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Permit
N-11CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00769 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2016 I " Id Dg Parcel: 2S111BA05800 Jurisdiction: Tigard Site address: 14145 SW 97TH PL Project: PETERSON Subdivision: SOLARCREST Lot: 10 Project Description: Moving range gas line from island to wall and installing venting for range hood. Contractor: WESTERN PLUMBING Owner: PETERSON, MICHEL E&LINDSAY A 9460 SW TIGARD AVE SUITE 101 14145 SW 97TH PL TIGARD, OR 97223 PORTLAND, OR 97224 PHONE: 503-639-5296 PHONE: 503-441-2119 FAX: 503-684-9015 FEES Specifics: Description Date Amount Range Hood/Other Kitchen 11/07/2016 $33.39 Type of Use: SF Fuel Piping 11/07/2016 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/07/2016 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 11/07/2016 $42.46 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1On Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application - FOR OFFICE USE 01 Lv City of Tigard ,/� Date/ByReceived: C`© L Permit No.: /l:o ;.) . 6. 1. 13125 SW Hall Blvd.,Tigard,OR 97 e = Plan Review Phone: 503.718.2439 Fax: 503.598.1 Other Permit: Inspection Line: 503.639.4175 Ac Date/By: sr lc_/} C T I G A R D `��6 Date Ready/By: MI See Page 2 for Internet: www.tigard-or.gov . fJ Notified/Method: Supplemental Information VCOV v� tsi ,.COMMERCIAL FEE*SCHEDULE CHECKLIST TYPE OF IV �li) - p USE Mechanicalpermit fees*are based on the value of the work ❑New construction Addition/alter + I ': int performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. „y.v gym,. Value:$ . _.., ,: .. ,.. CATEGORY -OF CONSTRUCTION :N RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ' `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 JOB SITE INFORMATION AND LOCA'T'ION _ Heating/cooling: Air conditioning 46.75 Job site address: 4S' AJ K IL, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ( /1 AS j ( `�j�i.,/i Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Move e 14-5- �. ,s✓ Heatupump 61.063 �l// t�fih � /t/2: 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 Other: 23.32 Subdivision: Lot no.: 1 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK : Gas fireplace/insert 33.39 � j Flue vent for water heater or gas /4l o•V 'AA//6 *5 t//JU e- x Tiara... fireplace 23.32 Log lighter(gas) 23.32 (( TO tit/A-a, Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 jil PROPERTY O ❑ TENANT Other: 23.32 Mx Environmental exhaust and ventilation: Name: Range hood/other kitchen r 6,,,-/-,---_-,(_, Pm t o— j equipment i 33.39 33 37 Address: / tip,C/`C` bo 7`' pts Clothes dryer exhaust 33.39 City/State/ZIP: t �n 1717, ' / Z Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(Li t( t 2,---2-!l q Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PEEN '. Other: 23.32 Business name: _ / Fuel piping: d �?4+i j AR,v , $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range f /it-/5 E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: "' Other: V►/E l��g A) l'I,E./1'f4 > /iki f , f„,l/i _, q MECHANICAL PERMIT FEES* Address: cr 1.14 e seiL` 7;7 -74- / - ,,3i . sir /Gt) Subtotal /U� Cj' Minimum permit fee($90.00) /0 U3 City/State/ZIP: . rr Phone:( / .— l/ 00 Fax:( ) Plan review(25%of permit fee) � � (y l(--Z`Z t 7 State surcharge(12%of permit fee) ,4),-, CCB lic.: 2K 3/ TOTAL PERMIT FEE ix,- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signature: �� * Fee methodology set by Tri-County Building Industry Service Board Print name: Jiff /G jam, Date: /r//7 //,,‹ I.\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:\Buildmg\Permits\MEC_PennitApp_040113.doc 2 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 14145 SW 97TH PL, TIGARD, OR, 97224 Record Type: Residential - Mechanical Inspection Type: 699 Mechanical final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: December 29, 2016 at 2:22:04 PM Record ID: MEC2016-00769 Inspector: David Young Contractor