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Permit (36) CITY OF TIGARD MECHANICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MEC2016 00479 TIG A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016 Parcel: 251136000500 Jurisdiction: Tigard Site address: 8172 SW DURHAM RD Project: Jodain Subdivision: None Lot: None Project Description: Gas piping from exterior LP tank to(1)popcorn station and piping for(2)future stations. NOTE: This permit is for gas piping only. Placement of the exterior 120 gallon LP gas tank requires review and approval by planning. Contractor: NW GAS LINES Owner: DURHAM II LLC 16731 NE WASCO ST 17915 W NARRAMORE RD PORTLAND, OR 97230 GOODYEAR,AZ 85338 PHONE: 503-256-2436 PHONE: FAX: 503-256-2245 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/29/2016 $69.06 Class of Work: ALT Type of Const: Plan Review 06/29/2016 $17.27 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/29/2016 $8.29 Stories: Info Process/Archiving-Sm$0.50(up to 06/29/2016 $0.50 11x17) Project Valuation: $500.00 Fuel Air Handlers Fuel Types: Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Furnaces<100K BTU: 0-3 HP: Furnaces>=100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $95.12 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: 3 Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 o c!: 2.2344. -------,Issued By: ? f ittee Signature: ......... . ----- Cg—P (-09CP-1:4"Y3' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. (,,,_)/ten rnJn a ti /170 rn . 7_121- Mechanicalal Permit Application FOR OFFICE E 1 SE ONE v Received Permit To.: r e 0 f - 60q7? City of Tigard � t� ;.DatelBy: ,„,�, r 114 . 13125 SW Hall Blvd.,Tigard,OR 972238E 11 C ' Plan Review� � Phone: 503.718.2439 Fax: 503.598.1960 Date/Sy: Other Permit- T f G A R b lns txtion Lino: 503.639-417$ JUN 3pate Ready,7i Jurlc: Sec Page 2 for Internet: www.tigard-or.gov rQ Notified/Method: Supplemental Information QTY c i' TIGARD COMMERCIAL FEE* SCREDULE--USE CHECKLIST ,/TYPE OF 1�Q t g `dg #�"l Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteirraati�on/repltacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition 0 Other: mechanical materials,equipment,labors overhead,and profit. ❑ Value:g ..5-4(:V50 `7J CATEGORY OF CONSTRUCTION -- RESIDENTIAL EQUIPMINT/SYSTEMS FEES* ❑ 1-and 2-family dwell ing, ComniercialI industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder ❑Other: Description ` Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: My Air conditioning 46.75 ` oi Job site address: V�/7a s'(A,) .rli)a...0/'? d, Furnace 100,000 BTU tduets/vensl 46.75 N City/State/ZIP: �`J t/ d +0p C, d 2-1 Furnace 100,000.-BTU(ductsrvents) 51.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: .%© rfy Ductwork ( 23.32 Cross street/directions to job site: V Hydronic hot water system f23.32 Residential boiler(radiator or Nydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: 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 2/,t,-J Z-P 6/A S Pip/t-7 e JY K/O/� i/1 i0 fireplace 23.32 (2),7,p(19 yp ( I `A �r ,/1�]) Log lighter(gas) 23.32 rn 5!tt� ti - �'� 4 Rv` �'`"' Wood/pellet stove 33.39 : ��I �f L /9//0//1 , )1' ( )Fbth/r-!° S)-CiJ/U�c- Wood fireplace/insert 23.32 dd • // /� / Chimney/liner/flue/vent 23.32 - C Other: 23.32 0 PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: /7") Ile Dr-Oda / Range hood/other kitchen `e( equipment 33.39 Address: Clothes dryer exhaust 3339 Single-duct exhaust(bathrooms, City/State/ZIP: toilet compartments,utility rooms) 23.32 Phone:(j3) ! 30- g 6 to / Fax:( ) Atticicrawlspace fans 23.32 e Other: 23.32 El APPLICANT 0 CONTACT PERSON �C Fuel piping: Business name: All/i� i,(!S)t $1.1.15 for first four,$1.03 for each additional Contact name:'— .1 V ‘16 etc. /`���� Gas heat pomp , )1 Address: /6 7 j A'4 bt.i S C� S-)----• Wallisuspended/unitbeater s• Citi/State/ZIP: F.)r,-- -/4 d ,.DY 9 7 a 3° Water heater Fireplace u Phone:(�,3) a5 -: 4 Fax::(5='3) �56 ' as jj Range E-mail: /VIA.) 6 S )fe s (c)"'1CCS/ ) / 474" Barbecue • COACTOR Clothes dryer(gas) Business name: nI� l��S 1 r>2C s Other �vl-�.�n�.1 mctti,� MECHANICAL PERMIT FEES* •r Address: 16 71) A/e 1,„)fi:SCt 67i-, Subtotal Minimum permit fee($90.00) City/State/ZIP: 120 e.,,1 d or. Plan review(25°./O of permit fee) .J7 Phone:(5 j3) ?5/. a 1/.i 4, , Fax:(J2 3) :)6'6, a L`1� State surcharge(12%of permit fee) v.. / `` v TOTAL PERMIT FEE CCB 11C.: �1 7i This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized sign t : f;71 L.5.;) !4- y • Fee methodology set by Tri-County Building Industry Service Board I �,� / �/ �� Date:�-p j� �6 1 I Print name: �� / }D / ItBuildie 1Permits1MEC_Permi't040111.d t e - i ' 440A617T111/02/COM/WEB1 - 6•d 9tiZZ-99Z-£09 seu11seDMN ei76:8096 £Zunf