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Permit (38) CITY OF TIGARD MECHANICAL PERMIT Fri � COMMUNITY DEVELOPMENT Permit#: MEC2017-00302 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2017 f� �"fa J g Parcel: 25102AB90001 Jurisdiction: Tigard Site address: 9210 SW CENTER ST 1 Project: Willow Bend Subdivision: WILLOW BEND CONDO,THE Lot: 1 Project Description: Install gas piping for(7)fireplaces and(7)ranges in each unit(#1-7) Contractor: REFINER'S FIRE SERVICES Owner: IMPAC FUNDING CORP TR 19105 S LYONS RD BY EDMONDSON, SHARON OREGON CITY, OR 97045 19500 JAMBOREE RD IRVINE, CA 92612 PHONE: 971-275-7592 PHONE: FAX: 971-223-3232 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/02/2017 $164.23 Class of Work: ALT Type of Const: VB Plan Review 05/02/2017 $41.06 Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 05/02/2017 $19.71 Stories: Info Process/Archiving-Sm$0.50(up to 05/02/2017 $0.50 11x17) Project Valuation: $3,600.00 Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Furnaces<100K BTU: 0-3 HP: Furnaces>= 100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $225.50 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not s -fted within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rul: adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA• 952-001-0090. You ma obtain a copy of the rules or direct questions to UNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , 401 Permittee Signature: Call 503.639A175 by 7:00 a.m.for the next available inspection dat . - This permit card shall be kept in a conspicuous place on the job site until completi• of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicat CEIVE FOR OFFICE U;SE OM.) _ Received City of Tigard 1 Date/By: �. //7 4.c. , Permit No�C�j/7--OO.�0,2_, 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2017 Phone: 503.718.2439 Fax: 503.598.1960 D te/By to or, 7 Date/BL. Other Permit: T t G A R D Inspection Line: 503.639.4175 CITY A Date Ready a y: Jury I ® See Page 2 for Internet: www.tigard-or.gov OF "' Notified/Method:4/?//7 4 ,I- Supplemental Information BUILDING DIVISION gM Typ OF WORK COMMERCIAL FEE*SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,lar,overhead,arprofit. Value:$ .- - (r 6,c, .�— CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/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: Air conditioning 46.75 Job site address: £I Z /05.60 C?�i/rt./S Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: l ib' ©I' f, Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: ; 7 Project name: /./. /k/rd Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or G--0<?1/'.1-01 -'"--- `GZ 4''..--- 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: 1 Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,DESCRIPTION OF o LK°„' _” " ' Gas fireplace/insert 33.39 � Flue vent for water heater or gas ,;" 4/7 fiLit4// -.cc /<c 4c c'l,/eY7 fireplace 23.32 ,�J Log lighter(gas) 23.32 ectCA aii/i (S e—e4zd/ . t om z--- Wood/pellet stove 33.39 r""G,G I 4611 II",J Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER '" Other: 23.32 _ [] 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 "ArPLIC , C]'CONTACT PERSON Other: 23.32 Fuel piping: Business name: /4., ,,, ,F,j ye,, _cri/ /fie, $14.15 for first four;$4.03 for each additional Contact name: /4e(../1/1 <IFurnace,etc. Address:5 7"/7 E�tyt4 Gas heat pump ,,. Wall/suspended/unit heater City/State/ZIP:G g9 C�6 ci e? 69 Water heater Phone:(qg ) 75 7,5-- ---z__., Fax::("---'j— Fireplace 7 Range I E-mail: di°i i t'.," �C�tt,At 1-(L ' a)/l \ Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: yam MECHANICAL PERMIT FEES* Address: et_""" - Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: i 1 d1 i ` TOTAL PERMIT FEE t 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: 6 L e vii /2I]//4 A Date: 5 -r l:\Building\Permits\MEC11_PermitApp_04011B.doc 440-46 7T 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: r,. $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_PemiitApp_040113.doc 2