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Permit (112) .11 CITY OF TIGARD MECHANICAL PERMIT It : COMMUNITY DEVELOPMENT Permit#: MEC2019-00512 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2019 H Parcel: 1S135DB03600 Jurisdiction: Tigard Site address: 11480 SW 92ND AVE Project: Hulme Subdivision: DOGWOOD RIDGE Lot: 9 Project Description: (1)gas fireplace and(2)bathroom exhaust fans. 8/5/2019:REPRINTED permit to include the relocation of duct work. Contractor: CORNERSTONE BUILDERS INC Owner: HULME, DAVID A&CASSANDRA M 7849 SW CIRRUS DR 11480 SW 92ND AVE BEAVERTON, OR 97008 TIGARD, OR 97223 PHONE: 503-671-9538 PHONE: FAX: 503-671-9640 FEES Specifics: Description Date Amount Duct Work 07/16/2019 $23.32 Type of Use: SF Gas Fireplace 07/16/2019 $33.39 Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 07/16/2019 $46.64 Occupancy Grp: Utility Rooms) Stories: 12%State Surcharge-Mechanical 07/16/2019 $12.40 Fuel Fuel Types: Natural Gas Gas Pressure: Total $115.75 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-c,,?.-6090. ou • obtain a : y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / \ t Issued By: Permittee Signature: iI"._ • 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. CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2019-00512 T1 CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/16/2019 Parcel: 1 S 135DB03600 Jurisdiction: Tigard Site address: 11480 SW 92ND AVE Project: Hulme Subdivision: DOGWOOD RIDGE Lot: 9 Project Description: (1)gas fireplace and(2)bathroom exhaust fans. Contractor: CORNERSTONE BUILDERS INC Owner: HULME, DAVID A&CASSANDRA M 7849 SW CIRRUS DR 11480 SW 92ND AVE BEAVERTON, OR 97008 TIGARD, OR 97223 PHONE: 503-671-9538 PHONE: FAX: 503-671-9640 FEES Specifics: Description Date Amount Gas Fireplace 07/16/2019 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 07/16/2019 $46.64 Class of Work: ALT Type of Const: Utility Rooms) Occupancy Grp: 12%State Surcharge-Mechanical 07/16/2019 $10.80 Stories: Minimum Fee Adjustment-Mechanical 07/16/2019 $9.97 Fuel Fuel Types: Natural Gas 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 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules ado• ed by he Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 -81 •i- obtain a copy if e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ermittee \W. A 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 FOIL OFFICE i sl:; ONl.\ City of Tigard Received �y rAl ll Date/By: I 'Ai)", Permit No.: t i `4�'..—11114 3125 SW Hall Blvd.,Tigard,OR 97223 Plan II Phone: 503.718.2439 Fax: 503.598.1960 k r"i.,,,,,,‘M ' Date/By: Other Permit: // U% _, - - •I l�-n lZ D Inspection Line: 503.639.4175 .,rC , ; r Date Read/B G �� Internet: www.tigard-or.gov ` ,.t, 21' Ready/By: See Page l for Notified/Method: Supplemental Information TYPE of womy,- 1.-‘\(\-. $ COMMERCIAL nit._ . I -_ '!!,...1.1 gy .:• �- d e`" ' �' '''�R Mechanical permit fees*are based on the value of the work ❑New construction ppS�Addition/alt F't4=� 1`-'� � P, �� K performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: + #Qt mechanical materials, vy equipment,labor,overhead,and profit. A„ A ' R'V;OF.:coNSTRUCTION Value:$ (VLand 2-family RESIDENTIAL EQUIPMENT/SYSTEMS FEES*. F dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total * JOB SITE' INFORMATION• AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: //i-/-8-0 6 U/ 92" 1 '- _._, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: K1 7 r 9722 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 1thi l Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 ( �^ Residential boiler(radiator or S . ) re., . Y r� J rz�.D 77-e___ 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 y D` *} ' • IQ OF 'YORK , Gas fireplace/insert 33.39 ,J7 & Q' Flue vent for water heater or gas C T tJ fC-6-e/ _ fireplace 23.32 �' ),. -7`1/-C Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ,•= OPO ROPER C O i=. 'le' . TENAl #` 'ti. Other: 23.32 - Environmental exhaust and ventilation: Name: C /� A e (ft„(./C___ Range hood/other kitchen Address: // ,�f,(6---/,,jj ' '�L � ,vJ) ,42„‹...., equipment 33.39 f/ `�' G' Clothes dryer exhaust 33.39 City/State/ZIP: ,--7--; ?/L / G� C?2 2-3 Single-duct exhaust(bathrooms, _ / toilet compartments,utility rooms) ) 23.32 / ,Lail Phone: 0� 3/7 7. Fax ( ) Attic/crawlspace fans 23.32 v ...-4'..'. V.A Li ': . •iEl CONTACT RS{IN >. Other : 23.32 Business name: Cur r-72 6 V87 ./,01, 734, dB Fuel piping: /��"L N� $14.15 for first four;$4.03 for each additional Contact name: /9-/(ems /� /. Furnace,etc. Address: V✓ / ;rr�1 2,� pie, i` sem• Gas heat pump � - ('l /J/`t ye C' Wal]/suspended/unit heater A,t, -__-j17 9700? Waterhea£er Phone:(61 )) `I 7I 9/5-.8-/ Fax::( ) Fireplace E-mail: I 4-6i I v Z1 , x ( Z(�Jruc j. -e ` I Kc. 07 Range ( jt i 7 Barbecue • CONTRACTOR �, `` ' Clothes dryer(gas) Business name:et, r�� Other: ig_ �li� l�,f //1/r� n ,q MECHANICAL PERMIT FEES* Address: 17 2_/ ,,.\.) (1 r Vc 5 ))r rte(_ &/GlJ 3(/ G Subtotal ()3 City/State/ZIP: e PQ,,(, -6 v"IT vl d 97 i) 2 Minimum permit fee($90.00) 'VI1.CO (S�3 p i 9 c 3 r Fax ( ) !vV( Plan review(25%of permit fee) Phone:(S-03 State surcharge(12%of permit fee) �L), CCB lit.: / 70�/ tom, TOTAL PERMIT FEE At)�), C This permit application expires if a permit is not obtain within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Bye.. `R&.1,,,- f (', Date: a /. I:\Building\Permits\MEC_PermitApp_040113. oc ` 440�7T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: =Total Valuation: }. ,. , Pertit 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