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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015 00028 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2015 Parcel: 2S 111 C D02400 Jurisdiction: Tigard Site address: 9630 SW SUMMERFIELD DR Project: Bunch Subdivision: SUMMERFIELD NO.7 Lot: 341 Project Description: Replace gas furnace with like kind Contractor: BULL MOUNTAIN MECHANICAL Owner: BUNCH,A L&GEORGIE E 6520 ROSEWOOD ST 9630 SW SUMMERFIELD DR LAKE OSWEGO, OR 97035 TIGARD, OR 97224 PHONE: 503-612-6677 PHONE: 503-372-5660 FAX: 503-692-3084 FEES Specifics: Description Date Amount Furnaces>=100K BTU 01/21/2015 $54.91 Type of Use: SF 12%State Surcharge-Mechanical 01/21/2015 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/21/2015 $35.09 Occupancy Grp: Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Uti otifica is enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules o direct questions to ► NC b -fling 503.232.1987 or 1.800.332.2344. �� Is ed By: � f Permittee Signature: 4� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOIL 01.1 1( I. I I. O\1.1 Received Ci}�, of Tigard Permit No.: �. • `J g Date/By: / / � �y 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I c,�R l i Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information E OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Su Air conditioning 46.75 (Job site address: " ( 3 0 stn Su w._ex-$l€_\c 4 13-f--• Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 y —j;5or d\ l tT2 � �-- �a, Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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 1-;° -- /� /l Flue vent for water heater or gas e .,.„r LI p& �n tc c- -- (,1 A.5 L.. ,,�pk.0-t? 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 PROPERTY OWNER I ❑ TENANT Environmental exhaust and ventilation: Name: lA- )L krill Range hood/other kitchen Address: q (p 30 \& Clothes dryer 33.39 q I SI.Ll �"'xm Q-t'•y-�'c— Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: 17' ar (TQ� q � 1 I toilet compartments,utility rooms) 23.32 Phone: ) a- 5(,,(,,ID Fax:( ) Attic/crawlspace fans 23.32 PPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: L\l . .„ ,G �G� SwVaOn J s $14.15 for first four;$4.03 for each additional Contact name: 1-�� , ` a,y�S.Qn Furnace,etc. Address: 1p 5 2x (_s,�5 1..,0 0 0k_ S 4—. Gas heat pump • CSC i Wall/suspended/unit heater heater _ City/State/ZIP: TO 3 5 Water he Phone:615) Cp (a_ L(, 1-1- Fax::(50 3) (eel a,_ 315 It Fireplace ^ Range . E-mail: t \_� 1j�l\ rnDL,tv„\-.y�,;..�`,y&LL� . GUYS Barbecue CONTRACTOR 1 Clothes dryer(gas) Business name: �\\ �(\.p },"� `1 Q4, r‘ . NCB —fi— ` ,010ther. MECHANICAL PERMIT FEES" Address: i'5 2-7 'oSe�,.�oot7l S /^ Subtotal City/State/ZIP: , ©S..r� � cl-4-6 3 5 Minimum permit fee($90.00) `1�•�O O Plan review(25%of permit fee) _ - - Phone:(5()2. ( 1)_, 1(,1..-4- Fax: 3 ) 691 2- 30 f State surcharge(12%of permit fee) /C'.Flo CCB lic.: l 5 \ TOTAL PERMIT FEE /(J ). g(,� k 11 This permit application expires if a permit is not o obtained within 180 � Q e days after it has been accepted as complete. Authorized signature: i`�"� ' • Fee methodology set by Tri County Building Industry Service Board Print name: k r e— a s-e-,h Date: ) _ -11... (,5 1\Building\PermitsUMEC_PermitApp_040 t 13.doc 440-4617T(1 I/02/COM/W EB) 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. I:\Building\P crmits\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 9630 SW SUMMERFIELD DR, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O January 22, 2015 at 10:26:34 AM MEC2015-00028 David Young Minor label # ELS 437690 Violation Summary: Inspector Contractor