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Permit CITY OF TIGARD MECHANICAL PERMIT ' - COMMUNITY DEVELOPMENT f Permit#: MEC2013-00428 t i Date Issued: 07/29/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Oil Parcel: 2S 111 DD00201 Jurisdiction: Tigard Site address: 15943 SW HALL BLVD Project: Cozy Nails&Spa Subdivision: SUMMERFIELD NO.7 Lot: N Project Description: Install(1)clothes dryer exhaust and(1)restroom vent fan.8/6/13,reprinted to correct ASI information. Contractor: LOTUS PLUMBING COMPANY Owner: ROSEHILL INVESTMENTS LLC 8100 SW ELMWOOD ST 2001 SIXTH AVE STE 2300 PORTLAND, OR 97223 SEATTLE,WA 98121 PHONE: 503-522-2728 PHONE: FAX: 503-892-2639 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 07/29/2013 $78.27 Class of Work: ALT Type of Const: Plan Review 07/29/2013 $19.57 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/29/2013 $9.39 Stories: Project Valuation: $800.00 Fuel Air Handlers Fuel Types: 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: 1 Vent Systems: Total $107.23 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: 1 Other Mech Units: Gas Outlets: 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 to follow the rules adopted by the Oregon Utility Notificaf•I enter. 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 .•estions to O C by calling 503.232.1987 or 1.800.332.2344. - Issue. By: 1 #i//� Permittee Sign ure: r 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. CITY OF TIGARD MECHANICAL PERMIT 14 E • COMMUNITY DEVELOPMENT Permit# MEC2013 00428 T l G ARD 13125 SW Hall Blvd Tigard OR 97223 503 718 2439 Date Issued 07/29/2013 Parcel 25111 DD00201 Jurisdiction Tigard Site address 15943 SW HALL BLVD Project Cozy Nails&Spa Subdivision SUMMERFIELD NO 7 Lot N Project Description Install(1)clothes dryer exhaust and(1)restroom vent fan Contractor LOTUS PLUMBING COMPANY Owner ROSEHILL INVESTMENTS LLC 8100 SW ELMWOOD ST 2001 SIXTH AVE STE 2300 PORTLAND OR 97223 SEATTLE WA 98121 PHONE 503 522 2728 PHONE FAX 503 892 2639 FEES Specifics Description Date Amount Type of Use Permit Fee 07/29/2013 $78 27 Class of Work Type of Const Plan Review 07/29/2013 $19 57 Occupancy Grp Occupancy Load 12°/ State Surcharge Mechanical 07/29/2013 $9 39 Stories Project Valuation $800 00 Fuel Air Handlers Fuel Types 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 $107 23 Hoods Comm Incinerators Required Items and Reports(Conditions) Woodstoves Gas Fireplaces Clothes Dryers Other Mech Units Gas Outlets 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 f work is suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility otification C-'ter Those rules are set forth in OAR 952 001 0010 through OAR 952 001 0090 You may obtain a copy of the rules or d ect questions to 0 C b ::41111.• 503 232 1987 or 1 800 332 2344 Iss ed By " ! Permittee Signature /' 1 ��� 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 Mechanical Permit Application roa orrice USE oiNla` EIVED Received Nec q� _0 O!/�e. .111111 City of Tigard Re a Received 7 Permit No a��� 7 a 13125 SW Hall Blvd Tigard OR 97223 Plan Review � Phone 503 718 2439 Fax 503 598 1960 Date/By Other Permit bPpO t _c2::?l g3 TI G A R Inspection Line 503 639 4175 JO I Li y i Date Ready/By J ® See Page 2 for Internet www tigard or gov t Notified/Method Supplemental Information GITYOFTIGARD TYPE OF RIMING DIVISION COMMERCIAL FEE SCHEDULE - USE CHECKLIST Mechanical permit fees are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed Indicate the val ounded to the neares .. -_ of all ❑Demolition ❑Other mechanical material ipment I of rheand profit. Value $ CO O CATEGORY OF CONSTRUCTION RESIDENTIA UIPMENT/SYSTEMS FEES ❑ 1 and 2 family dwelling VI Commercial/industrial ❑Accessory building For special information ❑Multi family ❑Master builder ❑Other Description I Qty I Ea I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning 46 75 Job site address • n v /5%93 `' Furnace 100 000 BTU(ducts/vents) 46 75 City/State/ZIP _n f. -2Z /314/10/314/10 Furnace ace 100 000+BTU(ducts/vents) 54 91 �} /Oi.4-22 Heat pump 61 06 Suite/bldg/apt no Project name (i‘..22.. N, LS Duct work 23 32 Cross street/directions to job site 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 Flue/vent for any of above 23 32 Subdivision Lot no Other 23 32 Other fuel appliances Tax map/parcel no Water heater 23 32 DESCRIPTION OF WORK Gas fireplace/insert 33 39 f\ /� / — Flue vent for water heater or gas (f CL o rj,is �g vfe EY/h4-Gt-s f , (/) 2l%4/ d0/'f 'i r ~fireplace 23 32 _ \ Log lighter(gas) 23 32 / /HIV Wood/pellet stove 33 39 Wood fireplace/insert 23 32 _ Chimney/liner/flue/vent , 23 32 ❑ PROPERTY OWNER ❑ TENANT Other 23 32 Environmental exhaust and ventilation Name Range hood/other kitchen equipment 33 39 Address Clothes dryer exhaust 1159-2 City/State/ZIP Single-duct exhaust(bathrooms toilet compartments utility rooms) 23 32 Phone ( ) Fax ( ) Attic/crawlspace fans 23 32 ❑ APPLICANT ❑ CONTACT PERSON Other 23 32 _ Business name _Fuel piping $14 15 for first four $4 03 for each additional Contact name Furnace etc Address Gas heat pump _ Wall/suspended/unit heater City/State/ZIP Water heater Phone ( ) Fax ( ) Fireplace Range E mail Barbecue ■CONTRACTOR Clothes dryer(gas) / /� A. Other Business name �Lt e(/ AA /�J —4r�`^ .` 7 MECHANICAL PERMIT FEES Address,5-/07) S1eJ eI/r{Z(.9 -d� �-/ / _ Subtotal 7g City/State/ZIP r0v fij� /jg 4 7 3 Minimum permit fee($90 00) Phone 6 g/- Fax Plan review(25/of permit fee) /7 5 7 (563 ) c 17�X Fax (U 9 ) g0,7- a 6 3 Of State surcharge(12/of permit fee) 9 3 CCB lic )g--9,y/L/ c TOTAL PERMIT FEE /07 it?, ~Dirt application expires if a permit is not obtained within 180 days after it has been accepted as complete Authonzed signature / Fee methodology set by Tn County Building Industry Service Board Pnnt name , Adr‘..._usi.e Date 7- 7 G/ 74,/ 5 1\B Id 5\P rm tslMEC Perm tApp 040113 doe 440-4617T(I 1/02/COM/wEB) (/V City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT, I 0 1 it ii Request Permit Action `e /s /5 of- -r l(_;A lt.t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www i i f t r, i' , TO: CITY OF TIGARD JUL 3 0 2013 Building Division Services Supervisor CITY.OFTIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 BUILDING DIVISION Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: ❑ Owner pplicant ❑ Contractor ❑ City Staff (check one) REFUND OR Name: INVOICE TO: (Business or Individual) A/c-ix `/ J //j) („9--,_/0 (6E--"/E-4_,4 L-- Mailing Address: 4°?A--1- S4c) i; �O O/e S f _& 106_ City/State/Zip: 776 / o2 97 l'23 Phone No.: 6 — 57 ■ q 5-50 PLEASE TAKE A ON FOR THE ITEM(S) CHECKED (1): CANC r L/VOID RMIT APPLICATION. REFUND ' IT FEES (attach copy of original receipt and provide explanation below). INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: f_ C &) I — 00 q;g Site Address or Parcel #: ( S 4) 51A) i-eml - PALO Project Name: ■`L o4 or.ab Subdivision Name: Lot #: EXPLANATION: /..,00 le le. -7:2)(2,,,,..) L.4._1J---rD E2 l i_ Aol 3 - OO q/q /gam/-'u#✓ ) ,P090 Signature: _ Date: �`f7/7 Print Name: �Ff gt_ScrJ Ls- Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80%of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80%of the land use application fee for issued permits. d) not more than 80%of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80%of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 2-4 weeks for processing refunds. FOR OFFICE USE ON_LY Rte to S s Admin: Date ?amimerms� Rte to Bld:Admin: Date .S©® B 41.- Processed: Date (il Ar© B tfia Invoice Processed: Date B Permit Canceled: Date /s® B igIVA arcel Ta:Added: Date B Receiat# Date Method Amount$ I:\Building\Forms\RegPermitAction.doc Rev 05/25/2012^7G� a 7 9,359 /9,S7_ �S 'J��q/ it 9v S -r� �_/7,P - .2/,+7// 90 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule Total Valuation Permit Fee $0 00 to$500 00 Minimum fee$69 06 $500 01 to$5 000 00 $69 06 for the first$500 00 and $3 07 for each additional$100 00 or fraction thereof to and mcludmg $5 000 00 $5 000 01 to$10 000 00 $207 21 for the first$5 000 00 and $2 81 for each additional$100 00 or fraction thereof to and including $10 000 00 $10 000 01 to$50 000 00 $347 71 for the first$10 000 00 and __ _ _ _ _ $2 54 for each additional$100 00 or fraction thereof to and including $50 000 00 $50 000 01 to$100 000 00 $1 363 71 for the first$50 000 00 and $2 49 for each additional$100 00 or fraction thereof to and mcludmg $100 000 00 $100 000 01 and up $2 608 71 for the first$100 000 00 and $2 92 for each additional$100 00 or fraction thereof Note All new commercial buildings require 2 sets of plans ■ I\BuddmgWermdAMEC_Per mitApp_040113 doc 2 t' c. II Sr 's ® ' TyI GWRD3 City of Tigard October 15, 2013 Nguyen Vo Corporation Attn: Jefferson Ngoc Le 10225 SW Brookside PI Tigard, OR 97123 Re: Permit No. MEC2013-00428 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: • Site Address: 15943 SW Hall Blvd. Project Name: Cozy Nails & Spa Job No.: Refund Method: Check # in the amount of$ . X Credit card "return" receipt in the amount of$85.79. Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. n Trust account "deposit" receipt in the amount of$ . Comment(s): Per applicant's request as work was performed under another permit, MEC2013-00414. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. e Tigard, Oregon 97223 O 503.639.4171 TTY Relay: 503.684.2772 ® www.tigard-or.gov ill 1. City of Tigard CARD Accela Refund Request •This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Nguyen fro Corporation DATE: 10/15/2013 Jefferson Ngoc Le 10225 SW Brookside PI REQUESTED BY: Dianna Howse Tigard, OR 97123 DEB TRANSACTION INFORMATION: Receipt#: 192438 Case#: MEC2013-00428 Date: 7/29/2013 • Address/Parcel: 15943 SW Hall Blvd. Pay Method: CreditCard Project Name: Cozy Nails & Spa EXPLANATION: Work performed and paid for under MEC2013-00414. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund Example: Building Permit Fee Example: 2300000-43104 $Amount Mechanical permit 230-0000-43102 $62.62 12% State Surcharge 100-0000-24001 7.51 Plan Review 230-0000-43111 15.66 TOTAL REFUND: $85.79 APPROVALS: SIGNET P S/ S ATE: IF under$5,000 Professional Staff ' , . If under$12,500 Division Manager If under S25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: Date: //1//s/A3 By: I:\Building\Refunds\RcfundRcyuesc.d.,e x(19/01/201(1