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Permit (58) CITY OF TIGARD MECHANICAL PERMIT Permit MEC2017-00202 COMMUNITY DEVELOPMENT Date Issued: 03/22/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104AD03100 Jurisdiction: Tigard Site address: 12988 SW WALNUT ST Project: Morris Subdivision: BELLWOOD Lot: 50 Project Description: Suspended heater for garage addition. Contractor: OWNER Owner: WATERMAN, KATHRYN &MORRIS, HAL KATHRYN WATERMAN 12988 SW WALNUT ST 12988 SW WALNUT ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-590-5156 PHONE: 503-590-5156 FAX: FEES Specifics: Description Date Amount Unit Heaters(Fuel-Type, Not Electric) 03/22/2017 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 03/22/2017 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 03/22/2017 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: jc» Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR of iici t si oyLv Cl of Tigard Received PermitNo.: ' Date/B 7 'PI13125rSW Hall Blvd.,Tigard,OR 97223 K plan Review �� �� ■ t Other Permit:�.5 / ._CJLJ/ J • Phone: 503.718.2439 Fax: 503.598.196a� r m,.y' x PDate/By:nRev Inspection Line: 503.639.4175 R ,. Date Ready/By: ® See Page 2 for T I G A K D Supplemental Information Internet: www.tigard-or.gov r ` ,L,�- Notified/Method: P4trinPP f a 2 l• (3 0 COMMERCIAL FEE*'SCHEDULE— USE CHECKLIST TYPE OF VO , ,- Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/altt'1' onit�epitionie11t-' performed.Indicate the value(rounded to the nearest dollar)of all 0 Other: mechanical materials,equipment,labor,overhead,and profit. ❑DemolitionValue:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/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 LOCATION Heating/cooling: . _ Air conditioning 46.75 Job site address:F/. cgg S.Li.) `Zi.,7:4l..jV a7 S< Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: l Furnace 100,000+BTU(ducts/vents) 54.91 %C5 R pi �� Heat pump 61.06 Suite/bldg./apt.no.: Project name: f i ocgj c 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. 1 46.75 4,,,,7 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 ''''. jos, DESCRIPTION © W €" Gas fireplace/insert 33.39 , '‘. .4' WOK- Flue vent for water heater or gas iik ATL ( pc / n) fireplace 23.32 J `� ' Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 t, 23.32 TENANT PROPERTY.OWNER `` ti, „�, Environmental exhaust and ventilation: Name: �( Range hood/other kitchen T`,lfrS'al.tf /'[UfLRLS equipment 33.39 Address: i clwg , 1 (.c-'NLa- 5 f Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP:TJ(9kj(7 CP.4. 9 7.2123 toilet compartments,utility rooms) 23.32 Phone:c.5) ).5SsQ ,,,,c(6--0, Fax ( ) Attic/crawlspace fans 23.32 CONTACT'PERSON Other: 23.32 Fuel piping: Business name: „Q fyle ct.,.S Q 9G - $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: WalUsuspended/unit heater City/State/ZIP: Water heater : Fireplace Fax: Phone:( ) ( ) Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: �� //f MECHANICAL PERMIT FEES* Address: C/l�t/ Subtotal 4/4, --)5" Minimum permit fee($90.00) ci 61..c(,} City/State/ZIP: Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) (t,', tnl CCB lic.: TOTAL PERMIT FEE j(,k.> This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:,.j{ 4 ._.z. * Fee methodology set by Tri-County Building Industry Service Board Print name: Te,,,,,,// �.,/ l i i V cam Date:,...?/...20 I I:\Building\Permits\MEC_PemutApp_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\Permits\MEC_PermitApp_040113.doc 2