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Permit — CITY OF TIGARD MECHANICAL PERMIT a • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00365 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/16/2012 Parcel: 2S103CC14000 Jurisdiction: Tigard Site address: 12075 SW WHISTLER'S LP Project: Ashford Subdivision: WHISTLER'S WALK NO.2 Lot: 87 Project Description: Installation of outdoor gas fireplace and gas piping. Contractor: NATURAL GAS CUSTOM PIPING INC Owner: ASHFORD, DARIC L & GREGGETTE L 16736 SE FIRCREST CT 12075 SW WHISTLER'S LOOP MILWAUKIE, OR 97267 TIGARD, OR 97223 PHONE: 503 - 319 -6557 PHONE: FAX: 503 - 335 -9950 FEES Specifics: Description Date Amount Gas Fireplace 07/16/2012 $33.39 Type of Use: SF Fuel Piping 07/16/2012 $14.15 Class of Work: OTR Type of Const: 12% State Surcharge - Mechanical 07/16/2012 $10.80 Occupancy Grp: Minimum Fee Adjustment - Mechanical 07/16/2012 $42.46 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $100.80 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �— Issued By: C Permittee Signa e: /���► ' ' C Fif o��� Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. • • Jul.13.2012 07:56 AM MATT SANDER LANDSCAPE SER 5037472237 PAGE. 1/ 2 • Mechanical Permit Appl fie 1 I U (,l FI I: I SI: (1 \1.) City of Tigard 1 1F � pa 7 !G. Penult Review Other Permit: No.: H O 345 N a 13 :1W Blvd., 'l i gatti, 97p2 �� Flan p • Pho ne: 503 Hall R Fux: 503 . 6 2� 12 Datdlly: 1 1 , ; \ 1, 1) Inspection Line: 503.639.4175 D Ready/By: Alin: 0 •yea Pugr 2 for Internet: www.tigardor.gov CI3VD Notitlod/Method: Supplemental Information .. ., r ' .:)ti;:,��;, .,.,t•,•....: BUI,�.0:�p�� j ;BARD x .. 11 ' 4i �rtat � W. � , ,,-. ,.�; "., .7 : %: {'" 1'9:!; '4' •. 3 ' 1: 117.; :% ' '\'�'" s _ ' si u , - . ' (: ' s�•FiAP. L '.•f .., � `; :a.,7 .6- f a 7, V , ' , -:' ( Y ; ,nv ' y ' " u • ..Aiaeiw an:,. vawM�7 �,iea.. I , f } ' : '' �: �:; r ,•::�i; }., JY•?:•r r , ' 7. "= . . ..•.. ,K K;. .;'y..•t5i- ''.y.:�- •<i.,:,.,• a. ,�4,r1.r.lwe„lm. -' • Mechanical permit fees are based on the value of the work ❑ Ncw construction ® Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all Q Demolition ❑ Other: mechanical materials, equipment overhead, and profit. :;. c Y,. Value: $ :. 4 �. ..,... . #��n ' ,r >r= a.p•;•r_ : .. , ., . t r: l�lM1!>n�; %� ,,;Y,l�t;� s, �'�� - J -i ��y � ,... .. • _.. ,,.,.�. ,. _,. ... , •`t - �:' : �. ' .r. .. ::0:111 :A 1' , t' . '. Y'IR ^lt . IR 1- and 2- family dwelling ❑ CommerciaVindustriel ❑ Accessory building For special infwwwlion useehecklist ❑ Multi - family ❑ Master builder ❑ Other: Description , ^ 1 Qty, i Ea. I Total ;;'P.'iiJi:% �', uy} ":I,��Y;A %"�7r ���� �" S pp �( . _g "•6 +'.; r.� .� °!.o �sy'��: - ^'':.: 1f�e0�, ..:::; .,.,..<• y"':�• :a '%c, 7 ..)** . " 1^7"7; ` . •r'A, {i� c gsi.r_ • -' ,• Alr COM : Job site address: . ` 01 W ht3 errs !• . (requires site plan chnwine plowmentl 46.75 Furnace 100,000 ll'fl 1 (dual/vents) 46.75 City /Slate/ZIP: kw_ ci Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: _ I t Project name: Heat pump (requires aim plan showing placentatt) 61.06 Cross street/directions to job site: Duct work -- ( 23.32 liydronio hot water system 23.32 _ -- - ---- - Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, nut electric)), in - wall, induct, suaponded, etc. ......, ,... ._. 46.75 Subdivision: ...... Lot no.: - Flue/vent for any of above 23.32 Other: _ 23.32 Tax nulls/parcel no,: ? 5icr5ce, 1 40O Other Atei appliances: i;' y� :: , u: ^ .. k ,:. ,r.:.. ,., - ..yFl •. •,1 • tf 7�. ,:• T .,W ...,_..._ ' . "�c•; , a s ^ • }�•;,'r.>:' � " `� „cc��ni%� �t �; r .<t' %., - �Water heater 23.32 '„ Gras fireplace/insatt �j► , 33.39 41i G t:_t . -. 1 O .. �A a' - - --- Flue veal fur water heat or gas til fireplace 23.32 �_ ... �� Lot; lighter SYps� 23.32 - Wood/pellet stove 33.39 Wood fireplace/insert 23.32 /J I ^'err )Y: {ML•~' :r ''xptp�•�` l �,y�� • INK. J' �1f'r:.4r' >• %AU^ .i.�� .. �!y ^' y` i.: \1�I. ,. Chitnttey /Bue/vent ......_._ 23.32 K'^!' wit- .T ^"T'.�:u\'i�' Sri �``;` )' fT2' :,', 4'iJ„a N� ,( ,t„; ; ":- .. n ; :.E �� �., .;:- :yi<; -.:' UlhuT: 23.32 Name € tmette t*'Ts l�4 Environmental exhaust and ventilation: Address: 1 �� f ( `� Range hood /other kitchen equipment 33.39 City/State/Z1P: 11 t 6(2_ '1 e 5 Clothes dryer exhaust -M.._ 33,39 Single exhaust (bathreotns, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ; . ,i; , 6,.;,; _ .',a n- y : '4' z ti.' ,�, • .. 0 :. , :�`i< ': :Y A ',;' " . ' ` 'i;: x :, a , a. .' ,.zit ➢1 "! '. F a .,, :''" ` :".? Attic/erawlspaue fans .._ ...._..W ....... 23.32 ,t• Other: 23.32 Business name: �Cj Y I`J - -' - - Fuel piping: Contact name: A t Pf) $14.15 fur first four, 50.03 for cacti additional Address: _ IC) W N A '±1' - ►, ti - �- Pomace. eta. City/Stete/ZIP: 1 Choi heat pump 7 • l \ £ ci,1 •-�/ Wall/suspended/unit heater r Phone: ( ' 1 4� r© Fax: : ( t4� - -3 �eZ I Water heater ^. Email: Fireplace :) 1 , r : " 1 .. C. i Ran_. � ' df. t. j�j'�'�F!!/tl Sti- r..ia'j; ':r:L': r „�, `,�. [..: �., ,.f,- ,' l . '.P° 7.ra: �:-ici.z . , y h ill•' ,.,:', i , Barbecue !f9�'Lr`;�. � .1�'q. •..t,'t -�! •'� � ' ,'• x:? �% � R. � , ^'� .�...�..._. Business name: / Me S rO 1 f ( p, r (de.- Clothes dryer (gas) ._._._. -••{� Other: Address: 14754 f 2 CJLt'rl CT -a .: , , ; r°'4' ; ii>,�:� 111 =• a ei �. i 4, �„ " . � n., <�'' , y City/Slate/ZIP: 1-( Ot¢- ; '' a Subtotal " i r.;.. r 144, 41.4 Kt f.. . cf7247 Phone: �1Q �GSS7 f y ( ) Minimum permit fee ($90.00) - - - Fax: r 3 Phut review (25% of permit fee) f tic.: h, _ I g 7 7 I 9�1 ¢// Y State surcharge (12% of permit fee) ��r' ` TOTAL I f permit PERMIT o i, • 0 Authorized signature: This perm!/ application expires if a pet rnit le not t abi ble1ti0 days ater It has been aepte l as ceuaDktr. Print name; M4 t � ... Date:1 ( 7. ---• a Fee methodology set by TriCounty Building Industry Service Mani r: �nad0a1gUWnuitAMEC-PomdtApp.dac 03/07/12 f ITr UO2/COM/WbB)