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Permit Support Document (18)
CITY OF TIGARD 'zryr ' � ,-• MECHANICAL PERMIT t„ /1111 COMMUNITY DEVELOPMENT ai�i��'�= Permit#: MEC2018-00074 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2018 Parcel: 28111 BA00807 Jurisdiction: Tigard Site address: 14270 SW 100TH AVE Project: j Chavez Design Build Subdivision: None Lot: None Project Description: Install gas line and venting for hood range. 2/5/2018: REPRINT to add duct work. Contractor: SPECIALTY HEATING&COOLING INC Owner: TREICHLER, LAURA K 7500 SW TECH CENTER DR STE 130 WILSON, JOHN C TIGARD, OR 97223 WOOD, SALLY L ET AL 14270 SW 100TH AVE PORTLAND, OR 97224 PHONE: 503-620-5643 PHONE: FAX: 503-681-0793 FEES Specifics: Description Date Amount Duct Work 01/30/2018 $23.32 Type of Use: SFA Range Hood/Other Kitchen 01/30/2018 $33.39 Class of Work: ALT Type of Const: Fuel Piping 01/30/2018 $14.15 • Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/30/2018 $19.14 Stories: 12%State Surcharge-Mechanical 01/30/2018 $10.80 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: *(9927f7 � � 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 Applicatio> ?,' EI FOR OFFICE USE ONLY 14 City of Tigard Received s7// - ■ Date/By: Permit Ng/y "J©/p qv 77 13125 SW Hall Blvd.,Tigard,OR 97223 v Phone: 503.718.2439 Fax: 503.598.1960 FEB ', 2018Plan Review Date/By: / Other Permit: Ti G A R D Inspection Line: 503.639.4175 / $` Date Read BMethoJer;s: g Internet: www.tigard-or.gov CFS OF p GAR y y' 0 See Pa e 2 for Notified d Supplemental Information FIIIILPING DIVISION ❑New construction ' Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. V lue: Aiii :44 V"I`1fA.Ira ${ R O VCUG F. :, „ �. . . R IiNI M E *, ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builderQty. 0 Other: DescriptionEa. Total n io T tli Heating/cooling: Air conditioning 46.75 Job site address:14270 SW 100th Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 Duct work 1 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 a.. .. 01 Gas fireplace/insert 33.39 Flue vent for water heater or gas New supply ducting from existing furnace to existing room fireplace 23.32 /9;2S77) 7S77N'6r-4 /1672-,P7 7/7— _ArLog lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Egagir 1� Other: 23 32 li , Environmental exhaust and ventilation: Name:Kate Treichler&John Wilson Range hood/other kitchen Address:14270 SW 100th Ave equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)789-5707 Fax:( ) Attic/crawlspace fans 23.32 Tieil . ' S '°o Other: 23.32 Business name:J-Chavez Design Build Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Jacob Chavez Furnace,etc. Address: 1327 SE Tacoma St#180 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland,OR 97202 Water heater Phone:(503)833-2433 Fax::( ) Fireplace Range E-mail jchavezdesign@gmail.com Barbecue coN ., To Clothes dryer(gas) Business name:J-Chavez Design Build Other: Address:1327 SE Tacoma St#180 Subtotal City/State/ZIP:Portland,OR 97202 Minimum permit fee($90.00) Phone:(503)833-2433 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.:196352 TOTAL PERMIT FEE �� 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:Matti Sjoblom Date:02/05/18 I:\Build;ng\Permits\MEC PernitApp_040113.doe 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi Family Fee Schedule: $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\MEC PermitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14270 SW 100TH AVE, TIGARD, OR, 97224 November 30, 2018 at 11 :20:53 AM Record Type: Record ID: Residential - Mechanical MEC2018-00074 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor