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Permit (59) CITY OF TIGARD MECHANICAL PERMIT sCOMMUNITY DEVELOPMENT Permit#: MEC2018-00448 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2018 T t c;.;,,.11 C7 g Parcel: 2S101AB01402 Jurisdiction: Tigard Site address: 7395 SW HERMOSO WAY Project: Lyman Subdivision: HERMOSO PARK Lot: 5 Project Description: Adding gas line for range,log lighter,and furnace. Contractor: OWNER Owner: LYMAN, KYLE M KYLE LYNMAN 31 SW TAFT AVE 7395 SW HERMOSO BEND, OR 97702 TIGARD, OR 97223 PHONE: PHONE: 503-753-8531 FAX: FEES Specifics: Description Date Amount Fumaces>=100K BTU 06/13/2018 $54.91 Type of Use: SF Log Lighter(Gas) 06/13/2018 $23.32 Class of Work: ALT Type of Const: Range Hood/Other Kitchen 06/13/2018 $33.39 Occupancy Grp: Fuel Piping 06/13/2018 $14.15 Stories: 12%State Surcharge-Mechanical 06/13/2018 $15.09 Fuel Fuel Types: Natural Gas Gas Pressure: Total $140.86 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.,,2.1987 or 1.800.332.2344. Issued By: : A //,�' �/ � panni twee Signature: • Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicat w;rF012 OFF ICE F SE O\L\ 71 City of Tigard R PermitNO.: `J g 'G r,n Date/By: �� /� �l — ..-90i—,/::, �<y,i 13125 SW Hall Blvd.,Tigard,OR 97223 'v IN' ;e� Plan Review 111 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 { Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov ..., . Notified/Method: Supplemental Information 'T 'E OF WORK COMMERCIAL'EEE* SCHEDULE- USE CHECKLIST "CKLIST Mechanical permit fees*are based on the value of the work ❑New construction ©edition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* E 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 s'.JOB SITE INFORMATION AND LOCATION :` Heating/cooling: Air conditioning 46.75 Job site address: 23'7.6- J z_/ er h.. -i..S-c.) ii... Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP: -7, Fri,Q,..7) a X2$ Furnace 100,000+BTU(ducts/vents) \ 54.91 r Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: �Z N� ioSen 1�J 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.: T � �i'7 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 *$DESCRIPTION OF,WOR s Gas fireplace/insert ., 33.39 - s�l�,' :.' :a '-:_ - f y Flue vent for water heater or gas /1,, - AS 7✓ ��" , Ti���C4 fireplace 23.32 // Log lighter(gas) / 23.32 . �'T'" ;G; _ ' % • x Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ' .:, PROPERTY OWNER I vy _;" EJ/TENANT ay" t$ . -- £, Environmental exhaust and ventilation: Name: VGA / Range hood/other kitchen equipment 1 33.39 Address: I' , Cc-✓.C‘,0,/," _,-- Clothes dryer exhaust 33.39 City/State/ZIP: �/ Single-duct exhaust(bathrooms, [t✓ t, fl''i2/ l e' toilet compartments,utility rooms) 23.32 Phone:(56 ) .? 7 F 5'S."/ Fax: Attic/crawlspace fans 23.32 4:APPLICANt ❑ ccoNTACT PERSON g t.. Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater . Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: `XiMECHANICAL PERMIT FEES* • Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: 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: „eye, A....1,,, ,,,,,,-" Date: 4/d0��,' I:\Building\Permits\MEC_PennitApp_040113.doe 440-46171(11/02/COM/WEB) I Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit 1Fee: $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\Pemuts\MEC_PermitApp_040113.doc 2