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Permit (110) CITY OF TIGARD MECHANICAL PERMIT ' I ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00549 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2019 -FIG A k.17 g Parcel: 2S104CC04900 Jurisdiction: Tigard Site address: 13687 SW ESSEX DR Project: Saldana Subdivision: HILLSHIRE ESTATES NO.3 Lot: 157 Project Description: Relocating range hood and extending gas piping. Contractor: SUNSHINE HEATING AIR CONDITIONING Owner: SALDANA, LEO B 9325 SW DIAMOND VIEW WAY 13687 SW ESSEX DR BEAVERTON, OR 97007 TIGARD, OR 97223 PHONE: 503-720-8410 PHONE: FAX: 503-762-4311 FEES Specifics: Description Date Amount Range Hood/Other Kitchen 07/29/2019 $33.39 Type of Use: SF Fuel Piping 07/29/2019 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/29/2019 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 07/29/2019 $42.46 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by . g 503. .1987 or 1.800.332.2344. Issued By: / Permittee Signature: t.;'( Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICI. ( SF Oy1.1 City of Tigard 1 1 Received �� 13125 SW Hall Blvd.,Tigard,OR 97223 U L ',> Date/By: /- "I"' Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: 1 �C,A R 1) Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information _ _ TYPE;OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical ermit fees*are based a the p on the value of work ❑New construction ]Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ,• 'CATEGORY OF CONSTRUCTION RESIDENTIAL E{• 1NT/SYSTEMSFEES*f 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 Heating/cooling: JOB SITE INFORMATION AND LOCATION Air conditioning 46.75 Job site address: aó ? 5-G/v, 2�,ex, „'R` Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /4q0i ©/ee.?02' Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: 1 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 i; �` Gas fireplace/insert 33.39 ,, tx° i. ON OF ep ' .�. n`•.� �:.,. WORK Flue vent for water heater or gas (e)C41 geelie'e-e0—/A6pLd04 /e,7) treplace 23.32 _ �s `� Log lighter(gas) • 23.32 T' trip., l i Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 P RTY O I ANt.' r Other: 23.32 ....`... ,, = Environmental exhaust and ventilation: Name: Range hood/other kitchen Address: equipment 1 33.39 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 APPLICANT Q CONTACT 4"N Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater — r/State/ZIP T Wtta ei-fieaTer __ — Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue r. • CONTRACTOR - Clothes dryer(gas) Business name: l ,� �O l Other: �( �l/f J�e /12�-4 � �/ '�r� Jr7 Dl9U MECHANICAL PERMIT FEES* Address: ge®$ fa) .....‘)cei,,, C p Subtotal City/State/ZIP: //' 22L Minimum permit fee($90.00) � � / Phone: ) t � Fax:( ) Plan review(25%of permit fee) / State surcharge(12%of pennit fee) CCB lic.: /f7 ji,,g TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 /41/,, �/��� days after it has been accepted as complete. Authorized signature: , el.. i� * Fee methodology set by Tri-County Building Industry Service Board Print name: , A 6e.9/7e4/ Date: (.2 %)9/. 9/,:i 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: Total Valuationt Permit Pee: $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\Pemrits\MEC_PermitApp_040113.doc 2