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Permit
{- .. CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00634 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/30/2007 PARCEL: 25111 CC -12800 SITE ADDRESS: 10345 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT: 179 JURISDICTION: TIG PROJECT: LAUNDER Project Description: Replace gas log set with gas insert. 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: 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: Owner: FEES LARRY LAUNDER Description Date Amount 10345 SW HIGHLAND DR TIGARD, OR 97224 [MECH] Permit Fee 10130120C $72.50 [TAX] 8% State Surcha 10/30/20C $5.80 Total $78.30 Phone: 503- 747 -4334 Contractor: BIRDS CHIMNEY SERVICE 6604 SE CHARLES ST MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -653 -4999 Reg #: LIC 155449 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. � Issu: d By: I &A Permittee Signature: ( • Call 503.639.4175 by 7:00 a.m. for inspections that busin s day. This permit card shall be kept in a conspicuous place on the job site unti completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanic?" p ermit Application . . - FOR,OFFICE USE ONLY' Olt Ol Tigard Date/By: Received i /AD O Permit No.: • 7 . G� IN - ° 1131 SW Flail Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639 Ti G A RD Date Ready/By: J�nn ® See Page 2 for ' - Internet: www.tigard - or.gov Notified/Method: / (� Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE'CHECKLIST • Mechanical permit fees* are based on the value of the work ❑ New construction IS 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: $ • © 1- and 2 dwelling 'RESIDENTIAL EQUIPMENT / SYSTEMS FEES* y g ❑ Commercial /industrial El A ccessory building 111 Multi-family For special information use checklist. y ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: t3 Li 5 5o /4 i C� µ 4 - A-/ /J 2 Air conditioning o heat pump ) 3 � (requires site plan showing placement) 14.00 City /State /ZIP: � Cl 20 0 q , C j 7 L- . 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 strect/directions to job site: Duct work 10.00 1- lydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Flue /vent for any of above 6.80 Subdivision: Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK - - Water heater 10.00 7 / Gas fireplace i 10.00 /A/ 57 14I.- -L C7 M S / /V S 672 4 C m /!2. [ / 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: 4 y Lev ii 0 _7 Environmental exhaust and ventilation Range hood /other kitchen Address: 0 3 t-i .S 5 to f�/ c /¢ L/4- ND l) ✓t- equipment 10.00 City /State /ZIP: T ,,,_. 6 ,., /� q 7 1 � y Clothes dryer exhaust 10.00 i Single -duct exhaust (bathrooms, Phone: (5 7y 7 - 1-f 3 3 &./ Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 Fuel piping Contact name: $5.40 for first four; $1.00 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater )4 Fireplace E -mail: Range CONTRACTOR Barbecue Business name: A i ,LD S e N) en Me Y S e -+� i C Clothes dryer (gas) Other Address: / 0 y , i y 4 4.L._ c s � 3 MECHANICAL PERMIT FEES* City /State /ZIP: f i L. LC1.- v K! E ; 0 ` 7 .1- ,- 2 Subtotal Minimum permit fee ($72.50) 7A Phone: ( 503 ) ( L ,. f 1-i Fax: ( ) Plan review (25% of permit fee) CCB lic.: (55't/ 5/8 /0? State surcharge (8% of permit fee) 5. TOTAL PERMI FEE 7 R , ?� Authorized signature: C Yel--c-i-,. ! / L� This permit application expires if a permit is not obtained within 180 A / 1 1� / � days after it has been accepted as complete. Print name: / Date: * Fee methodology set by Tri -County Building Industry Service Board 1:\Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (I1 /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- PerrnitApp.doc OI/19/07 2 1 CITY OFTIGARD BUILDING DIVISION PERMIT #: MEC2f107.0034 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3012007 Phone: (503)'539- 4171'd41��1� Inspection Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR . DATE: 12/10/2007 TIME: 7 :01AM PAGE: 50 SITE ADDRESS: 10345 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERI=IELD NOR LOT #: 179 TYPE OF USE: PROJECT NAME: LAUNDER DESCRIPTION: Replace gas log set with gas insert_ OWNER: LAUNDER, LARRY PHONE #: 503 - 747 -4334 CONTRACTOR: BIRDS CHIMNEY SERVICE PHONE #: 503-653-4999 Inspection Request Scheduled For: Date: 12/10/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 629 Mechanical final 06114E -01 503.747 -4334 Y Corrections/Comments/Instructions: vii/ C/1- �� CI AL 5 1.1.0z -471 ASS I 1 PARTIAL APPROVAL _ CANCEL I NO ACCESS I FAIL A CALL FOR INSPECTION ( I ADDITIONAL FEES ASSESSED Inspector: Date: 2- -16 -627 Phone #: (503) 718- `- CITY-OPTIGARD BUILDING .DIVISION PERMIT #: MEC2007-00634 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/2007 Phone: (503) 639-4171 Alt i k _ Inspection Requests (24 Hrs.): (503) 639-4175 W' INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7:00AM PAGE: 56 SITE ADDRESS: 10345 SW HIGHLAND DR CLASS OF WORK: SUBDIVISION: SUMMERFIELD N0 LOT #: 179 TYPE OF USE: PROJECT NAME: LAUNDER DESCRIPTION: Replace gas log set with gasinsert. OWNER: LAUNDER, LARRY PHONE #: 503-747-4334 CONTRACTOR: BIRDS CHIMNEY SERVICE PHONE #: 503 Inspection Request Scheduled For: Date: 12/7/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 699 Mechanical final 061010.01 603.74/-4334 Y Corrections/Comments/Instructions: /A- kr.„,„.0 ....- .--,r1 -,r71-444.-7 C--) • El PASS PARTIAL APPROVAL 0 CANCEL El NO ACCESS _ 0-1 n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: . /(TA Date: i 1 — - 7 —,./ 2 Phone #: (503) 718- -"Le-i-4-c---