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Permit y y CITY OF TIGARD MECHANICAL PERMIT •"! a COMMUNITY DEVELOPMENT Permit#: MEC2014-00340 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2014 Parcel: 2S103BD03700 Jurisdiction: Tigard Site address: 11905 SW FONNER ST Project: Heald Subdivision: CARMEN PARK Lot: 1 Project Description: Install(1)range hood and(3)vent fans Contractor: BUDGET HEATING Owner: DAMIEN HEALD 13885 SE 177TH CT 11905 SW FONNER ST DAMASCUS,OR 97089 TIGARD, OR 97223 PHONE: 503-233-3133 PHONE: FAX: 503-558-9050 FEES Specifics: Description Date Amount Range Hood/Other Kitchen 07/07/2014 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 07/07/2014 $69.96 Class of Work: ALT Type of Const: Utility Rooms) Occupancy Grp: 12%State Surcharge-Mechanical 07/07/2014 $12.40 Stories: Fuel Fuel Types: Gas Pressure: Total $115.75 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatinn Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yi may obtain a copy of the rules or dir questions to c NC b ing 503.232.1987 or 1.800.332.2344. sued By: �•" Permittee Signature: ',.r// , / , f'.. 7 Call 503.639.4175 by 7:00 a.m.for the next available inspe • on date. This permit card shall be kept in a conspicuous place on the job site until completion = • project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE LSE ONLY Received City of Tigard � ��� Plan Re: j r y , , I. Permit No.: I _. —e' 3 I 13125 SW Hall Blvd.,Tigard,0 Phone: 503.718.2439 Fax: 503. 9 Plan Review Other Permit: DateBy: T I G A R 1 Inspection Line: 503.639.4175 JUL 7 2 014 Date Ready/By: r°ris 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information COMMERCIAL FEE* SCHEDULE – USE CHECKLIST TYPEh!TRW ,IC1l1R Mechanical permit fees*are based on the value of the work ['New construction pr Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. Multi family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating cooling: 1/9 0 r .IA ) F O N I C ^ ST- Air conditioning 46.75 Job site address: 5 w '`c Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tf Q ),,1 ©� G v7 3 Furnace 100,000+BTU(ducts/vents) 54.91 J if G4! Heat pump 61.06 Suite/bldg./apt.no.: Project name: G 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 Other: _ Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Vr iT r 4 gii-ms — (` 3NS e ! I Flue vent for water heater or gas J `` l/`tp� � fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ig PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name:Ve Th j/9 N N 16 J 7 Range hood/other kitchen / x 1 f ` l ''�E$_L Clothes dryer 1 33.39 f Address: (J`J 5 � � T � Clothes dryer exhaust 33.39 City/State/ZIP: 1 1S NI p 17 y2 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 3 23.32 6,, ,9'6, Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 r'APPLICANT Ri.CONTACT PERSON Other: 23.32 Business name: I5 c Fuel piping: 1 `e� 1��11N� $14.15 for first four;$4.03 for each additional Contact name: 7B let y N 1LZ i Furnace,etc. Address: 1 3 g 85 9 g '7 T- G y- Gas heat pump Wall/suspended/unit heater City/State/ZIP: A rn8-cis /l)/ 7 0 Water heater Phone:(93) 2 33 -3i 33 Fax: :(Sl3) 55 8. q 12/ Fireplace . Range . E-mail: Barbecue _ CONTRACTOR Clothes dryer(gas) _ I ■ Other Business name: a '� C� Q� 0 J MECHANICAL PERMIT FEES* Address: 13 8 J I ,11 cr. Subtotal /O . City/State/ZIP( . rN&$c�� lO(n q-, D g ci Minimum permit fee($90.00) •� ,-r �`— ! nn Plan review(25%of permit fee) _ ----- Phone:603 )z 33_ 31 3 3 / Fax:(S 93) c5S' ' ?2 I State surcharge(12%of permit fee) /�,�e) lLi79 3 1 CCB lic.: TOTAL PERMIT FEE /if, rj This permit application expires if a permit is not obtained within 180 t days after it has been accepted as complete. Authorized signature: ,,e7 • Fee methodology set by Tri-County Building Industry Service Board Print name: O i Z-21 Date: 12,61 I 7��1.\Building\PermitsVNEC PermiW p_040113.doc ll02/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. $1 0,000.01 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. $1 00,000.01 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_040113.doc 2