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Permit CITY OF TIGARD MECHANICAL PERMIT 31111 Permit#: MEC2014-00690 - COMMUNITY DEVELOPMENT - : 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2014 TIGARD Parcel: 1S135CA01902 Jurisdiction: Tigard Site address: 9600 SW NORTH DAKOTA ST Project: Gelgelu Subdivision:.HERS ADDITION TO GREENBURG HE Lot: 1 Project Description: Install microwave hood Contractor: DNS CONTRACTING LLC Owner: GELGELU, DURETI G 80 KINGSGATE RD ITICHA,WAGARI LAKE OSWEGO, OR 97035 9600 SW NORTH DAKOTA ST TIGARD, OR 97223 PHONE: 503-984-1381 PHONE: 503-914-7189 FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 12/24/2014 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 12/24/2014 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/24/2014 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ="` /_ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit An Wilt G P e/B rcR c) Ic I I ,,I ()\I.1 City of Tigard RDeacteiveyd: � � Permit No.: /'/ / -`� 696 IN • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: Inspection Line: 503.639.4175 I� C 2 4 2014 Date Ready/By: Iuris. I I U \I:I� dyBy: See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information C(TY USE TIGARD*, TYPE 1■ 'G DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST �� Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* g For1-and 2-family dwelling ❑Commercial/industrial ID Accessory building spec/of information use checklist El Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 9600 SW Ndrl, pQ.rt#a St. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: I i ( Q R q7 Z-2-3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: wax, ,uK ro 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 Flue vent for water heater or gas xi,i 4611i ill IC re 1.....c1,4 4-4C oeI fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ❑ TENANT Other: 23.32 (� // Environmental exhaust and ventilation: Name: IJ u rt v e l e (4 Range hood/other kitchen ►/ �` equipment , . 33.39 Address: /90(� sw par+'"1 D� KrJa r. At9 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, ( <�`t v Jp�� 7 123 toilet compartments,utility rooms) 23.32 Phone:(9013 ) 9ly- 7/0/ Fax:( ) Attic/crawlspace fans . 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: D N S LP\+rne+k'l! LIZ $14.15 for first four;$4.03 for each additional h Contact name: h 4S Al. S n 2 JI re t/ Furnace,etc. Address: Gas heat pump o k i n S SS o1 k Wall/suspended/unit heater City/State/ZIP: q 051,ves 4 r O . '77033" Water heater . Phone:(9:5 ) 9gy, /181 Fax: :( ) Fireplace Range E-mail: DNS< le Ot o)t, Ca inn Barbecue CONTRACTOR Clothes dryer(gas) � Other: Business name: INs 63n4-fa c-1-t MECHANICAL PERMIT FEES* Address: go k(n 5554 � ( '. Subtotal `rJ Minimum permit fee($90.00) 2� City/State/ZIP: La te_ 0 j O i 1703 Phone:( ) Id�/ p Fax: Plan review(25%of permit fee) D i - i p1 F ( ) State surcharge(12%of permit fee) /D.�C) CCB lic.: /y/ 2 2. 3 3i 9�1�Ilp TOTAL PERMIT FEE /(c)• iry 11 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Authorized signature: r /1/ A-4/1-1 • Fee methodology set by Tri-County Building Industry Service Board Print name: p h S ��i I Date: r 2/21//2:,),Li I:\BuildingTermitAMEC_PermitApp_040113.doc J 440-46171(11/02/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_040113.doc 2 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 9600 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical ﬁnal Scheduled MEC2014-00690 George Heimos Violation Summary: Inspector Contractor 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 9600 SW NORTH DAKOTA ST, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2014-00690 George Heimos Violation Summary: Inspector Contractor