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Permit a CI1'Y OF i'fidARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00251 TIGARD . 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/19/2008 PARCEL: 2S 111 DA - 03700 SITE ADDRESS: 15326 SW MCINTOSH TERR ZONING: R -7 SUBDIVISION: APPLEWOOD PARK NO. 2 LOT: 032 JURISDICTION: TIG PROJECT: MCDANNIAL Project Description: Installing 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: 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: > 10000 cfm: GAS OUTLETS: Owner: FEES MICHELL MCDANNIAL Description Date Amount 15326 SW MCINTOSH TER TIGARD, OR 97224 [TAX] 12% State Surch 5/19/200€ $8.70 [MECH] Permit Fee 5/19/200€ $72.50 Phone: 503- 313 -3980 Total $81.20 Contractor: BEN'S HEATING & AC PO BOX 80607 PORTLAND, OR 97280 REQUIRED ITEMS AND REPORTS Contact #: PRl 503 - 233 -1779 FAX 503- 651 -3345 Reg #: LIC 64597 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 952-001-01! : • u may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: / 4 Permittee Signature: , / Call 503. • - . 175 by 7:00 a.m. for inspections that busin - 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. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Iy©� Date/By: Permit No.: Y" 000 r `4 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review / Phone: 503.639.4171 Fax: 503.59 �' Date/By: Other Permit: T l G A K u Inspection Line: 503 a Date Ready/By: luris: RI See Page 2 for Internet: www.tigard or.gov 91° Notified/Method: Supplemental Information TYPE OF » ORif.,� ' �G A " , t� 9 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction Addition/alt� • s • V • t. Cement Mechanical permit fees* are based on the value of the work � performed. Indicate the value (rounded to the nearest dollar) of all 12 Demolition ❑Other: mechanical materials, equipment, labor, overhead and profit. CATEGORY OF CONSTRUCTION Value: $ , ecQ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES* ] Multi - family ❑Master builder ❑ Other: For special information use checklist. Description 1 Qty. 1 Ea. 1 Total JOB SITE INFORMATION AND LO ATION Heating/cooling Job site address: / aC2 .S(.J / r l � j' r `7'p ' Air conditioning or heat pump / / (L✓ (requires site plan showing placement) 14.00 (.L City/State /ZIP: 0 -ri-C9 - c) r a a 14 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name j 7 /04Jv, a f Gas heat pump 14.00 Cross street/directions to job site: / Duct work 10.00 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. 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 4 ( A l G Gas fireplace 10.00 (� 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 L Other: 10.00 Name: (j 0 i I . Environmental exhaust and ventilation s7? a,L s T n ) + as � r r Range hood/other kitchen Address: / G equipment 10.00 City/State /ZIP: 'T'7' (91' C �'a ¥ Clothes dryer exhaust 10.00 4 1 Single -duct exhaust (bathrooms, Phone: ( ) 9 z a .. / Q7 Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT $- CONTACT PERSON Attic /crawlspace fans 10.00 Business name: Other: 10.00 °lit j r Fuel piping Contact name: v1 A $5.40 for first four; $1.00 for each additional Address: F etc. Gas heat pump City/State /ZIP: Wall /suspended/unit heater Phone: (3) 3 13 - ,. 3q go Fax: ( ) Water heater Fireplace E -mail: I Range CONTRACTOR Barbecue /Z e �s / . „ �, r�_ A ` Clothes dryer (gas) Business name: (� /�'G17 f� ` Other: Address: Q O a g Q 6 7 MECHANICAL PERMIT FEES* City/State /ZIP: r 4 c , Q' 4 Subtotal Minimum permit fee ($72.50) -7a .5 Phone: 3) - ' Fax: (93) /��(- 3 ,1�s Plan review (25% of permit fee) cn CCB lic.: 6 1/� 7 �`-� r State su (12% of permit fee) '3'. to Authorized signature: (1,,e,zi- TOTAL PERMIT FEE This permit application expires i permit is not obtained g w 1g0 days after i has been accepted as complete. Print name: Clit �� to t� S Date: l I / oil ' Fee methodology set by Tri -County Building Industry Service Board I:1 Building \Permits\MEC - Perini sApp.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. I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2 reenct tto- 4USej A I 1 (3026 su) Mc Vv cr2M4K CITY OF TIGA.RD BUILDING DIVISION PERMIT #: MEC200R -00251 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7:00AM PAGE: 49 SITE ADDRESS: 15326 SW MCINTOSH TERR CLASS OF WORK: SUBDIVISION: APPLEWOOD PARK NO. 2 LOT #: 032 TYPE OF USE: PROJECT NAME: MCDANNIAL DESCRIPTION: Installing NC/ OWNER: MCDANNIAL, MICHELL PHONE #: 503-313 -3980 CONTRACTOR: BEN'S HEATING & AC PHONE #: 501233.1779 Inspection Request Scheduled For: Date: 6/17/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 071385 -01 503.233 -1779 Y Corrections/Comments/Instructions: • +!= S IARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL % CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED / ' Inspector: 1r _ Date: 6 /7X:2 Phone #: (503) 718 - �-�'O y