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Permit (76) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00723 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2017 Parcel: 1 S133AD04300 Jurisdiction: Tigard Site address: 10880 SW SUMMER LAKE DR Project: Kummerer Subdivision: AMART SUMMER LAKE Lot: 17 Project Description: Exhaust fan for bathroom remodel Contractor: OWNER Owner: KUMMERER, MARK R 10880 SW SUMMER LAKE DR TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Single Duct Exhaust(Bathrooms,Toilet, 09/20/2017 $23.32 Type of Use: SF Utility Rooms) Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/20/2017 $66.68 Occupancy Grp: 12%State Surcharge-Mechanical 09/20/2017 $10.80 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: l/ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicaf fl 7 - T FOR OFFICE I_SE ON �,F .> -.I . Received. " City of Tigard Date/By: / 'al / oriel Ammo Permit NglV7`' •� ,,A.3 ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: SEP 2 (� ?_0�� T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov q`` Notified/Method: Supplemental Information TYPE>0 t!ttPINGDIVISION COMMERCIAL FEE* S2H1.DULE —.USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction 4Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Other: mechanical materials,equipment,labor,overhead,and profit. ❑DemolitionValue:$ ' -v.,; CATEGORY OFCONUC`T'ION:.. w:,„ ' > wSTR � 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: ',p -� c Le. cX,_.hn YY1 E e lti FC D re....._ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 t )G PtfZ� ; z�� Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: G 1403 t I 'F1;R la 4r 1`t) 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.: 5Lt ivlNI E(Z Pe,, Other fuel appliances: Tax map/parcel no.: Water heater 23.32 Gas fireplace/insert 33.39 , DDESCRIPTION OF WORK, •i _., ep a " " Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 VIVROPElifit OIVNEIC; El TENANT Environmental exhaust and ventilation: Range hood/other kitchen Name: M to 1L 1 ix m m F2F(2_ equipment 33.39 Address: )CS ?'j C S S t-t-M M E 2 L1 <E.. t re_ Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, T l G1{Z� Z 3 toilet compartments,utility rooms) 23.32 Fax): ax ( ) Attic/crawlspace fans 23.32 Phone:(149(j) ,"„43 5 23.32 '' PLIOAN'I'" ' CQ"CONTACT PERSON . Other: Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Fireplace Phone:( ) Fax::( ) Range E-mail: Barbecue CONTRACTOR "- Clothes dryer(gas) , 7�/i Other: Business name: - MECHANICAL PERMIT FEES* Address: Subtotal Minimum permit fee($90.00) 7©t az) City/State/ZIP: Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) /0 r Jt) CCB lic.: TOTAL PERMIT FEE /0-0, (, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature' "6 * Fee methodology set by Tri-County Building Industry Service Board Print name: cyl A2 K— 1-</Am m E 2 E Q [Date: Ci/? 0/11 I:\Building\Permits\MEC PermitApp_040113.doc 440-46171(11/02/COM/WEB) 1 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\Peimits\MEC_PermitApp_o4o 113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10880 SW SUMMER LAKE DR, TIGARD, OR, September 21 , 2017 at 97223 8:31 :30 AM Record Type: Record ID: Residential - Mechanical MEC2017-00723 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Note: will check timer or de humidistat installation at electrical final. Violation Summary: Inspector Contractor