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Permit (8) CITY OF TIGARD MECHANICAL PERMIT II 1 COMMUNITY DEVELOPMENT Permit#: MEC2016-00665 T[ci a RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/19/2016 Parcel: 2S111DB08700 Jurisdiction: Tigard Site address: 15430 SW OAKTREE LN Project: THORNE Subdivision: SUMMERFIELD NO.10 Lot: 548 Project Description: (1)bathroom exhaust fan. Contractor: DANNYS HEATING AND COOLING INC Owner: THORNE, CLIFFORD D JR 16303 NE 36TH ST THORNE, STEPHANIE E VANCOUVER,WA 98682 15430 SW OAKTREE LN TIGARD, OR 97224 PHONE: 503-914-8058 PHONE: I FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 09/19/2016 $23.32 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/19/2016 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/19/2016 $66.68 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain - copy of the rules or direct questions to OUNC by calling 503.232.1987 • ::i - - 44. Issued By: -. `- ' -- -ignature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application l:olz cm,Ficl. 1' ,1'.()N1.1 City of Tigard Received / limpermit No.: / C ' 13125 SW Hall Blvd.,Tigard,OR 97223 I Phone: 503.718.2439 Fax: 503.598.196 ttz:t(1 4 Dat/By ew Other Permit: TI G A R n Inspection Line: 503.639.4175 i.,n> „r, .v - ,b.,,,,,,-- Date Ready/By: Juris: WI See Page 2 for Internet: www.tigard-or.gov Notified/Method: /'?� Supplemental Information SEP i. 9 2016 �L1C Tvrt 4F WO Cty11 ITCI4I t CIfE+ KLIST ' 1 C Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/altera$jofer5phr cement \,f I s, p ct t,f performed.Indicate the value(rounded to the nearest dollar)of all Y ',T ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ cATEGoitv-ot f;' �I flOOAI c'RES' - -—AL EEl3F1Mii1'V '!- "ISS'' 1HS I 1'S" 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total Jos STS siposiwnioN APII1:t tJ A 'I€1 I; Heating/cooling: Air conditioning 46.75 Job site address:15430 SW Oak Tree lane Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 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 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORDGas fireplace/insert 33.39 ` Flue vent for water heater or gas lbath fan 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 � ANT Environmental exhaust and ventilation: Name:Cliff Thorne Range hood/other kitchen equipment 33.39 Address:15430 SW Oak Tree lane Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ( APPLICANT >.+ C©NTACT PERSON . ' Other: 23.32 Business name:TL Remodel&Construction Inc Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tim Labunsky Furnace,etc. Address:PO Box 1996 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Lake Oswego OR 97035 Water heater Phone:(503)9842783 Fax::( ) Fireplace / Range E-mail:TLRemodel@yahoo.com 7/?-j J' Barbecue C011A+CTOR Clothes dryer(gas) Business name:Danny Heating&Cooling Inc Other: MECIlaANICAL PERMIT FEES* Address:16303 NE 36th St Subtotal City/State/ZIP:Vancouver,WA 98682 Minimum permit fee($90.00) 10 Plan review(25%of permit fee) Phone:(503)9148058 Fax:( ) State surcharge(12%of permit fee) .`e -' CCB lic.:197549 TOTAL PERMIT FEE 'f lit).'z= This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: Cr"-��X1 * Fee methodology set by Tri-County Building Industry Service Board Print name:Denis Zubanov Date:9-19-16 I.\Building\Permits\MEC PermitApp 040113.doc 440-4617T(I1/02/COM/WEB)