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Permit (12) a; CITY OF TIGARD MECHANICAL PERMIT i COMMUNITY DEVELOPMENTA Permit#: MEC2017-00215 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2017 TIGARD 13125 0 Parcel: 2S111CA01500 Jurisdiction: Tigard Site address: 9625 SW SUMMERFIELD DR Project: Jordan Subdivision: SUMMERFIELD NO.7 Lot: 338 Project Description: Relocate furnace and gas lines for furnace,fireplace&range. 4/13/17:REPRINTED permit to include(1)NC unit, (3)exhaust fans for bathroom and laundry,(1)clothes dryer exhaust,(1)range hood,and(1)gas line for barbecue. Contractor: AIRMAXX HEATING&COOLING LLC Owner: LUTHERN CHURCH-MISSOURI SYNOD FD 6924 SW PINE ST %SLEIGHT,ALBERT&MARIE R TIGARD, OR 97223 LIFE ESTATE 1333 S KIRKWOOD RD ST LOUIS, MO 63122 PHONE: 503-840-7925 PHONE: FAX: FEES Specifics: Description Date Amount Air Conditioning 04/13/2017 $46.75 Type of Use: SF Furnaces<100K BTU 03/28/2017 $46.75 Class of Work: ALT Type of Const: Range Hood/Other Kitchen 04/13/2017 $33.39 Occupancy Grp: Clothes Dryer Exhaust 04/13/2017 $33.39 Stories: Single Duct Exhaust(Bathrooms,Toilet, 04/13/2017 $69.96 Utility Rooms) Fuel Piping 03/28/2017 $14.15 12%State Surcharge-Mechanical 04/13/2017 $29.33 Misc Administration Fee 04/13/2017 $45.00 Fuel Fuel Types: Gas Pressure: Total $318.72 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 folio the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00 W. Y'u may obtain a copy of the rules or direct questions toOUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: -- re:" d A ........_ ..,..., Call 503.639.4175 by 7:00 a.m.for the next available inspectio •: e. This permit card shall be kept in a conspicuous place on the job site until c• • etion of the project. Approved plans are required on the job site at the time of each i -pection. Mechanical Permit A plic ti ? FOR orricr, r SI.Ov1.1 i'x � I Received $ / �� Permit No.: M 0/7-00,,q/City of Tigard Date/By: O� r • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review e Phone: 503.718.2439 Fax: 503.598.1960 �,,,.; Date/By: Other Permit: I I G n IL D Inspection Line: 503.639.4175 MRC? 2 8 '' Date Ready/By: lir s: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information T q TYM li �DI'SV 1 11f TM COMMERCIAL FEE* SCHEDULE -VSE CHECKLIST I� !I}a . T _ Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all � `O A ©c c'1/4-.> r -�1y mechanical materials,equipment,labor,overhead,and profit ❑Demolition 0 Other: Re � Value:S CATEGORY OF CONSTRUCTION ; RESIDENTIAL EQUIPMENT/SYSTEMS FEES* III 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: // 1 Air conditioning r 46.75 1�!(>- Z� Job site address: !6"LS s'W sc.)me I c,,tot i Furnace 100,000 BTU(ducts/vents) i 46.75 M4,-1 j City/State/ZIP: T ,r0 ,c,( O A 31-2-4, Furnace 100,000+BTU(ducts/vents) 54.91 3 ' 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 *')ASCRIPTION O'`WORK tf,' Gas fireplace/insert 33.39 Flue vent for water heater or gas 1 I fireplace 23.32 �C?1 v ts.t'"(c, c o C c�1 (Yt-Q.G� lti'tc^ Y1C' ) 23.32 Log lighter(gas) 3(1.5 \ YNo5 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 ❑ PIRC YERTY O°V{'iER 0 TENANT �' �, _ Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment �/i 33.39 -33 3'i Address: /Clothes dryer exhaust 33.39 . y.) City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) ` 2 23.32 0, u Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _ APPd,ICAI'f 0 NTACT,PERSON Other: 23.32 ] Fuel piping: Business name: ( <tKx \'` ''A cootY1Cj $14.15 for first four;$4.03 for each additional Contact name: t.)r- ;n W,`cX.i'l'!F S Furnace,etc. n A Gas heat pump Address: 6-q 2...y. 5 U.) Y 1 1/1 C. 5 \ T no',rCll 'Ug. Wall/suspended/unit heater �Lt,ty City/State/ZIP: 9 21.� 1 Water heater 7 Phone:(563) g f.t�'(j '•9-is Fax::( ) Fireplace I Range / E-mail: Barbecue ✓ t CONTRACTOR Clothes dryer(gas) / /Y�r/'N Other. Business name: Rte_ INN144L✓ •1rka- a U G MECHANICAL PERMIT FEES* r Address: 6 i_ q 5 "U Cn E„Z- -- Subtotal City/State/ZIP: Minimum permit fee($90.00) 9,e, ty Plan review(25%of permit fee) Phone:( ) d Fax:( ) State surcharge(12%of permit fee) /e'•VO CCB lir.: al 96,511 l j8.1/ 0 TOTAL PERMIT FE /611!..5• This permit application expires if a permit is not tailed within 180 i days after It has been accepted as complete. Authorized signature: /�7Xj`,/ Fee methodology set by Tri-County Building Industry Service Board Print name: Date: .3-- 28 /7" )_11 ' '`j .27 l. 7.1 l:\Building\Permits\MEC_PermitApp_ 0113.doc 440-46t7T(1 l/02/COM/WEB) '1-{, 3 y v tti�, .r- A CITY OF TIGARD MECHANICAL PERMIT . ` COMMUNITY DEVELOPMENT Permit#: MEC2017-00215 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2017 f G Parcel: 2S 111 CA01500 Jurisdiction: Tigard Site address: 9625 SW SUMMERFIELD DR Project: TL Remodeling Subdivision: SUMMERFIELD NO.7 Lot: 338 Project Description: Relocate furnace and gas lines for furnace,fireplace&range. Contractor: AIRMAXX HEATING&COOLING LLC Owner: LUTHERN CHURCH-MISSOURI SYNOD FD 6924 SW PINE ST %SLEIGHT,ALBERT&MARIE R TIGARD, OR 97223 LIFE ESTATE 1333 S KIRKWOOD RD ST LOUIS, MO 63122 PHONE: 503-840-7925 PHONE: FAX: FEES Specifics: Description Date Amount Fumaces<100K BTU 03/28/2017 $46.75 Type of Use: SF Fuel Piping 03/28/2017 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/28/2017 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/28/2017 $29.10 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility No -- --.ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dir• questions to OU • - • g 503.232.1987 or 1.800.332.2344. IssUed By: Permittee Signature: .f Qr Call 503.639.4175 by 7:00 a.m.for the next available inspecti 1e. This permit card shall be kept in a conspicuous place on the job site until c. pletion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application,- , 4 i FOR OFFICE USE ONE) 'PI City of Tigard i 3 [ Received �g dleM PermitNo.: 9 2/7...,,,,,,?, `,7 b Date/By: 0 v ul 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: „r,<, Date/By: T I G A R D Inspection Line: 503.639.4175 �( l',% ' Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information 7 ITV( t DIVISION COMMERCIAL FEE* SCHEDULE --USE CHECKLIST 1. °�fi z Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: Reioco ` mechanical materials,equipment,labor,overhead,and profit. 0A be c`-' ;,ncxLe Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* 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 JOB SITE INFORMATION AND LOCATION Heating/cooling: p Air conditioning 46.75 Job site address: q 6 Z5 s'w Sc.)me r cr e lot Furnace 100,000 BTU(ducts/vents) / 46.75 City/State/ZIP: t Furnace 100,000+BTU(ducts/vents) 54.91 -3 o ' }Z 2� 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ORSCRIPTION O> WORKGas fireplace/insert 33.39 " Flue vent for water heater or gas ' e k.o Co. i c 0C c%.1Y �C..t 1 r �Oavid net)) fireplace 23.32 Log lighter(gas) 23.32 5 zr.S \ Y\n5 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 0 PRO'ERTY 68*,ER 0 TENANT Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 © APPLICANTx ©' NTACT PERSON Other: 23.32 ). Fuel piping: Business name: J�i f yNlC1eC/ t AC ..✓1d Cco(1125 $14.15 for first four;$4.03 for each additional Contact name: C`�t y A. io.v1- QS ✓ Furnace,etc. I Gas heat pump Address: 6 qZ sw ; L S J \C�V+ rCQ U Wall/suspended/unit heater 2-23City/State/ZIP: �' Water heater ) Phone:(563) g)./G 3.9•S Fax::( ) Fireplace l Range / E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: . r / TIV Y Other: '_ likes 01/j7_ r C U`" Al MECHANICAL PERMIT FEES* Address: 6,.r90`L At 5 4'61.1E- ..0 Co f..LC, Subtotal City/State/ZIP: Minimum permit fee($90.00) 9e Plan review(25%of permit fee) Phone:( ) d Fax:( ) State surcharge(12%of permit fee) /.2.2V CCB lic.: ai a cc s t i /81i o TOTAL PERMIT FEE / • W 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: Date: 3-- 28 -/7. I:\Building\Permits\MEC_PermitApp_:,0113.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 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9625 SW SUMMERFIELD DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Mechanical MEC2017-00215 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor