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Permit CITY OF TIGARD MECHANICAL PERMIT ' f• COMMUNITY DEVELOPMENT Permit#: MEC2019-00146 Date Issued: 03/12/2019 T i ,k IZ t7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114A603600 Jurisdiction: Tigard Site address: 16515 SW 93RD AVE Project: 19R004 Subdivision: KNEELAND ESTATES Lot: 23 Project Description: Adding(1)range hood and(1)gas pipe. Contractor: COST PLUS HEATING&AIR Owner: DOWLER, HAROLD C&GAIL K 7132 N FESSENDEN ST PO BOX 230301 PORTLAND, OR 97203 TIGARD, OR 97281 PHONE: 503-286-2009 PHONE: FAX: 503-286-6552 FEES Specifics: Description Date Amount Range Hood/Other Kitchen 03/12/2019 $33.39 Type of Use: SF Fuel Piping 03/12/2019 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/12/2019 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/12/2019 $42.46 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to C by. ing .232.1987 0 .800.332.2344. Signature: Issued By: / � Permitteete ,/:1/41� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati Ftnz()Fric t. t sE()Ni.) ,,,._,1 ;: D Received City of Tigard Date/By: MIAWAI 4iikar' _ lk L' 1111 " 13125 SW Hall Blvd.,Tigard,OR 97223 ' I Phone: 503.718.2439 Fax: 503.598.1960 MAR 1 2 2019 Plan ReviewDate/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: ill ffl See Page 2 for Internet: wvvw.tigard-or.govF Notified/Method: Supplemental Information TYPE. 1r3woix Mechanical permit fees*are based on the value of the work 0 New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit , •- , .. ,'..> . , - Value:$ W , ..„"1„,i , ‘ • - .,,...,"-.- ,..1.'''-'-'' ' -' ' . ' -'RESIDENtlittltillIPIONIVSVIFIVAOPEES*- ,"" [E] 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total . ,- - •, , --.. -- "-..'"- Heating/cooling: giitoSti ,:04*tOciimorc,= ,' ,, ,' „ -, -,,- -`, , _,,,-,,',•-''., ., ',.i." Jow.srrE „ ,, ,„ „. ,,,- .,'. , .,. ... -,,' -,. ,''-', .,-,-.,-4,- 46.75 Air conditioning Job site address:16515 sw 93 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:tigard or 97224 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 'Dtscalmototw--woRx ., ' ,-......., , ,,,,,,,,,,,„...,:1-,-,..-. - Gas fireplace/insert 33.39 Flue vent for water heater or gas Range hood installation fireplace 23.32 Gas pipe 1 out let Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ..,,,„,„,,,,,•,-,...„,,,,,,ii,,;..4,......„„,,,.,.....,,...,,,.::-- ,,,t.....-.1:.,...,,. ,..',.. k",---",,.,,,b,tet;imi Other: 23.32 ravkrr.r.ayi x-OWNER ' , ---••`;-.......',--i--.''. - ' ',' ''',.'. ' -' Environmental exhaust and ventilation: Name:Gail Dowler Range hood/other kitchen equipment 1 33.39 Address:16515 SW 93 Clothes dryer exhaust 33.39 City/State/ZIP:Tigard Or.97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 02:App ut:ANT'f:':,- :,5'',,,,,,''S:Fr:''-:%!::;,..-;::. 1:1%Celkjrt4C4::rt'it§'aj;t:T''':- ''''' Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name:Steve Sanderson Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range 1 E-mail: Barbecue ',. .''''''-'•:.,' „. ''.'.'''''''':"..,''''' : ''', •4.titSTIltitj—Crelt. ,.. -. - ., -.4,,. :.-...,.... .. . ..., .-..- Clothes dryer(gas) , ,, '". - , '"' --. '' - ' Other: Business name:Cost Plus Heating&Air -•';'''',:,:, MLPER Address:7132 N Fessenden Subtotal City/State/ZIP:Portland Or.97203 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)286 2009 Fax:(503)286 6552 State surcharge(12%of permit fee) CCB lie.:47978 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:jilit4„,_ ,,i, (1— * Fee methodology set by Tri-County Building Industry Service Board Print name:Steve Sanderson Date:5/ 2//, I.\Building\Permits\MEC_PermitApp_040113 doe 440-4617T(11/02/COM/WEB) _ 1 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 16515 SW 93RD AVE, TIGARD, OR, 97224 Record Type: Record ID: Residential - Mechanical MEC2019-00146 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor