: 035 JURISDICTION: TIG PROJECT: JONAS Project Description: Replace furnace and add a /c. 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: 1 DOMES. INCIN: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MILT JONAS Description Date Amount 7970 SW FANNO CREEK DR TIGARD, OR 97224 [MECH] Permit Fee 6/24/200E $72.50 [TAX] 12% State Surch 6/24/200€ $8.70 Total $81.20 Phone: 503- 624 -1941 Contractor: BUERKE HEATING AND SHEET METAL INC PO BOX 1702 HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 648 -3312 Reg #: LIC 62171 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rule : .erect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. • c.._. ssued By: / `- /i /�/ li,/ Permittee Signature: fall _ � --�'� a r .. _., .. - . . . - - - Call 503.639.4175 by 7:00 a.m. for inspections tirsinrniay. This permit card shall be kept in a conspicuous place on the job site u • completion o e project. Approved plans are required on the job site at the time of each inspection. Mecb,, nic 1 Permit Applic: CEt` ED ' FOR OFFICE LSE ONLY City of Tigard v DateB y 0 I Permit No - .(�3� 17 13125 SW Hall Blvd., Tigard, OR 97223 Y �� 2 4 'ZOO$ Plan Review 77 Phone: 503.639.4171 Fax: 503.598.1960�U N �+ Date/By: Other Permit: T Vall I GA RD Inspection Line: 503.639.4175 D ate Ready /By: Hi See Page 2 for Internet: www. tigard- or.gov CITY OF TIGiAFI ®� Notif Supplemental Information � LDING DIVISION TYPE O RK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction f%J 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: $ RI -an-am dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* 1 and 2-family y g ❑ Commercial /industrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist. Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: �j (' Air conditioning or heat pump / �� J /' !� /1 /1 C' �� i ° ���j �� (requires site plan showing placement) / 14.00 City /State /ZIP: r ,/ � - Furnace 100,000 BTU (ducts /vents) ( 14.00 (/if r 01, � 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 10.00 �/ r Hydronic hot water system 14.00 / 7G/ VAI / Cf Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 1 /?, 7 / a ( .p 6s(,� J f-q ■"h Q (sQ Flue vent for water heater or gas fireplace 10.00 1e( 3 G 5/Y /OJrJ Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 10 PROPERTY OWNER ❑ TENANT Other 10.00 Name: ) /7 (/ ,, a5 Environmental exhaust and ventilation Range hood/other kitchen Address: equipment 10.00 City /State /ZIP: 5 a- fr, 43 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (f3) ' ' y / f yi Fax: ( ) toilet compartments, utility rooms) 6.80 (0 .APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: y . ^f- U 0 r A i4 a/ h / C� Fuel piping Contact name: go C g y.4 $5.40 for first four; $1.00 for each additional Furnace, etc. Address: P c y / 7 r / ( Gas heat pump City /State /ZIP: / / ` / /f, Uri „ /7/)_ 3 Wall /suspended/unit heater Phone: (S7/j ) Of f---- -^ 3 "1 Fax: : ( ) Water heater _ Fireplace E -mail: Range • - CONTRACTOR Barbecue Business name: Clothes dryer ryer (gas) /-- Other Address: C vP1 f MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal rt1 - / Fax: ( ) Minimum permit fee ($72.50) 7,105© Phone: ( ) //� ! O6 Plan review (25% of permit fee) � 2 , C / '— CCB lic.: / !!,' �e 7,---0 /' Y 7r State surcharge (12 %ofpermit fee) 70 (/ TOTAL PERMIT FEE j a D � This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: dv�t., ` ?" Cc / /—t7 Date: F -- o n * Fee methodology set by Tri- County Building Industry Service Board \ \ M I \Building Permits EC- PermitApp.doc 01/19/07 440 -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. 1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2 272v iv Fe C � P e � p ; ✓� /46i /, 1AJ (� / " c • r,g1 • 3 p -sty N h nv