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Permit CITY OF TIGARD MECHANICAL PERMIT 111 ii■ 2 COMMUNITY DEVELOPMENT Permit #: MEC2013 -00180 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/02/2013 Parcel: 2S112AC00100 Jurisdiction: Tigard Site address: 14529 SW 72ND AVE Project: Save on Tires Subdivision: BONITA INDUSTRIAL PARK Lot: 5 Project Description: Extend existing gas line to existing radiant heater, 50' run, 40,000 btu's, 1/2 " pipe and 1/2" meter. Contractor: COMPLETE HEATING & COOLING Owner: DONNELLY, THOMAS J 18310 SW BENFIELD AVE PO BOX 83192 LAKE OSWEGO, OR 97035 PORTLAND, OR 97283 PHONE: 503 - 332 -4514 PHONE: FAX: 775 - 628 -1630 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/02 /2013 $69.06 Class of Work: ALT Type of Const: Plan Review 04/02/2013 $17.27 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04 /02/2013 $8.29 Stories: Project Valuation: $500.00 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 0 -3 HP: Furnaces >= 100K BTU: 3 -15 HP: Floor Furnaces: 15 -30 HP: Unit Heaters: 30 -50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $94.62 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: 1 Other Desc: Duct Work: Fire /Smoke Dampers: 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 o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -001 -' i 90. You may obtain a copy of the rules or dir estions to OUNC b - - a 503.232.1987 or 1.800.332.2344. I Issu d By: I /. ,j Permittee Signature: �'` J I /� _ Call 503.639.4175 by 7:00 a.m. for the next available inspe tion . ate. This permit card shall be kept in a conspicuous place on the job site unt' corn • letion of the • oje t. ir Approved plans are required on the job site at the time of e: ch in pection. Mechanical Permit Annlica ' FOR OH. ,(F I ',1 Oil -1 R ecen ed `J City of Tigard CEA/ED Date/By: ©�� Permit No 13125 SW Hall Blvd., Tigard, OR 9 2 y Hi e /5 z / 7 :N Plan Review 1 II Phone: 503.718.2439 Fax: 503.598. Date/By: Other Permit: A PR 0 2 2013 1 1 ` R 1 Inspection Line: 503.639.4175 Date Ready/By. Juris: 0 See Page 2 for Internet: www.tigard or.gov CITY OF TIGARD Notified/Method. Supplemental Information TYPE o ptiggitNG DIVISION COMMERCIAL FEE" SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work 0 New construction El Addition/alteration/replacement to the nearest doll P performed. Indicate the value (rounded t dollar) Pe ( ) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ 500.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heatxg /cooling: - Air conditioning Job site address: 14529 sw 7.. ave (requires site plan showing placement) 46.75 City/ State/ZIP: Tigard Furnace 100,000 BTU ( ducts/vents) 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Joe Garcia Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: 72 & Bonita Duct work 23.32 Southwest Corner Hydronic hot water system 23.32 . Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 _ Tax map /parcel no.: Other ltd appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 Flue vent for water heater or gas Extend existing line to existing radiant heater. � 6/0 ,000�� fireplace 23.32 1 Log lighter (gas) 23.32 � ��- 1 t go ' - L4 K-e-t -1 I/a- t PcI-' Wood/pellet stove 33.39 / 1 Wood fireplace/insert 23.32 ❑ PROPERTY OWNER f ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City /State/ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Other: 23.32 Fuel piping: Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City / State/ZIP: Wall/suspended/unit heater Phone: ( ) Fax: : ( ) Water heater E -mail: Fireplace Range CONTRACTOR Barbecue Business name: Complete Heating & Cooling Clothes dryer (gas) Other: Address: 18310 sw Benfield Ave MECHANICAL PERMIT FEES* City/State/ZIP: Lake Oswego, Or 97035 Subtotal,O4D Minimum permit fee ($90.00) ------'—. Phone: (503) 332.4514 Fax: (503) 405 7162 Plan review (25% of permit fee) /7. -.7 �/ / CCB lie.: 69427 /'L / / / e71 State surcharge (12% of permit fee) ? ((( /// TOTAL PERMIT FEE 9 . , A, (, 3. l This p ermit application expires if a permit is not obtained within 180 I/7 Authorized signature: , / G days after it has been accepted as complete. Print name: James Yst1 Date: 4/2/13 * Fee methodology set by Tri -County Building Industry Service Board tlBuilding\Pemvts\MEC•Pe doc 03;07 440- 4617T(11 /02/COM/WEB)