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Permit (44) CITY OF TIGARD MECHANICAL PERMIT I ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00029 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2019 T I r;;t rt. - g Parcel: 2S108DB07900 Jurisdiction: Tigard Site address: 15150 SW MISSOURI PL Project: MAGINNIS Subdivision: POLYGON AT BULL MOUNTAIN Lot: 77 Project Description: Adding(1)gas line for new swimming pool. Contractor: BLUE MOUNTAIN POOLS INC Owner: MAGINNIS, BRIAN&TREENA 13121 S WARNOCK RD 15150 SW MISSOURI PL OREGON CITY, OR 97045 TIGARD, OR 97224 PHONE: 503-760-4554 PHONE: FAX: FEES Specifics: Description Date Amount Fuel Piping 01/15/2019 $14.15 Type of Use: SF 12%State Surcharge-Mechanical 01/15/2019 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 01/15/2019 $75.85 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 • Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 1987 or 1.800.332.2344. Issued By: 4.--.-- • ..,if,rt Permittee Signature: /- J'<::) Call 503.639.4175 by 7:00 a.m.for the next available inspect'.4. This permit card shall be kept in a conspicuous place on the job site unti ompletion of the proje t. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLI' City of Tigard rr eceived Date/By: l M 1111 13125 SW Hall Blvd.,Tigard,OR 97223 JAN �, -- �;n�, Plan Review g Phone: 503.718.2439 Fax: 503.598.1960 u A N iii 0 S 3 Date/By: �' / 0 A. 'a-4 ide (0 TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Jmis: Ed See Page 2 for Internet: www.tigard-or.gov ') Notified/Method: Supplemental Information l';', ....- e, ,,,,L,', x TYPE OF W9 14 xri ,_ COMMERCIAL FEE* .CI 1tDUL = E C CKLIST'`' Mechanical permit fees*are based on the value of the work 0 New construction12f-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRE *44'4-- �� "_ - ',s ,gi ..i .. t, .g... RESIDE TAL EQUIPMENT:b YSTEMS FEES* .DZ-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total "' 3 1 Heating/cooling: JOB SITE INFOAATIUN ® ItIT h . ". .. Air conditioning 46.75 Job site address: 1,5"—/,5--0 5 CJ ,7,,s f©6gri P/ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: �' C, Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump • 61.06 Suite/bldg./apt.no.: Project name: 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: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ` ` DESCRIPTION OF WORK I /; , Gas fireplace/insert 33.39 .x, `` / '' ""'� Flue vent for water heater or gas !/t v1 ft✓i si?U HV "(tl qs %'‘1 e 49 l" f c c / fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 •�� a ` S` ` 'tD, . ? D`"`_. '� �PR ,� � h. `f� � '0 NAN - Environmental exhaust and ventilation: Name: .t A^ "4,7'4,t�� Range hood/other kitchen Address: equipment 33.39 51 aZN Clothes dryer exhaust , 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ;, , pPLI 0 ., . t Other: 23.32 Fuel piping: Business name: g(TAP /�QG(N 6►,`t1 Pti/j $14.15 for first four;$4.03 for each additional Contact name: ✓ t Furnace,etc. bvi Gas heat pump Address: 3 r l i" uJ4'r1'1CYC Wall/suspended/unit heater . City/State/ZIP: D✓`� C e Fr 9 7c y5 Water heater ter FireplacePhone:(5-03 ) -77 O -- 53-r Fax: :( ) Range E-mail: Barbecue " '7 , i v CONTRACTOR Pk ''r " =t, Clothes dryer(gas) // Other: Business name: Bft'�f Al✓M / 4.. MECHANICAL PERMIT fp* Address: Subtotal City/State/ZIP: ,LZ u4C.- Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: 3 q57) 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: ::1-7,,,‘, /4r 4e1 Date: I:\Building\Permits\MEC_PermitApp_040113.doc / 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: T4ta ;Taluation: 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\MEC_PermitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15150 SW MISSOURI PL, TIGARD, OR, 97224 January 22, 2019 at 1 :38:14 PM Record Type: Record ID: Residential - Mechanical MEC2019-00029 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor