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Permit (123) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00967 Date Issued: 12/11/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134AD01700 Jurisdiction: Tigard Site address: 11373 SW LAKEWOOD CT Project: DUARTE-SIGUENZA Subdivision: ENGLEWOOD Lot: 57 Project Description: Relocating clothes dryer vent to adjacent wall. Contractor: OWNER Owner: DUARTE-SIGUENZA, CESAR CESAR DUARTE-SIGUENZA 11373 SW LAKEWOOD CT 11373 SW LAKEWOOD CT TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-730-2729 PHONE: FAX: FEES Specifics: Description Date Amount Clothes Dryer Exhaust 12/10/2017 $33.39 Type of Use: MF 12%State Surcharge-Mechanical 12/10/2017 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/10/2017 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: e-ter_i--4,e_ — Permittee Signature: /l.f "970/7,1_,/ C, 9_7T7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. RE Mechanical Permit Application '"` ,�, ION 01 I I( ► I ,►. U\►.1 IIICity of Tigard DEC 6 2017 Received Altfi/ ©l? 0 13125 SW Hall Blvd.,Tigard,OR 97223 Permit No.: R Phone: 503.7182439 Fax: 503.598.1rill y Plan Review i,,n i s t, Inspection Line: 503.639.4175 • E K_Y x'� D ��Y: Other Permit: Internet: www.tigard-or.gov Date Ready/By: B Sal Page 2 for LIT NAG DP/190i 0 i° otified/Method: r!i Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE_ USE CHECKLIST Mechanical permit fees'are based on the value of the work ❑New construction Q Addition/alteration/replacement ❑Demolition ,.f performed.Indicate the value(rounded to the nearest dollar)of all [r�Other: t/r�%r peic LI te7e4 mechanical materials,equipment,labor,overhead,and profit CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building [Multi-family For special information use checklist Y 0 Master builder 0 Other: Description I Qty. I Es. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 3 Job site address: �� Air conditioning 46.75 3 $ , 41/4.,,,,,,,y Cc car f Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -•tf..,4.4 ti, /a/Z / �7 j Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bidgJapt.no.: I Project name: Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 5_ r,1�LvsrC.41 Hydronic hot water system 23.32 J`'S Residential boiler(radiator or PV-1; hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-dud,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Jl ,� rrL.t.f" I Lot no.: 7 Other: 23.32 Tax map/parcel no.: is 1344Other fuel appliances: {�-d/rI t:D Water heater 2332 DESCRIPTION OF WORK Gas fireplace/insert 33.39 ,! Flue vent for water heater or gas i ��4f� alty4.✓ ire.°s-,fai/tto ek 4LCidpe'sxvaT fireplace 23.32 Llia•F f filet Is ilii -eh- r4/. Log lighter(gas) 23.32 ✓ Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 re-PROPERTY OWNER I 0 TENANT Other: 23.32 Name: Environmental exhaust and ventilation: O5�� - yt' zt. Range hood/other kitchen Address: //37 3 J 4J r r �uipman 33.39 ` .w6 i d r elc',14' Clothes dryer exhaust 33.39 City/State/ZIP: / .3`� T G Q t t � t�/� / t 7`�y�3 Single-dud exhaust(bathrooms, Phone:C67'.5 ✓ toilet compartments,utility rooms) 2332 ) 73t)- 01731 I Fax:( ) Attic crawlspace fans 23.32 ❑ APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: Fuel piping: Contact name: $14.15 for first four;54.03 for each additional] Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) I Fax::( ) Fireplace E-mail: Range Barbecue CONTRACTOR Clothes dryer(gas) Business name: J Other: Address: eptvMECHANICAL PERMIT FEES* Subtotal '31 q City/State/ZIP: Minimum permit fee($90.00) �W..to Plan review(25%of permit fee) Phone:( ) I Fax:( ) CCB tic.: State surcharge(12%of permit fee) t(1a _`r TOTAL PERMIT FEEa :;.-c)This permit application expires if a permit is not obtained wain 180 Authorized signs ..• days after it has been accepted as template • Fee methodology set by Tri-County Building Industry Service Board Print name: � m. 0, tL '3is B.a z� Date: /Z j li 7 l 1:1BuildinglPermitAVMEC pnmitApp o4o113.doc 440-4617r(11/OZ/COM/WEil) 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\Permits\M C_PermitApp 040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11373 SW LAKEWOOD CT, TIGARD, OR, 97223 Record Type: Record ID: Residential - Mechanical MEC2017-00967 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor