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Permit (21) CITY OF TIGARD MECHANICAL PERMIT ' 1 COMMUNITY DEVELOPMENT Permit#: MEC2018-00241 T n c;;L il.I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/26/2018 Parcel: 2S 110DD05000 Jurisdiction: Tigard Site address: 15650 SW OLD ORCHARD PL Project: JEAN WALES Subdivision: SUMMERFIELD NO.3 Lot: 141 Project Description: Replacing gas fireplace. Existing gas line. Contractor: PHILS FIREPLACE SERVICE CORPORATION Owner: WALES,JOHN 16255 SW ROSA RD WALES, JEAN BEAVERTON, OR 97007 15650 SW OLD ORCHARD PL TIGARD, OR 97224 PHONE: 503-916-9894 PHONE: FAX: FEES Specifics: Description Date Amount Gas Fireplace 04/26/2018 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 04/26/2018 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/26/2018 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ 7 Issued By: ���GCC.." Permittee Issued By ,&t.",/ /f "eolf ... Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE()NEI' City of Tigard Received ,� u 13125Date/By: iiPermit No.L/ /� / G SW Hall Blvd.,Tigard,OR 97223 e _ Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit: TI C A R D Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Date Ready/By: kris: See Page 2 for Supplemental Supplemental Information "'", `"'' "" x;w ' 'TYPE "-W0-kK COMMERCIAL FEE* SCHEDULE.-USE CHECKLIST ; Mechanical permit fees*are based on the value of the work D New construction Addition alteration€cem ent performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition Other: g. mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION `` Value:$ RESIDENTIAL EQUIPMENTISYSTEMS FEES* 1-and 2-familydwelling - . 0Commercial/industrial 0 Accessory building4 For special information use checklist. Multi-family 0 Master builder 0 Other: Description _ Qty. Ea. Total ,„ JOB SITE INFORM TION AND LOCATION, Heating/cooling: Job site address: / Air conditioning 46.75 �5 �� ��� � rc �� - ( ��/ 1F'('' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: //„.G/Ce G' (�1. 7-.7.....z. /./ y,Y7� /. Furnace 100,000+BTU(ducts/vents) 54.91 c/ / / 1 Heat um Suite/bldg./apt.no.: Project name: pump 61.06 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: .^, f---/-- _ Lot no.: Other: 23.32 i4%J 61'7'(/%•i7/1 C-C v Other fuel appliances: Tax map/parcel no.: � � x � Water heater 23.32 ,. - '.D S I O s; Gas fireplace/insert _, -- s v3.33} Flue vent for water heater or gas if?/GL(2 k' G1` i' C.9--17-e' ?27 16 ('.2 ...e') �;te!,< 'e',,,SC / G£,//4 fireplace 23.32 /'Z 'C4'c.") /G t S' e'14/..., C5`'-cc // t G7 e- ("-ec.4c G (;-//-7>i.,_-/ .(C, } g lighter(gas) 23.32 Wood/pellet stove 33.39 e-i" e-C(""it1 Ye.6` ' Wood fireplace/insert 23.32 V Chimney/liner/flue/vent 23.32 Otlrer: 23.32 P* O 'Rpr /a t " '" < ; ; © TENNT A . Environmental exhaust and ventilation: Name: ` J " (,616-.(f. (cc Range hood/other kitchen Address: �// 6%SG -, 9 2/ J, d l' 01 Clothes drnt 33.39 KJ �.Z �'�c T ' Clothes dryer exhaust 33.39 City/State/ZIP: ti / 7 7 (/ Single-duct exhaust(bathrooms, Phone: `,..5 toilet compartments,utility rooms) 23.32 Fax: �, ( ��) � 6'7 & �r ( ) Attic/crawlspace fans 23.32 • k ;, ,2j 4 �' *. ,,]r CONI'ACT''PERSQN "_ .-,,,, Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. • Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Water heater Phone:( ) . Fax::( ) Fireplace E-mail: Range Barbecue lk. a , pg,RACT R` gi .�y : Clothes dryer(gas) n. Business name: `/t-,A/ /¢J- g ,/e Other: i`•ej[{ e-C . r ( �L _ 0, 1�IECIIAIICi.FERAIIT"=FEES*':.._ Address: S-5 5? ( 740-)-cc. / , Subtotal 1 . City/State/ZIP: �a c j-ici A__ 0 C. Minimum permit fee($90.00) ) Plan review(25%of permit fee) Phone:( ) Fax:( State surcharge(12%of permit fee) CCB lic.: iy ��� 5-/,2,5-720 TOTAL PERMIT FEE (00.C��a / ; l f L This permit application expires if a permit is not obtained within 180 Authorized signature: " S i �(/�tx%7 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: V- Ct c// S,CCr l c c Date: �/� / f ( �7ZC�/ ! �j I:\Building\Permits\MEC_PermitApp_040113.doc 4 -4617T((1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial&Multi-Family Fee Schedule: Total Valuation;` Permit Feg: $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: 15650 SW OLD ORCHARD PL, TIGARD, April 30, 2018 at 9:43:08 AM OR, 97224 Record Type: Record ID: Residential - Mechanical MEC2018-00241 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Note: owners to verify high temp RVT and 3 screws connection for flue collars per manufacturers installation instructions. Owners to re install carbon monoxide detector taken down for painting. Violation Summary: Inspector Contractor