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Permit (61) CITY OF TIGARD MECHANICAL PERMIT "` Permit#: MEC2018-00451 COMMUNITY DEVELOPMENT Date Issued: 06/13/2018 -r a r J R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 103 D D00411 Jurisdiction: Tigard Site address: 13620 SW 110TH AVE Project: MCCLANAHAN Subdivision: FAIRHAVEN COURT Lot: 8 Project Description: (1)gas fireplace and fuel piping for fireplace and range. Contractor: T&K MECHANICAL Owner: MCCLANAHAN, CORBIN&HALEY PO BOX 116 13620 SW 110TH AVE FOREST GROVE, OR 97116 TIGARD, OR 97223 PHONE: 503-844-9173 PHONE: FAX: 503-846-0195 FEES Specifics: Description Date Amount Gas Fireplace 06/13/2018 $33.39 Type of Use: SF Fuel Piping 06/13/2018 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/13/2018 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 06/13/2018 $42.46 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 1.8 . . Issued By: , rmittee 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 A t h lea <' , i F( R O t�H( 1. 1 ,t-O\[ City Of Tigard 6 ,3,/ig- t Pe etNo__ c�3! 6 rtvti g�► 13125 SW Hall Blvd.,Tigard,OR 97223 Phone:ipii 503.639.4171 Fax: 503.598.1960 Pcrmit: Inspection Line: 503.639.4175 Date/By: i J �,It lDate Ready/By: lire 0 See Pagel for Interne: www.tigard-or.gov Notified/Method: Supplementallnformation C111011 IIGARI) TYPE o . -N G DIVISM coiMt£RCIAi. FEE* S I?ULEE-USE CHECKLIST ❑New construction Addition/alteration/replacement emertt Mechanical permit fees*are based on the value of the work 2 pertained.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mrdmanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ RESIDENTIAL EQUIPMENT l SYSTEMS FEES* '321,1-and 2-family dwelling 0 Commercial/mdustrial 0 Accessory building Fospecial information r se checklist 0 Multi-family 0 Master builder ❑Other: Description I Qty. I Ea I Total 10B SITE INFORMATION AND LOCATION Ileatieg/auoling Air conditioning Job site address: 13 Ce 0 5cO TI l(i placement) 46.75 City/StatefZlP: '1\ e G,.._.d Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldgfapt.no.: Project name: ., -' Heat pump 61.06 Cross street/directions-to job site: .)uct sank-- .-- --2332 Hydronic hot water system 2332 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision: on.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fad appliances 1)ESCR I)N OF WORK Water heater 2332 Cas fireplace ) 3339 3-3.35 (\c t v1_Q- a v- A Y 0,1(1()R.._ ( ' O ‘ c ,c)c : U tc,t u , Flue vent for water hem or gas JJ 6 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 3339 Wood fireplace/msert 23.32 PROP iTY'OWNER 1. Q_T€i11s . _ Other: 23.32 2332 Name: &s-h; hid-- zt-e2,' /11r (21.e i1/4 Environmental exhaust and ventilation f "� Range hood/other kitchen Address: ( ?lis t e S`J 46,-T-b,lzrt, equipment 33.39 City/State/ZIP: -77.70„,--i' Clothes dryer exhaust 33.39 t c• S. ngle-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 0 APPLICANT 0 CONT PERSON, Attictcrawlspace fans 2332 Business name: "� --`IIL- '�r\U." AN(UM C Other: p 23.32 ping Contact name: 1b,.v,,. Si4.15 for first four;$4.03 for each additional X I Furnace,etc. Address: G is G' ( i ' cos e City/State/ZIP: Pc-v .t,5 f (.)-11 Cy' , p.r.Q.. 1-1 1 I (p Wag/suspended/unit h Phone:(50')) (-/N I/73 Fax::(sal ) (,-(-4 CQ -o (9 5: Maws Fireplace t \ E-mail: X 1'1 e,c)g 5 Ills 0 vl i s v) "/f� / I p La ho© ,t n Range i 1 ti''_ i cir CONTRACTOR Barbecue Business name: VV dry (gas) Address: Pe 3 o A 11 LisMECHHANICAL PERMIT FEES* City/State/ZIP: F,rr 2.S a ir'L/'J Q,,.Q, 9 71 71 ( CP Subtotal w 7 )- Minimum �{ Phone:(ce'?9 Li�1 1 l`0 Fax:( S'(°i,) ci,y c, ( ( ul Minimum pe5% fee($90.110) ^`a Plan review(25%.of permit fee) CCB lic.; ( a l 1c. 4 State surcharge(12%of permit fee) t j;, a) I TOTAL PERMIT FE 1 t &s Authorized signature: (°1/,---__ji--___ Thrit permit awes res ifs perasitisnot obtained within 130 days after it has been accepted as complete. hint name: A 11 J, rl. J� tA),1''1n e I Date: G,• l3 J6v * Fee met odology set by Tri-County Building industry Service Bond I-'L' ?9€4.P.2.n IS-C-P::,..:^,.4,7.w 1010 MI 110-4617T(1I ICO*.cl.PATE) I City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13620 SW 110TH AVE, TIGARD, OR, 97223 June 15, 2018 at 11 :53:33 AM Record Type: Record ID: Residential - Mechanical MEC2018-00451 Inspection Type: Inspector: 610 Gas line Aaron Cillo-Gobel Result: PASS Comments: Gas line approved with test at 25 psi for 15 minutes Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13620 SW 110TH AVE, TIGARD, OR, 97223 June 15, 2018 at 11 :54:32 AM Record Type: Record ID: Residential - Mechanical MEC2018-00451 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor