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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 00721 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/02/2013 Parcel: 2S102AB04800 Jurisdiction: Tigard Site address: 12460 SW MAIN ST Project: Jeffery Alan Decor Subdivision: KINGSTON Lot: 2 Project Description: Install (3) bathroom exhaust fans & (1) range hood. Contractor: RELIABLE CONTACTOR LLC Owner: LUONG, PETER & HIEU 4606 SE 115TH 113 KINGSGATE R PORTLAND, OR 97266 LAKE OSWEGO, OR 97035 PHONE: 503 - 319 -3801 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/02/2013 $69.06 Class of Work: ALT Type of Const: Plan Review 12/02/2013 $17.27 Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 12/02/2013 $8.29 Stories: Project Valuation: $450.00 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: 3 Vent Systems: Total $94.62 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) 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 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 cop of the rules or direct • - ons o NC by calling 503.232.1987 or 1.800.332.2344. Issue. By: = / � Permittee Signature: 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 I COMMUNITY DEVELOPMENT Permit #: MEC2013 -00721 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/02/2013 T I G r1 II C3 9 Parcel: 2S102AB04800 Jurisdiction: Tigard Site address: 12460 SW MAIN ST Project: Jeffery Alan Decor Subdivision: KINGSTON Lot: 2 Project Description: Install (3) bathroom exhaust fans & (1) range hood. Contractor: RELIABLE CONTACTOR LLC Owner: LUONG, PETER & HIEU 4606 SE 115TH 113 KINGSGATE R PORTLAND, OR 97266 LAKE OSWEGO, OR 97035 PHONE: 503 - 319 -3801 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/02/2013 $69.06 Class of Work: ALT Type of Const: Plan Review 12/02/2013 $17.27 Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 12/02/2013 $8.29 Stories: Permit Fee 12/12/2013 $494.55 Plan Review 12/12/2013 $123.63 Project Valuation: $18,450.00 12% State Surcharge - Mechanical 12/12/2013 $59.34 Info Process /Archiving - Lg $2.00 (over 12/12/2013 $6.00 Fuel Air Handlers 11x17) 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: 3 Vent Systems: Total $778.14 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) 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 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 1.800.332.2 _ Issued By: Permittee Signature: Call 50 . . by 7:00 a.m. for the next available inspectio 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 Applicat let . l holy olhlcl USE:`ONL\ F. City of Tigard w t Received a ���666 I Permit No.: Hge� / 7.A / ° 13125 SW Hall Blvd., Tigard,OR 97223 .� Plan % Q ® Plan Review view Phone: 503.718.2439 Fax: 503.598.1960 DEC 2 2 013 DateBy: Other Permit: TI GA R D Inspection Line: 503.639 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard or.gov C ITY OF TIGARD Notified/Method: Supplemental Information TYPE OF W ORK - (WING ijl ` 1' ° "� ° COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction t, Addition/alteration/replacement performed. Indicate the value r• .- . .. - nearest • • :. of all ❑ Demolition ❑ Other: mechanical materials, e• • rm , labor, overhe. and profit. V. ue: $ 4sa CATEGORY OF CONSTRUCTION RESIDENTIAL .. a UIPMENT / SYSTEMS FEES" ❑ I - and 2- family dwelling O Commercial/industrial ❑ Accessory building For special Injormatlo' .. • ❑ 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: 1 2 ' - ) 613 S A A°, 'n c+f- Furnace 100,000 BTU (ducts/vents) 46.75 City/State/ZIP:..--7T a ©0-- r Furnace 100,000+ BTU (ducts/vents) 54.91 V � �. Heat pump 61.06 Suite/bldg./apt. no.: Project name: J 7 Fray 4.3 Duct work 23.32 Cross street/directions to job site: 'an system Hydronic hot water aters stem 23.32 -- Residential boiler (radiator or fl \r1 ` hydronic) 23.32 Unit healers (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 n Fl ue vent for water heater or gas 3 21. x d fireplace 23.32 Log lighter (gas) 23.32 -- OJ?M - Wood/pellet stove 33.39 —I-0 Wood fireplace /insert 23 Chimney /liner /flue /vent 23.32 Other: 23.32 PROPERTY OWNER I ❑TENANT Environmental exhaust and ventilation: Name: /j.n 6l rc-C/ Range hood/other kitchen j f equipment 33.39 Address: 1 h n 6 S ,\c_ ( Clothes dryer exhaust 33.39 City /State /ZIP: t ' k a , ' D /,'t',3 Single -duct exhaust (bathrooms, `"'// �i __ t oilet compartments, utility rooms) 23.32 Phone: ( ) ax: ( ) Attic /crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $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: ( ) I Fax: : ( ) Fireplace Range E -mail: Barbecue CONTRACTOR Clothes dryer (gas) �24 `Q ���y r Other: ■ Business name: MECHANICAL PERMIT FEES* Address: 1 4 6 DIC %, or - Subtotal City /State /ZIP: ,^.ano( t i( 2 ? a Minimum permit fee ($90.00) r� Fax: ' Plan review (25% of permit fee) Phone: ( so ' 9 r �& l / ( ) State surcharge (12% of permit fee) 9 �' • ��•" CCB lic.: ( 1�! - r — TOTAL PERMIT FEE ' `') This permit application expires if a permit is not obtained within 180 has Authorized signatu : • Fee methodolo day after set by it Tri -Coun ty Bu accepted ilding as Industry rvice Se Board Printname� � �t 10 \ V��, -�J Date: I:'Building\Permits\MEC PermiWpp_040I 13.doc 440 -46177 (I I /02/COM/WEB) 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 including $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 including $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. 1:\ Building\ Permits \MEC_PermitApp 2 1 FOR OFFICE USE ONLY - SITE ADDRESS: /0 This form is recognized by most building departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ti:5 71 _ + Transmittal Letter �5 I I l ; ,\ It I) 1 25 S Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard -or g oov � TO: —K----,ilivt-- DAT DPI 4 1 1ED DEPT: ILDING DIVISION DEC 1 1 2013 ITY OF ( FROM: P ' Lvc" 4 . BUILDING DIVISION 7 ION COMPANY: 3 P5'' 4 - o}GGAr--{r �r�CGit:1 � PHONE: CS -' So �l — -; / e l E3y2 RE: (?'c $ w /141 1J ►`"tC�-�f?l 5-d0 7?-/ (Site Ad cress) ermit Number) I ; (Project n. 4 u.. iv 4 on name at lot number) t * .") 7 2.4-437 0'*A- ATTACHED ARE THE FOLLOWING ITEMS: .9 L 4 41.4. 1,34 -.. /041 Copies: Description: I Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: Prtyr) t 1. Co Tv � Pt 0 r- wlJ, 1L 4 ° j n FOR OF IC USE ONLY ' oute • a - r I technician: Date: 2 (z 1 Initial jki ! F> s Due: Li' es • No Fee Description: Amount b ue: $ D IU COUP (4) - $ $ 13. Special Instructions: Reprint Permit (per PE): e I ❑ No ❑ Done Applicant Notified: D : t;L «j 1 Vyl l /i2i 7 Initials. j (:\Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12460 SW MAIN ST, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2013-00721 Chip Barnett Violation Summary: Inspector Contractor