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Permit (70) ipiCITY OF TIGARD MECHANICAL PERMIT '� COMMUNITY DEVELOPMENT Permit#: MEC2017 00714 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 * se is Date Issued: 09/18/2017 ffaR.Oa 9 WARM !j # Parcel: 1S133DC05700 �/ �� Jurisdiction: Tigard Site address: 13475 SW BRITTANY DR '� Project: CUNNINGHAM Subdivision: BRITTANY SQUARE NO.1 Lot: 15 Project Description: Gas piping for heat pump. 9/19/17:REPRINTED permit to include heat pump. Contractor: HVAC TODAY INC Owner: CUNNINGHAM, GREGORY&TERESA J 5880 JOSEPH ST SE 13475 SW BRITTANY DR SALEM, OR 97317 TIGARD, OR 97223 PHONE: 503-449-0344 PHONE: FAX: FEES Specifics: Description Date Amount Heat Pump 09/18/2017 $61.06 Type of Use: SF Fuel Piping 09/18/2017 $14.15 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/18/2017 $14.79 Occupancy Grp: 12%State Surcharge-Mechanical 09/18/2017 $10.80 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19 . 32.2344. c Issued By: _....,1...e.4._ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application 1 OR of Ft( I. USE O\E1' City of TigardReceived ] 13125 SW Hall Blvd.,Tigard,OR 97223A Date/By: 1 f f •Aw. Permit No.: Phone: 503.718.2439 Fax: 503.598 71 ,ems -in AA �` Ii I --ill Review T i AK O Inspection Line: 503.639.4175 Date/By: Other Permit: L Internet: www.tigard-or.gov 011 Date Ready/By: S See Page 2 for Q Notified/Method: Supplemental Information TYPE OF WO .. 0 .i `�1;Cj�Os COMii iu u FEE*SCHEDULE>- USE"CHECKLIST ❑New construction Addition/alt8r2'rt0Q‘ement Mechanical permit fees*are based on the value of the work ❑Demolitiont1� performed.Indicate the value(rounded to the nearest dollar)of all 0 Other: FF,�� mechanical materials,equipment,labor,overhead,and profit. CA1ER31 OF-CONSTRUCTION Value:$ 1-and 2-family dwelling ❑Commercial/industrialENTIA.LE9 'NNTiSYSTEMSF ES* 0 Accessory building r' For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFQRMATION AND LOCATION Heating/cooling: Job site address: 7 - Air conditioning 46.75 City/State/ZIP: ,7,.. ., t 7 P (" Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 0(0 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Col Cross street/directions to job site: (/ ? _ -. + + Duct work 23.32 (` ),�j Hydronic hot water system 23.32 aka 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: I Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: # Water heater 23.32 . . . ,3 t ',..4,•;tet..{Itiliii i `WQ x Gas fireplace/insert 33.39 1 ' Flue vent for water heater or gas / fireplace 23.32 �' � �'Gc��aer (_�d?01 '''s/5,47:7/- t� Log lighter(gas) 23.32 k�4.9t' �t7` `�� Wood/pellet stove 33.39 © �C "`�� C�fi�"S Wood fireplace/insert 23.32 ilii 7 4� Chimney/liner/flue/vent 23.32 ,,--: i� `t .� was = �` � • a Other: a 3 23.32 Name: ��.0 _ " / 4;" Environmental exhaust and ventilation: C//Lva,'L t r 4.,A4t�t_ Range hood/other kitchen Address: (.-37,5--- /� a equipment ,.) l� 33.39 `/ �� Clothes dryer exhaust 33.39 City/State/ZIP: /�7 !w ( Single-duct exhaust(bathrooms, Phone:(50�) 5�'� — ( Fax:2 ( ) toilet compartments,utility rooms) 23.32 Attic/orawlspace fans 23.32 � � yaOther23.32,z4 11 , .. „ Business name: Fuel piping: Contact name: $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater j f`�( . 1 Water heater Phone:( ) I Fax::( ) Fireplace E-mail tt1/44.Y- lVG rra t/ Range �( � i, 44 Barbecue , _. $ , CTOR Clothes diyer(gas) Business name: 1-74‘/./e/-c- /. '% C Other: Address: �Q / <3 MECHAI!TICALPE1t111ITFEES* v�O ,,r-o7:5 �®'s � '�" Subtotal City/State/ZIP: " JC ,,_ .p a'R 9 7_3/ .7 Minimum permit fee($9000) �l/ 70.cit? Phone:6-0 / L�' ` O_7yy I Fax:( ) Plan review(25%of permit fee) CCB lic.: / GJ p / State surcharge(12%of permit fee) /a„� / / e a 7 J�,i I� TOTAL PERMIT FEE µaja l} c This permit application expires if a permit is not obtai ed within 180 Authorized signature: fe4...,41/ S,d/ days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I Print name: bawl e-( ,. 4 GrC(of�I /Date: )j / /7 I I:\Budding\Permits\MEC_PermitApp_040113.doc x•``77 440.4617T(11/02/COM/WEB) CITY OF TIGARD MECHANICAL PERMIT IN :' COMMUNITY DEVELOPMENT Permit#: MEC2017 00714 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2017 Parcel: 1S133DC05700 Jurisdiction: Tigard Site address: 13475 SW BRITTANY DR Project: CUNNINGHAM Subdivision: BRITTANY SQUARE NO.1 Lot: 15 Project Description: Gas piping for outdoor condensing unit. Contractor: HVAC TODAY INC Owner: CUNNINGHAM, GREGORY&TERESA J 5880 JOSEPH ST SE 13475 SW BRITTANY DR SALEM, OR 97317 TIGARD, OR 97223 PHONE: 503-449-0344 PHONE: FAX: FEES Specifics: Description Date Amount Fuel Piping 09/18/2017 $14.15 Type of Use: SF 12%State Surcharge-Mechanical 09/18/2017 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/18/2017 $75.85 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: {/ice "___,....e_. ermittee Signature: fA " },,,ci Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard 0Received 1111 Date/By: -I J., ( / :Off Permit No.: �= ` _' ` 13125 SW Hall Blvd.,Tigard,OR 97223 0e Plan Review �( Aa _ Phone: 503.718.2439 Fax: 503.598.1 v,...30 *"' �� Date/By: Other Permit: � j — TI G A R D Inspection Line: 503.639.4175lk"` l- ,\1Date Read/Bpal gInternet: www.tigard-or.gov � Ready/By: See Page 2 nr Notified/Method: Supplemental Information TYPE OF WO 0 ` .4\ �� COMMERCIAL FEE*'SCHEDULE'- USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New constructionAddition/alt% 'element performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: - mechanical materials,equipment, ,. labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* g1-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: Job site address: 3 l Air conditioning 46.75 y � ✓ �`� re�Z j� 1/ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 0- - fr Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 6/.6..' Duct work 23.32 Cross street/directions to job site: 5 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 ,,' ,,,' i DESCRIPTION Of WORK 4 Gas fireplace/insert 33.39 Flue vent for water heater or gas / 0 ) fireplace 23.32 ( 2 Gam.�/> 1 0,e_i•t— t" 1 c.-(- �G'/i2vle'?,�.L Log lighter(gas) 23.32 �// J / / Wood/pellet stove 33.39 447 e �' TG / ��a�L'' l�✓�(-(74-6-> Wood fireplace/insert4(21 23.32 91�I Chimney/liner/flue/vent 23.32 ;*:' * A0A. it a TE � '^ .' Other: 23.32 ' z, -' Environmental exhaust and ventilation: Name: C. „ �'I, C/4_44,1 c r-,4'4.-4(44-1-- Range hood/other kitchen equipment 33.39.„34:7/7,5". )1,1/' ;;5,-! / f I Clothes dryer exhaust Single duct exhaust(bathrooms, 33.39 City/State/ZIP: —774/e;--1,--"( toilet compartments,utility rooms) 23.32 Phone:(,4-4:3) 2,2, — ( e 2 Fax:( ) Attic/crawlspace fans 23.32 mP - - . , . .•. �e °', . v0 d< .,ik Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. _ Address: Gas heat pump I /lit IS— Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace � ,V A 1 / q,• l Range E mail: 1 �s�(v.� !�tr / 1 /y1�1 :11' h �S� t r . '41''„,„,,a,,,,,4 r Barbecue � k .. kr ' �, � € �.�� Clothes dryer(gas) Business name: �� Other: Address: S 1/ �G'tF 1.s 1IEQIIAHICAL PERMS f FES* J d s A 5 ,.5 Subtotal City/State/ZIP: e'-'le t� G� /7 -7 Minimum permit fee($90.00) id,ti' Phone:(�= 41-7/4/(1_ O. G� Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) /0.40 CCB lic.: (:2.4, � i[,J/_ / a 3: 7 i1(t{ �! TOTAL PERMIT FEE! t 1 r" This permit application expires if a permit is not obtai ed within 180 Adays after it has been accepted as complete. Authorized signature: ~ * Fee methodology set by Tri-County Building Industry Service Board Print name: C:;ti/r, ( 5-, /9(Arc C kti Date:,9 / —/7 l I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/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. 1:\Building\Permits\MEC_PermitApp_040113.doc 2