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Permit CITY OF TIGARD MECHANICAL PERMIT 11/111 s COMMUNITY DEVELOPMENT Permit#: MEC2014-00184 T I G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2014 Parcel: 1 S134DC09100 Jurisdiction: Tigard Site address: 11454 SW TWIN PARK PL Project: Amundson Subdivision: TIGARD PARK Lot: 7 Project Description: Replacing(1)range hood/microwave combo. Contractor: STEIN CONSTRUCTION Owner: AMUNDSON, GERRAD& KELLY 5705 NE BOULDER CREEK RD 11454 SW TWIN PARK PL CAMAS,WA 98607 TIGARD, OR 97223 PHONE: 503-735-5826 PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 04/23/2014 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 04/23/2014 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/23/2014 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: 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: rmittee Signature: _ 1 J� 2 ' 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. 04/23/2014 14:C7 NIP (TA)t}3666354900 P.002/004 Mechanical Permit Application , '',, '' , 11 1 I .11 ' , ,t City of Tigard � w 6�1ed 13125 SW Ilan Blvd._Tienrd.OR 9 Zi � ® `� ��`selBy: .. OtherPamut Phone: 503.7182439 Pax: 503.598.1 �/ 1� `3— rut duu Lluc. JOJ.03,.417J •do • S?Oe2 l �a ell i I l R[) w. P.,?\k J e e -.. rend hair 2 for Ia:ennot: .vrw.tiaoad or.�ov nndem�rsemoo: newcomer Iarot-mapoa TYPE OF WORldi`V(-',`,� COMMLKC.IAL FEE- SCHEDULE — USE CHECKLIST ��L 9 Iv/ba•Laulucl pct Nutt kca•a,c uaaal uu Unc valuc of Um wu,n ❑1.Teav oono4'.+e4ea� Jldelikiea/atlbsnk:a�+N�, est! polonium.tiiw, ui We value;tWUUL L W We QpUeaL UUIHU)UI all rl 1JeM011tlOn n tither' a r_ mechanleal mortals,equipoult,labor,ovemeae,ana prom. v ue. CATEGORY OF CONSTRUCTION RESIDENTIAL AL EQU1TMEN''/SYSTEMS FEES. i and a fanaay d..ollmE El Comaao.v:a)r d .trio! ❑.1owa�.7-bvs11.11.6 rvr apecrw u IJurmwtun rte CI leaf Multi-family U Master builder U Other. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heat'ae coonatE: Job site address: 1 14 S 4 5 t.J T W n Poch. el Air conditioning _ 46.75 City/State/ZIP: T0 -0 l d R. 17.113 Furnace 100,000 BTU(ducts/vents) , 4635 e..;,o/l.urly/opt ..n rhni..M o.....•• ol,,.,,,,.. So VI •utnace Iw,wuH-is ru(ttucasrveats) 34.91 ...aVJi.OLL....VULL....UUL.0 tV JuU alai. Heat pump 61.06 "rum WWII 1.3S2 ilcdmnie belt luster curt0.00 11 21 Residential boiler(radiator or D LJ:•;u:uu. I Lan nu.. 1.%•dYe�'4) =_an Unit heaters(fuel-type,not electric), Taw uauy/Isw wl tmV.. W-wall,to-UUta,tuspcutlal,cu:. 4o./7 - — tmeicturttom of WORK Flue/vent for any of above 23.32 _ Q.re ct orG bocci M/ icvQvdovit COw)7O Other. 23.32 Other fuel appliaaees: Water heater 2'1 32 go (3as fireplace/msert 33.39 rnvrra-I I vni.r.IC Cl ielvnlrI Flue vent for water heater or gas lvame: (�C aCrta 1Mu t r' �`°"�'°' sa.a1 A 50 Aaaress: }1 t.'5 L1 51n/ Tvvi Y1 fA,cn- P1 Lug Ia 2Lwt(get) 23.72 city/Stare/c.Ir: 1 1.5 Aro(, Ct 9 7 J�3 Wood/pellet stove 3339 Phone:( ) Fax ( ) Wood fireplace/insert 23.32 IX1 APPLICANT ❑ COINTACI rutwr ChimleY/lmer/Hnelveot 2332 Du c,,o uauac. .3}':C i v\ cogr tt c 1 Y 1 i-e-l r wutnt4Ilaulc. �4e3 i11 C Rnler _ L7t>rl Faviraalnew�Mt Prbawtt and ventilation! IlliNj5:31 Arldrecq- _ C-'1/1C ._ .tG Qn..J r r-,-..AI f..I !,"L laid. Atherk'a en, ,ter City/cwtc/Zrr: C G vm s w A. 4.6 t'ic�7 4 'b . _ 1 .,,� .a .,.. -, room:l JO Z 1 7Z3- b 2S_2(i rax::( ) .. F-rratil 5�Zi n C OIrJ S �r�n 10 -�vvl r:f• Cp wt toile[compartments utility rooms) 2332 r ANTR A rillit Affiderawlen.anA fans 77'1') ` Business name: 54/e,,, to,/.51-tvt e-a-C'UI^ I i_C Oa..., _ 23a2 A ddrecc• S 105 N& to0c.r c Iv e 14 P..01... Foe'doing: iry/atare/w.tr: , LayT S Wf# `llsl,V / SldlS for tlratferr__Sd036remrltsddbtGtnal a rtlone:( 503 ) 7)55-0 r.1.(Q Nax:( ) Purnao','to. 1 Q 1 CM. l7m l.rat pump GGD ltu.. r 1 Wallis lspendea/unfr heater Authorized signature T 6tib*1n1 1 i33.3cl w!wh t,,r.,7 cee : /9. w►lW P 04/23/2014 14:5Q PnP (//003606354302 P.003/004 Fireplace Range Barbecue Clothes dryer(gas) Other: IV.I:Ge.aeuv...ew rr.nr azi rasas^ Subtotal )3.1s ns.�......Y,......IL..(m,o.00) 10•oO Plan review(25%of permit fee) U.53 Slate surcharge(t L'90 or permit ree) ' i u.10 TOTAL PERMIT FEE 1%I q4,30 This permit application expires if a permit is not obtained within 180 day,after it Awl berm areewpt d as ra.oplwfw Fee methodology set by Tri-County Building Industry Service Board \) AAf71f]A1A 1A•C7DnD $A1ADAR9CAIAI DAA1IAAA Fax Cover Sheet Pages (tint in—eqiirling Inver sheet). "4 To: City of Tigard Dv:41d121z Dort 503 598 1960 Attn: Brandon From: Stein Construction DI-I: sO2 72S sQ34 Note-- Draudon. this i5 the inct Zia kal ucrinit auulicatiuii 11 iat w c discussed earlier today. It needs to be attached to the master permit MST2O13-00250 Thanks Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11454 SW TWIN PARK PL, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final PASS - No C of O May 13, 2014 at 11:39:10 AM MEC2014-00184 Jeff Grove Violation Summary: Inspector Contractor