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Permit Support Document (29) U CITY OF TIGARD ,71 MECHANICAL PERMIT COMMUNITY DEVELOPMENT // �� '"� Permit#: MEC2017-00814 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2017 Parcel: 2S112BD03400 11 Jurisdiction: Tigard Site address: 7992 SW MARA CT Project: Gabbert Subdivision: MARA WOODS Lot: 5 Project Description: install gas line and gas fireplace. 11/7/2017: REPRINT permit to add fees for(3)gas piping for fireplace,range and barbecue. Contractor: FIRESIDE CONTRACTING SERVICES LLC Owner: SAVEREIDE, KAREN B& 18389 SW BOONES FERRY RD GABBERT,JAMIE E PORTLAND, OR 97224 7992 SW MARA CT TIGARD, OR 97224 PHONE: 503-684-8535 PHONE: FAX: 503-620-5699 FEES Specifics: Description Date Amount Gas Fireplace 10/19/2017 $33.39 Type of Use: SF Fuel Piping 10/19/2017 $14.15 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/19/2017 $42.46 Occupancy Grp: 12%State Surcharge-Mechanical 10/19/2017 $10.80 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: .�s j Permittee Signature: C%'A✓ e, L, /e,9/-7e Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 7-No u-2017 08:22 Fireside Distributors 15036205699 p.1 Mechanical Permit APAlicati i '` k j .r., . I carI Ii. I_ IicI. °NI v la City of Tigard _ Received ateiv d Permit No,: a 13125 SW Hall Blvd.,Tigard,OR 97223 V 7 )'1 y 2 Phone: 503.718.2439 Fax: 503.598.1960 1\' ' C_ 1 Date/By: Review Other Permit. Daie/By: t 1 t ,:I i Inspection Line: 503.639.4175 .. , r""'. Date Ready/By: turn- ® See Page 2 for Internet: www.tigard-or.gov S'I t 1' • i e .;, .Notified/method. Supplemental Information -1 Ly a TYPE OF WORK COMMERCIAL carSCHED!JLE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction [rAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ • EATEGORY'OF CONSTRUCTION .RESIDENTIALT,QtlIP1NEN YSTEMI(; ESe.: ' 131-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For spedallnformation use checklist ❑Multi-family 0 Master builder ❑Other: Description ] Qty. 1 Ea. Total • JOB: TE INFORMATION MATION AND.LOCATION f .. Heating/cooling:Air conditioning 46.75 Job site address:iggel cow maxa C} Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ct ©R q'TY).-LI Furnace 100,000+BTU(ducts/vents) 54.91 r Hcat 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 Other: 23.32 Subdivision: Lot no.: - 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 ?1fau, n u L�1�n (A)I P�('�t - fireplace 23.32 1. mee g,c,n_®t�,Li Log lighter(gas) 23.32 1, Wood/pellet stove 33.39 \uus h Wood fireplace/insert 23.32 v yr 1JL Chimney/liner/flue/vent 23.32 Other: 2332 0 PROPERTY.OWNER . :0 TENANT Environmental exhaust and ventilation: Name: .. At ('r1WO(j (' V Range hood/other kitchen si equipment 33.39 Address: 1 C)C)1 3 Lc M(j a 0 % , Clothes dryer exhaust 33.39 k City /State/ZIP: — 0 R q 7 2,a„t4 Sngle-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 ® Phone:(6 tai ,7p i -3ra LJ u Fax:( ) Anic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: kit.P tj)c A $14.15 for first four:$4.03 for each additional Contact name: 4_0)14 Furnace,etc. Address: 1 is3s C 5u) Ra ons 1e,v,ri4 Pd Gas heat pump WslUsuspended/unilhcater City/State/ZIP:-Po lr 4-I& D$ 6 (4 7-??.ti, Water heater Phone:6 0'9 w t Li.$53 5 Fax::( ) Fireplace I Range f E-mail: Barbecue 1 CONTRACTOR Clothes dryer(gas) Other: Business name: Ft ceS i C14 :;:i.,"... : MECIORICAL PERMIT FEW,,,,.„ : ';,: Address: (Jt7 Subtotal City/State/ZIP: � Ot \A- t. Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: ab 15 ciTOTAL PERMIT FEE This permit application expires VIA permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: Ha r'• ►, • •/ _- * Fee methodology set by Tri-County Building Industry Service Board dim4 ►A..11-P.rCip/ , 11 7/1 7 Print name: Date: l taauitdingWermits1MEC_PamitApp_040113 dm 440-46171(1 I/02/COM/14'E8I City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7992 SW MARA CT, TIGARD, OR, 97224 February 2, 2018 at 10:56:16 AM Record Type: Record ID: Residential - Mechanical MEC2017-00814 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor