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Permit (64) ,111 CITY OF TIGARDENT Permit#:MECHANICALMEC2016 0 PERMIT0683 COMMUNITY DEVELOPM TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2016 Parcel: 1S135DB06000 Jurisdiction: Tigard Site address: 11540 SW GREENBURG RD Project: Galeana Subdivision: MILLER Lot: 6 Project Description: Vent fan for bathroom Contractor: OWNER Owner: GALEANA, EUNICE 11540 SW GREENBURG RD TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 09/26/2016 $23.32 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/26/2016 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/26/2016 $66.68 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Not _: ' -- enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dire questions to O b - ailing 503.232.1987 or 1.800.332.2344. Issue. By: <</ /AIA. / Permitteermittee Si7. •I Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applic�„Litt �,, , -TENANT FOR OFFICE t SF O E.v City of Tigard Received , oho 6oH � Og Permit No.: Date/By: / III 13125 SW Hall Blvd.,Tigard,OR 97223 6 Plan Review = Phone: 503.718.2439 Fax: 503.598. 2016 Other Permit: Inspection Line: 503.639.4175 Date/By: T I G A R D Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov �CJ iT'�'OF Elie A Notified/Method: Supplemental Information TYPQF 1 laG yx DIVISION• COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT i SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: y� / Air conditioning 46.75 Job site address: 'S 21 01. 5 ' 1rL� Cl crJ t fl( � \ECIC Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: `�,” ((r cA,.( d { �.7, 7 z " Furnace 100,000+BTU(ducts/vents) 54.91 J / Heat pump 61.06 Suite/bldg./apt.no.: Project name: ,iy(3 ' S SJ�f�C►'<O 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 . RIPTION F:WoltK Gas fireplace/insert 33.39 tA Flue vent for water heater or gas Y� P f q.v-� \ C Ol( 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: 23.32Ell ' z"x .PERTY TE Environmental exhaust and ventilation: Name: C./11 f« Ol t e a ,� Range hood/other kitchen Address: i equipment 33.39 t5" tic) 5 u. ( 'C'C 9',.,/, b V tT i Qt Clothes dryer exhaust 33.39 City/State/ZIP: (D do •‘," 0 7 2 a Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( p ) Gt,57x7 e 2_0Fax:( ) Attic/crawlspace fans 23.32 ©"APPLICANT :❑'CONTACT PERSON Other: 23.32 FuelPP 1 mg Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace E-mail: Range Barbecue CONTRACTOR Clothes dryer(gas) Business name: CDt&)ti a)2-, Other: MECHANICAL PERMIT FEES* Address: Subtotal ?Q•ad City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) /°'SD CCB lie.: TOTAL PERMIT FEE / 80 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: Z--- * Fee methodology set by Tri-County Building Industry Service Board Print name: 17 L, c ( �, Date: q 2 G 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/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\Peimits\MEC_PennitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11540 SW GREENBURG RD, TIGARD, December 27, 2017 at OR, 97223 11 :32:21 AM Record Type: Record ID: Residential - Mechanical MEC2016-00683 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor