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Permit CITY OF TIGARD MECHANICAL PERMIT ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00149 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2015 Parcel: 2S102CD02805 Jurisdiction: Tigard Site address: 9825 SW OMARA ST Project: Kieling Subdivision: FREWING'S ORCHARD TRACTS Lot: 29 Project Description: Installation of wood stove. Contractor: OWNER Owner: KIELING, COLE N 9825 SW O'MARA ST TIGARD, OR 97223 PHONE: PHONE: 503-475-6645 FAX: FEES Specifics: Description Date Amount Wood/Pellet Stove 03/23/2015 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 03/23/2015 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/23/2015 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wil - 'ire if work is not st.rted within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requir•s you to fo .w the r les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR • 2-001-0■•0./ You m; ob .in a .p of the rules or direct questions to OU C by calling 503.232.1987 or 1.800.332.2344. Issued By: a / Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RECEIVE') Mechanical Permit Application FOR OFFICE USE ONLY MI 111 City of Tigard MAR 2 3 2015 3 a3 ,;u, Permit Nor�►r�/J�i'O/y • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598. OF / u Plan Review � �/V l' CIGAltl) Date/By: Other Permit: I I G A R n Inspection Line: 503.639.4175 1 Date Ready/By: Aids: ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: 77// Supplemental Information TYPE OF WORK COMMERCIAL FEE*(SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction (Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ID Demolition Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-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: - Air conditioning 46.75 j, Job site address: OC`6 25 ,,_)$ OM'‘'Y-m- � -- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ` PA- 4'1_23 Furnace 100,000+BTU(ducts/vents) 54.91 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 Flue vent for water heater or gas //1/. L(.—. Gt,©O b 577-1/5 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 _ ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: ?....,,`,e Range hood/other kitchen equipment 33.39 Address: (t 6'Z_ S&.A) a vy...Q�Q,_ Sk- Clothes dryer exhaust , 33.39 City/State/ZIP:T\scr.czk Cyl'ZZs Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( .,j'S) t„1/4,--1,5-(1(,t`-(� Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: _ 23.32 _ Fuel piping: Business name: $14.15 for first four;54.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: • Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) . Other: Business name: 4GVAl MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) 90 ,oz7 Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) 7,0 ,SID CCB lic.: TOTAL PERMIT FEE /aa •c-Q This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Y Authorized signatu * Fee methodology set by Tri-County Building Industry Service Board yPrint name: C rc_ K...),z C..1t,i Date: 3`Z3-'1S I:\Building\PermiroVNEC_PermitApp_0401 t 3.doc 440-46170(I 1/02/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. L\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 9825 SW OMARA ST, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00149 Jeff Grove Violation Summary: Inspector Contractor