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Permit (72) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00729 Date Issued: 09/25/2017 T(GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 134C B 10900 Jurisdiction: Tigard Site address: 12367 SW MILLVIEW CT Project: DeWan Subdivision: MILL VIEW Lot: 9 Project Description: (1)range hood for kitchen remodel. Contractor: JEREME CHRISTOPHER BRONSON Owner: DEWAN, CHRISTOPHER J &LANE K 6663 SW BEAVERTON-HILLSDALE HWY#48 14848 SW SCHOLLS FERRY RD, N202 PORTLAND, OR 97225 BEAVERTON, OR 97007 PHONE: 503-780-8200 PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 09/25/2017 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 09/25/2017 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/25/2017 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 03.232.1987 or 1.800.332.2344. Issued By: c // / % Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application1.s1- FOR OFFICE USE ONLY Received Permit No.: ,o City of Tigard �* 4 `.' .E 3 Date/By: LL ( U�TCC2 u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � �/'�/ C. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:i /o / -. r ,.-'I T I G A R D Inspection Line: 503.639.4175 j (;17 Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: J Supplemental Information c1:11/. 0;., JGA t) T COMMERCIAL FEE* SCHEDULE USE CHECKLIST TYPED Ij II Li TG DI VISION Mechanical permit fees*are based on the value of the work ❑New construction (Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION < RESIDENTIALEQUIPMENT/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: / 3 c...,7 ,j.'v ,'M i 11/',C,v C) Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ""r"t sc,,r-�1 4 g et 7;, .dj Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: fr,c)?�y� tl Duct work 23.32 Cross street/directions to job site: ) Hydronic hot water system 23.32 q14;:e4,..,- F L Residential boiler(radiator or sit vVl 0.4.r. CYC S ye. /4D(7/ye. CST hydropic) 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 2 DE,$CRIPTION`OF woi ' Gas fireplace/insert 33.39 ,, - '"'''� '` Flue vent for water heater or gas /h S-fzc l/�=�t/o t4 e-4-- i^ 92 Gto&ci 1 etl�C.r'�i Cat.-. 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 ® - O1 R R �. 114 N ' , Environmental exhaust and ventilation: Name: Y`I $ D-Q,,tJJ c'-r\ Range hood/other kitchen equipment / 33.39 Address: ( a 3 ks2 7 s V J ,AA.: I( V ., tom" (::-1- Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: '�loCG1 U 7 2 toilet compartments,utility rooms) 23.32 Phone:(5 3) -3 i c.. 31(c/- Fax:( ) Attic/crawlspace fans 23.32 3 s -4, O 0N .; Other: 23.32 S * '. ti FuelP P t m g: Business name: 514.15 for first four;$4.03 for each additional Contact name: vhn_S p ,Jit. -- Furnace,etc. Gas heat pump Address: 5,44,,t,-,_ Wall/suspended/unit heater City/State/ZIP: 3 i..44 Water heater Fireplace Phone:( ) 5,,,,,ue_ Fax::( ) Range E-mail: s„,.i yvN 3 qc Ei c5a�b'`u:.( e.c,-� Barbecue , . r CONTL%7T©*2- >r Clothes dryer(gas) Sr r'cola: el4 4s W')47 Other: _Business name: .--i-- 6r,,,5:„,v t- T rI ,CS 6/ ,$4 t'M " MECHANICAL,PERMIT�FEES* • " Address: /GG 3 5. Ara�,�j -h47f5 4 f� � Subtotal City/State/ZIP: 4,41a pc,_ a& ' 222.5--- Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:5-0' ) 78c; •- 6,90c, Fax:( ) State surcharge(12%of permit fee) CCB lic.: /g(//0 ' l`-///3fTOTAL PERMIT FEE 00. re) 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: QJ4 f' (, peitNi C. Date: '/g,5-//7 I:\Building\Permits\MEC_PermitApp_040113.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\Pennits\MEC_PermitApp_040113.doc 2