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Permit (107) CITY OF TIGARD MECHANICAL PERMIT . '' COMMUNITY DEVELOPMENT Permit#: MEC2017-00556 T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017 Parcel: 2S 104C D02200 Jurisdiction: Tigard Site address: 13714 SW HILLSHIRE DR Project: LOOP Subdivision: HILLSHIRE ESTATES Lot: 22 Project Description: Replacing(2)bathroom exhaust fans in master bathroom. Contractor: RIGGS&MARTIN INC Owner: LOOP LIVING TRUST 14200 SE MCLOUGHLIN BLVD STE C 31714 SW HILLSHIRE DR MILWAUKIE, OR 97267 TIGARD, OR 97223 PHONE: 503-650-6786 PHONE: FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 07/31/2017 $46.64 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/31/2017 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 07/31/2017 $43.36 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: J Permittee Signature: AAA Call 503.639.4175 by 7:00 a.m.for the next available inspection d-te., This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY .�j Received _ ' City W Tigard g N Date/By: 7® Permit No.: C 13125 SW Hall Blvd.,Tigard,OR 972 V ` �- Plan Review j� Phone: 503.718.2439 Fax: 503.598. Date/By: Other Permit: 44/1-4201.' 1. N A Inspection Line: 503.639.4175 T I G A K D p 7 Date Rd/ echo: See Page 2 for Internet: www.tigard-or.gov �l ?Q� Notified/Method: ` Supplemental Information T OF WORK ®V I1 ® COMMERCIAL FEE* SCHEDULE USE CHECKLIST 1 'a-k Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteratici r4$ •,,z performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: ' '• .11. mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* land 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family 0 Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATIONAND LOCATION Heating/cooling: / Air conditioning 46.75 Job site address: ( 3 71 Sint' LI,HsN•✓ar ©r,�`vZ_ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: �,,-,1... q ?z 2 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: cj Project name: Lco^ 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 DESCRIPTION OFA WORK " Gas fireplace/insert 33.39 Flue vent for water heater or gas ecir 1 pc. `2) lct,�.y--a v.-- q�.;L4.,,y,-i .4 s fireplace 23.32 IVx. 1/�eS f `„j; Log lighter(gas) 23.32 JN Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 , 23.32 ,,. tn,,.. Tlo,,NEt - . ❑ TENANTt tn„ Other: '' " '4 ' ''S'' A - ' ' Environmental exhaust and ventilation: Name: Range hood/other kitchen d Z.1.1,/,hri 1 5 - Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) Z 23.32 tit, -611 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 k .P e 'a CONTACT °ERSON .; ',I Other: 23.32 Fuel piping: Business name: ,,,,,_S' 4? /Via,.41\7 $14.15 for first four;$4.03 for each additional Contact name: 5L 0 it" vQ"--- Furnace,etc. Gas heat pump Address: rc._ 5 ( ` Wall/suspended/unit heater City/State/ZIP: Water heater Phone:($3 ) 8�y 6 it'(6 -. Fax::( ) Fireplace Range E-mail: Barbecue,� Clothes dryer(gas) Business name: Other: � �s I p:.•- n . McC3A AL ? I K� ES* ' Address: /y2.-0 O 6� Le 1_,, It f� , �VG� ,ie Subtotal 44). a City/State/ZIP: /4.'l t•wu,w,(c t� q 2 2/ -7 Minimum permit fee($90.00) 10,,'- Phone:(f3 3 ) (Q 61 --(,,2'1 Fax:( ) `F Plan review(25%of permit fee) State surcharge(12%of permit fee) )-51) CCB lic.: /6 q f'2 9 TOTAL PERMIT FEE yt) A This permit application expires if a permit is not obtained within 180 ,,'/ days after it has been accepted as complete. Authorized signature: ! . f * Fee methodology set by Tri-County Building Industry Service Board Print name: ...cL.... W ZDV.f/- Date: 74//i 7 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/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\Pennits\MEC_PennitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13714 SW HILLSHIRE DR, TIGARD, OR, 97223 September 27, 2017 at 11 :11 :12 AM Record Type: Record ID: Residential - Mechanical MEC2017-00556 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor