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Permit • CITY OFT MECHANICAL PERMIT of & DEVELOPMENT SERVICES PERMIT #: MEC2004 -00104 c-- DATE ISSUED: 3/5/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111 BC -01400 SITE ADDRESS: 10145 SW VIEW TERR SUBDIVISION: GREENBRIER ZONING: R -3.5 BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 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: AIR HANDLING UNITS CLO DRYERS: 0 FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 3 Remarks: Installation of gas fireplace, move clothes dryer vent & piping, add gas outlet for range. Owner: FEES BUEHLER, GREGORYJ +.SARA L Description Date Amount 10145 SW VIEW TER TIGARD, OR 97224 [TAX] 8% State Surchar€ 3/5/04 $7.97 [MECH] Permit Fee 3/5/04 $99.60 Phone: Total $107.57 Contractor: FIFTH SON CONSTRUCTION 4000 SW 195TH AVE ' ALOHA, OR 97007 -1469 REQUIRED INSPECTIONS Phone: 503 Gas Line lnsp Mechanical lnsp Reg #: LIC 55027 Final Inspection 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 -00 I I f . •u may obtain copies of these rules or direct questions to OUNC by calling (503 46 -6699. / Issu . d By: , ! afill, _ !,/, �,_ 1 ' Permittee Signature: \( 11,044 Y Call (503) .39-4175 by 7:00 P.M. for inspections needed t'h next busifi s day Mechanical Permit Application FOR OFFICE USE ONLY Cl ✓J of'il g and Received Date/By: / Permit No.: a ' ... `,,, o 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 / Date/By: : Inspection Line: 503.639.4175 r Date Ready/By: Page 0 See e z for � r g Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ddition /alteration /replacement Mechanical permit fees* are based on the value of the work 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* yi 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling . Job site address: 1 0 1 y J5 S �, U t! Ew`"l 6�g Air conditioning fires ste plan rig or heat placement) pump (requires site l showing 14.00 City/State/ZIP: yi Goeo i 0 R 72,2.y Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: g i4 ( R. Gas heat pump 14.00 Cross street/directions to job site: Fpot,, kW1 99 1 eiv57 0 kj lit 5600.0 ST, Duct work 14.00 c A , Hydronic hot water system 14.00 SOIJ- to t 0 1.J 3 1-E i . j S i dN v L Env rA -cC- • 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.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Go Gas fireplace I 10.00 (Of0O I U "tt,L, ©(f2(SCT -vEgr Fuzz [we t 'Nov& CLtTT4•t1;g oz./ E.g. 1/W Flue vent for water heater or gas Ara) (-As unr& 1 R f)r) S'I1A.B CIA fireplace 10.00 A r L C'�'� Iu � Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 X PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: 5A / f6FI Environmental exhaust and ventilation Range hood /other kitchen Address: 0 1 5 ,14 ) , V tJ regfoic& equipment 10.00 City/ State/ZIP: • - 97 22-11 Clothes dryer exhaust I 10.00 10,00 Single -duct exhaust (bathrooms, Phone: (SO3) ()14 -6/54 Fax: ( ) toilet compartments, utility rooms) 6.80 APPLICANT 13..CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Fcp-ni soIJ c0 Fuel piping Contact name: Q GAP Tt N ()J AGNLP-- $5.40 for first four; $1.00 for each additional Furnace, etc. Address: ' S r W , I t>) 5 1 A t/ (: Gas heat pump City/State /ZIP: A.LOw% 0 2 97007 - C{ b 9 Wall /suspended /unit heater Phone: (%)'>) 3(9 - slyb9 Fax: : ( ) Water heater Fireplace I 5.40 E -mail: IA WA6uErt Q Su -&" -t' t t:01+1 Range 1 CONTRACTOR Barbecue Business name: FT-K sou CONSTIZu zi t.o►J Clothes dryer (gas) Other: Address: £ 4.000 SrW 19 AVLe MECHANICAL PERMIT FEES* City/State/ZIP: A i OR_ 9 700'7 . 1 11. Subtotal Minimum permit fee ($72.50) 72, Phone: (gO' ) 5 9 - 5Sb9 Fax: (SO3) Sq ( - OuK y Plan review (25% of permit fee) CCB lic.: 5S0 �7 / /� ( o _P State surcharge (8% of permit fee) ( TOTAL PERMIT FEE CJ�� _ `� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: tu.Zt. ' C if name: Q�tNT W Date: S M/t{Zy * Fee methodology set by Tri- County Building Industry Service Board i:\ Building \Permits \MEC- PermitApp.doc 17/03 440.4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard a Page 2 = Supplemental Information Commercial Fee Schedule: ..zz _ _ "E% wNi'.,:]:u'+�8`.i�,' > A,y,' : =YCS » ' :gsl ? 'J,�,r ,r 1 x' ;Total Vainati on. ;; . , ,,<: , Periluti .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 \Perrnits'MEC- PemvtApp.doc 12/03 2 CITY OF TIGARD ' 24 -Hour BUILDING Inspection Wig:. (503) 639 -4175 INSPECTION DIVISION Busines's Line: (503) 639 -4171 MST Received Date Requested / _ °; / AM PM BIB ,aoc.)q-00/64.1 Location /4 / L/C v -J Suite MEC J6L `ea I AS Contact Person e n Ph ( ) 3) 5 - S ag PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC ?AU'/- 00 / Footing ELC Foundation Access: rn 22 Ftg Drain co 1' 1 V Q ELR Crawl Drain Slab Inspection Notes: n SIT Post & Beam Shear Anchors / Ext Sheath/Shear / ice (,f _in J d ! ' b o Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final �+ J =CL RT FAI Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Oth erFA V SS PART FAIL M ICAL Post & Beam Rough -In Gas Line Smoke Dampers ,ASSN PART FAIL ELECTRICAL - Service Rough -In UG/Slab Low Voltage e Alarm Fina Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL SITE El Please call for reinspection RE: El Unable to inspect — no access Fire Supply Line ADA 1 c )- Q S Approach/Sidewalk Da Inspector 1 Ext Other: Final DO NOT REMOVE this inspection record fro the Jo site. PASS PART FAIL