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Permit CITY OF TIGARD MECHANICAL PERMIT II ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00355 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2015 Parcel: 2S111CC06100 Jurisdiction: Tigard Site address: 9940 SW CENTURY OAK DR Project: ORTIZ Subdivision: SUMMERFIELD Lot: 84 Project Description: Duct work for kitchen remodel. Contractor: OWNER Owner: ORTIZ, PAUL& DENISE PAUL&DENISE ORTIZ FIGUERAS,ANTHONY 9940 SW CENTURY OAK DR 21740 SW 109TH TER TIGARD, OR 97224 TUALATIN, OR 97062 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Duct Work 06/09/2015 $23.32 Type of Use: SF 12%State Surcharge-Mechanical 06/09/2015 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/09/2015 $66.68 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will - • e i work is • .rted within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requir s you to follow the rules a... -d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 2-001-0090. ou may obtain a 'py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - ittee Signature: � Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR 014 1( 1; I. SE O\I.\ Received _ _ City of Tigard Permit No.: G , sateBy: / �� l � �� • 5 • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 REC EIV E C, Other Permit: �( Q t 5=e� l I( A R I i Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for Internet: www.tigard or.gov JUN ZOl Notified/Method: Supplemental Information •TYPE OF WORK C►TY OF TI GUARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ['Newr1 ��t�rtliNG p Mechanical permit fees*are based on the value of the work construction Addition/alteratio performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ ulti-family CI Master builder 0 Other: Description Qty. � Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 q Job site address: ?ICAO r, C y-4�C ��pr. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: —�Z �- ©49■,, `J-1},..t,1 Furnace 100,000+BTU(ducts/vents) 54.91 —1 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work I , . 23.32 2. ,3z. 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 i Other: 23.32 Subdivision: SN w‘vh,,r' 4 I t✓ Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 �q _C1 Flue vent for water heater or gas /VaC1� „� �„� f k�I— � ,^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: c„\� 4 Q!"f 1 Range hood/other kitchen G equipment 33.39 Address: q14.11) cam) c<_vx ,Y,y ©C, Clothes dryer exhaust 33.39 g Sin le-duct exhaust(bathrooms, City/State/ZIP: 1-1 !©,�! toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT CONTACT PERSON Other: 23.32 Fuel_piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: ILiV,`-E Q (-1}-. • ._ Furnace,etc. Gas heat pump Address: 2 2 L\ c,r I L� �� Sy Wall/suspended/unit heater City/State/ZIP: u_.)49__5 fi L. ■vk h 0&. I 106b Water heater _ J 0'S 1!C Fireplace l Phone:(1 74 ) Z Fax: ( ) Range E-mail: '4A___eO �1 GA\, Barbecue CTOR Clothes dryer(gas) Business name: D�✓f E72_ Other: MECHANICAL PERMIT FEES* Address: Subtotal ?3•-&9,. City/State/ZIP: Minimum permit fee($90.00) cU _c Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) 10- CCB lic.: TOTAL PERMIT FEE 44,j)U) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board,ieef: :) ---------s"..")----"---------ss"'. Print name: /.4(14 0 f ) •s__ Date: 6 lc. v', I:\Building\Permits\MEC PermitApp_040113.doc 440-46171'(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. I:\Building\Permits\MEC_PermitApp_040 I I 3.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 9940 SW CENTURY OAK DR, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal FAIL June 16, 2015 at 9:21:32 AM MEC2015-00355 David Young No access, no one home. 9:20 am 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 9940 SW CENTURY OAK DR, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O June 17, 2015 at 9:01:25 AM MEC2015-00355 David Young Vent for downdraft. Violation Summary: Inspector Contractor