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Permit (37)
CITY OF TIGARD MECHANICAL PERMIT N __ . COMMUNITY DEVELOPMENT Permit#: MEC2017-00816 Date Issued: 10/19/2017 T r r-,AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CD01009 Jurisdiction: Tigard Site address: 9922 SW SCOTT CT Project: MEYER Subdivision: SCOTT Lot: 7 Project Description: Furnace replacement. Contractor: COST PLUS HEATING&AIR Owner: MEYER, MATTHEW H&DIANA PRATT 7132 N FESSENDEN ST 9916 SW 31ST AVE PORTLAND, OR 97203 PORTLAND, OR 97219 PHONE: 503-286-2009 PHONE: FAX: 503-286-6552 FEES Specifics: Description Date Amount Furnaces<100K BTU 10/19/2017 $46.75 Type of Use: SF 12%State Surcharge-Mechanical 10/19/2017 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/19/2017 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: j?gsmittee Signature: _ 4c---- ..../42-1...--,---47--L Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicatio j hili 1)rr,( 1 lel t)Nl.1 City of Tigard CE�VEReceiv y i A ��� Permit No.: 13125 SW Hall Blvd.,Tigard,OR 972 3 Plan Review --� yet' ' ! II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: i I(;A I:D Inspection Line: 503.639.4175 OCT 1 9 201 Date Ready/By: IIMI ® See Page 2 for Internet: www.tigard-or.gov Notified/Method. Supplemental Information CITY OF TIGARD TYPE OF Ne DIVISION COMMERCIAL FEE* SCHEDULE—USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction PI Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY ©F CONST RCICTION RESWENTIAL 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:9922 sw scott dr Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP:tigard Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 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 OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Electric to elect furnace replace ment, fireplace 23.32 Log lighter(gas) 23.32 1 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Matthew Meyer Range hood/other kitchen equipment 33.39 Address:9916 SW 31"ave Clothes dryer exhaust 33.39 City/State/ZIP:portland or 97219 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)522 4299 Fax:( ) Attic/crawlspace fans 23.32 [ APPLICANT r [ CONTACT PERSON Other: 23.32 Business name:Steve Sanderson Fuel piping: $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 Phone:(503 7) Fax::( ) Fireplace Range E-mail: Barbecue CONTRICTOR Clothes dryer(gas) Business name:Cost plus heating Other: MECHANICAL PERMIT`FEES* Address:7132 n fessenden Subtotal L44,75' City/State/ZIP:portland or 97203 Minimum permit fee($90.00) if) cry Plan review(25%of permit fee) --- Phone:(503)2862009 Fax:(503)2866552 State surcharge(12%of permit fee) b) CCB lic.:47978 TOTAL PERMIT FEE uGO. ` This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature_,�,`7 ...,.....-----7 $ Fee methodology set by Tri-County Building Industry Service Board Print name:steve sanderson Date:10/19/2017 I:\Building\Permits\MEC PernitApp_040113.doc 440-4617T(11/02/COM/WEB)