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Permit CITY OF TIGARD MECHANICAL PERMIT ''1 I • COMMUNITY DEVELOPMENT Permit#: MEC2015-00713 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2015 Parcel: 2S109AB00600 Jurisdiction: TIGARD Site address: 14031 SW ALPINE CREST WAY Project: Otis Subdivision: ELK HORN RIDGE ESTATES Lot: G Project Description: Install 30'tube heater in shop. Contractor: BULL MOUNTAIN MECHANICAL Owner: OTIS, BRIAN D& LORRAINE M 6520 ROSEWOOD ST 14031 SW ALPINE CREST WAY LAKE OSWEGO, OR 97035 TIGARD, OR 97224 PHONE: 503-612-6677 PHONE: FAX: 503-692-3084 FEES Specifics: Description Date Amount Unit Heaters(Fuel-Type,Not Electric) 10/21/2015 $46.75 Type of Use: SF FlueNent For Any of Above 10/21/2015 $23.32 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/21/2015 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/21/2015 $19.93 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ rrCIssued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available ins tion date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicatiol ECE1VEP FOR OFFICE t SE O\Ll Cl of Tigard Received - a 13125'SW Hall Blvd.,Tigard,OR 97223 OCT ate/By: //o oZd /�` 4r Permit Nyifte,_�/ ^.'if 7.j Phone: 503.718.2439 Fax: 503.598.1960 I 1 5 2015 Plan Review Plan Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 AA uu Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CE IN OF 161lAh Notified/Method: ;/A e, Supplemental Information 3UIL1MNr I[VISIO TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Z.-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* .I 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �J Air conditioning 46.75 Job site address: 14©3 V/1 5 fi/pr ares Wily Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: / I 1/;217 n.)_ Furnace 100,000+BTU(ducts/vents) 54.91 ��)) // Heat pump 61.06 Suite/bldg./apt.no.: Project name: gr.J/YGJ c . 15 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or Eu 1/ gle9lf P)rt) Fo 13 /)3A2- 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 ht)--.511r]/ 171 .e //`ak - /l/ C hop 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 El TENANT Other: 23.32 Environmental exhaust and ventilation: Name: gr( g w d2 JS Range hood/other kitchen equipment _ 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 , Business name: Bu l' OUJIV/1),1 pea A,,,)g g� / �14j0.�; Fuel piping: y $14.15 for first four;$4.03 for each additional Contact name: To.C.- 1a9-1.J . . J Furnace,etc. 3 so 0 �,0 p L �ii �f t- Gas heat pump Address: J //� 7 Wall/suspended/unit heater / /` City/State/ZIP: y f LO-.11 7 4/f.2f Water heater Phone:( ) 6 /Z 66 97 Fax: :( ) Fireplace J Range E-mail: Ai g, A) ga I/� 7 arli /,J At eA r ai e/z- Barbecue CONTRACTOR Clothes dryer(gas) /1 M O u �J L - Other: Business name: r// fib? PERMIT FEES* Address: 7,3 S8V .S CV j h£, t� Z Subtotal City/State/ZIP: ---!l9 iert-d - q 72 Minimum permit fee($90.00) O 2 ( ) Plan review(25%of permit fee) Phone: Fax: State surcharge(12%of permit fee) S 7�(/ TOTAL PERMIT FEE /Q,,1'0 CCB lic.: : ��-V,-� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: L * Fee methodology set by Tri-County Building Industry Service Board Print name: � � L /C.61,,,></5}a/t/ Date:O '21 7,0)<- .0) I:\Building\PermitsVMEC_PermitApp_040113.doc 440-4617T(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_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 14031 SW ALPINE CREST WAY, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00713 David Young 2 lb gas test, 60 psi, 30 min. Violation Summary: Inspector Contractor