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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00063 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2016 Parcel: 2S112CC11000 Jurisdiction: Tigard Site address: 8261 LANGTREE ST Project: MOONEY Subdivision: LANGTREE ESTATES Lot: 42 Project Description: Gas fireplace insert with gas piping. Contractor: RICK STICKA LLC Owner: MOONEY,WILLIAM&SHELLY 686 S 25TH CT 8261 SW LANGTREE ST CORNELIUS, OR 97113 TIGARD, OR 97224 PHONE: 503-680-1046 PHONE: FAX: FEES Specifics: Description Date Amount Gas Fireplace 01/26/2016 $33.39 Type of Use: SF Fuel Piping 01/26/2016 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/26/2016 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/26/2016 $42.46 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application Received y City of Tigard Date/By: / Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.5 98. Date/By: Other Permit: Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for Internet: www.tigard-or.gov �01Cj Notified/Method: Supplemental Information yy p,N �« t}fes y3 4l' t,: C ffyr #_x ,tk Mechanical permit fees*are based on the value of the work ❑ New construction Addition/altQe p'0 ent performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolitio E]Other: V l� mechanical materials,equipment,labor,overhead,and profit. r Value:$ �t511DE . fY'17A1. 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. Total tHeating/cooling: JCB:Sl'1 R N1�', "1lRMA7"ltd�'�kiVID"iA1C�f* Air conditioning 46.75 Job site address: S (� L4,kWre f? -S�f l Furnace 100,000 BTU(ducts%vents) 46.75 City/State/ZIP: ��CaGt�'A Furnace 100,000+BTU(ducts/vents) 54.91 Heat um 61.06 Suite/bldg./apt.no.: Project name: U� Duct work 23.32 Cross street/directions to job site: H dronic hot waters stem 23.32 Residential boiler(radiator or h dronic) 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 rg AAf/'Lg/ _ (,J I T'/f 6-'J::&. 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 QPRT1' OWNEK ' © TEvANT Environmental exhaust and ventilation: Name: !l e Range hood/other kitchen equipment 33.39 Address: l C othes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone: Fax:( ) Attic/crawls ace fans 23.32 CONTACT PERSON= Other: 23.32 Business name: �G lG LLC- Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: fG� Furnace,etc. Address: -Gas heatum ` _ I Wall/suspended/unit heater City/State/ZIP: rp eL 617 It Water heater Phone:( Fax: :( ) FireplaceIto N Range E-mail: Barbecue Clothes dryer((gas) Business name: Other: z., Address: �Q Subtotal k� City/State/ZIP: r� Minimum permit fee($90.00) 1 W'oc Phone:( � ) J, ( ) Plan review(25%ofpermit fee) Fax: Q"f State surcharge(12%of permit tee) CCB lic.: TOTAL PERMIT FEEO Ad hV This permit application expires if a permit is not obtaillied within ISO days after it has been accepted as complete. Authorized signat * Fee methodology set by Tri-County Building Industry Service Board Print name: �/j Utc.L� Date: 1'Building Permits MEC_PermitApp_04011 Adoc 440-4617T(11,0'COM WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: $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. 1:ABui IdingTennitsN EC_PennitApp_0401 13.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 8261 LANGTREE ST, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2016-00063 David Young 21 psi, 15 min. Shut off installed at appliance. Minor label # ELS 509515 Violation Summary: Inspector Contractor