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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015-00843 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2015 Parcel: 2S111 BC04600 Jurisdiction: Tigard Site address: 10125 SW MURDOCK ST Project: Breen Subdivision: 1998-167 PARTITION PLAT Lot: 2 Project Description: Vent fan for additional bathroom. Contractor: OWNER Owner: BREEN, HENNY&MURRAY E HENNY&MURRAY BREEN 10125 SW MURDOCK ST 10125 SW MURDOCK ST TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 971-344-5070 PHONE: 971-344-5070 FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 12/21/2015 $23.32 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 12/21/2015 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 12/21/2015 $66.68 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 ions NC by calling 503.232.1987 or 1.800.332.2344. Issue By: Permittee Signature: � `gyp .. T 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. 'I i FOR OFFICE USK ONLY Mechanical Permit ApplicataCEIVEP City of Tigard Received / Date/By: Permit No.: a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1966 ( G 1)r)'� Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Read /3 : luris: Ser Pagefor Internet: www.ti and-or. ov 01H Notified/Method: Supplemental Information TYPE O 6 fflvih 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)ofall ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:S CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES- ❑ I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building For special inJorn,ation use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heatin coolie : Air conditioning 46.75 Job site address: \O L 2 j .S\_j "V_CKt S Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: T 0 -2 Zi Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: g� Duct work 23.32 Cross street/directions to job site: Hvdronic 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 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: Ll ern r l�l��r g/eP Range hood/other kitchen Address: equi ment 33.39 1 O 1 2_j ,$-vJ Clothes dryer exhaust 33.39 City/State/ZIP: Z �_� O /L Z Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawls ace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/sus ended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: Barbecue -CONTRACTOR Clothes dryer(gas) �� ,/J Business name: Other:L/ /L MECIIANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit Ice($90.00) Phone: Fax: Plan review(25%of permit fee) ( ) ( ) State surcharge(12%of permit lee) d- ";hc) CCB lic.: TOTAL PERMIT FEE V,1) This permit application expires if a permit is not obtained within IRO days after it has been accepted as complete. Authorized signature: - * Fee methodology set by Tri-County Building Industry Service Board Print name: �� r'e� Date: 1 Z I:\Building\PermitsUl6C_I'crmitApp_ I13.doc 440-4617T(I I/0_/COMIU'1313) 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. 1ABLd1ding\Pennits\M EC_PennitApp_0401 13.doc 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 10125 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal FAIL MEC2015-00843 David Young Provide 4" vent pipe to the exterior of building envelope. 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 10125 SW MURDOCK ST, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00843 David Young Violation Summary: Inspector Contractor