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Permit (2) CITY OF TIGARD MECHANICAL PERMIT '! COMMUNITY DEVELOPMENT Permit#: MEC2020-00072 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2020 Parcel: 2S111 DB14300 Jurisdiction: Tigard Site address: 15150 SW 92ND AVE Project: Arnett Subdivision: LAUNALYNDA PARK Lot: 30 Project Description: Mechanical for remodel:(1)furnace(1)range hood, (1)clothes dryer exhaust,and (2)bathroom exhaust fans. Contractor: ANDERSEN HEATING INC Owner: ARNETT, JOAN L& MICHAEL G TRS 16285 SW 85TH AVE STE 410 16995 SW ARBUTUS DR TIGARD, OR 97224 BEAVERTON, OR 97007 PHONE: 503-992-6664 PHONE: FAX: 503-536-6615 FEES Specifics: Description Date Amount Furnaces< 100K BTU 02/04/2020 $46.75 Type of Use: SF Range Hood/Other Kitchen 02/04/2020 $33.39 Class of Work: ALT Type of Const: Clothes Dryer Exhaust 02/04/2020 $33.39 Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 02/04/2020 $46.64 Stories: Utility Rooms) 12%State Surcharge-Mechanical 02/04/2020 $19.22 Fuel Fuel Types: Gas Pressure: Total $179.39 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.,$9Q_132.2344. Issued By• ----Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY IIIReceived City of Tigard . _ s E�" Permit No.: - 13125 SW Hall Blvd.,Tigard,OR 97223 m- N '1,,�.1- Date/By: /�� Sri = Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: )4 T I G A R D Inspection Line: 503.639.4175 F-'r L3 3 2023 Date Ready/By: Juris: 0 See Page 2 or Internet: www.tigard-or.gov Notified/Method: Supplemental Information 'iisii v OF- i tf-.''f .. TYP OF WORK ,4 NG DiVISf4.8 h COMMERCIAL FEE* SCHEDULE -USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New constriction ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition El Other: Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 5 J R Air conditioning 46.75 Job site address: \ Q V,, Furnace 100,000 BTU(ducts/vents) 46.75 1(p, f City/State/ZIP: () o f 6 (7 '7 -, x Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 4l/'A u Duct work 23.32 Cross street/directions to job site: y Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,supended,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 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas , /ti ,. c..?� U CA ibS r yti 5 (si /� C S ik)-% C� fireplace 23.32 I/� < 0V C` % !Ln N 0,C ,. Log lighter(gas) 23.32 V T� Wood/pellet stove 33.39 'k)•4 N Vv\ .0 ilkC4 4 b -.(/ v2 V�Lv. #' Wood fireplace/insert 23.32 \' ,_ `` 0. ` ` ' d Chimney/liner/flue/vent 23.32 V /]V ',ROPE\RTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: ` \ 42.,. LA&js, 3 tN 0,,, 1(Z,yV Range hood/other kitchen Address: \ c,PS© S Lj- VG, Y`,, equipment 33.39 .3 ' `� Clothes dryer exhaust I 33.39 .3 3.3•�1 City/State/ZIP: �\ c,J © K '7 Z L Single-duct exhaust(bathrooms, { toilet compartments,utility rooms) toy 23.32 4(p. / Phone:( ) // Fax:( ) Attic/crawlspace fans 23.32 [APPLICANT 0 CONTACT PERSON Other: 23.32 t� Fuel piping: Business name: N N c5.egse. 1k-X4)._� ..,llllc2. t lco. $14.15 for first four;$4.03 for each additional Contact name: si ,,',,\ .4 SZ Q S c -v Furnace,etc. Address: 1t'a b 5 L.,...„ <6S-k-A,� es_ -�` Gas heat pump Wall/suspended/unit heater City/State/ZIP: ` c /c..1 QV. CI.122 Water heater Phone:(a,,3) cr 4. ,6 C y Fax::( ) Fireplace / Range E-mail: Q 6-R4- ' C,., J , e k.se ..% A r•?cz-.t ,t. co ,-4-7 Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: tib Eti2S Eti --\Qe.k,.1,.i t l N C MECHANICAL PERMIT FEES* Address: \(x4,!:6,c' 5 L iS� k Li,e 4--'- l6 Subtotal !(pU i -7 City/State/ZIP: ;\ q, J OP2-, ci-II`Zy Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(S O3) cf ce a_c.6 4 ci Fax:( ) State surcharge(12%of permit fee) q CCB lic.: /6 TOTAL PERMIT FEE `�7 fi• -j j This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 6-..* * Fee methodology set by Tri-County Building Industry Service Board Print name: /41 de 1p ‘ Date:j7i`yc_ \ \ \I:BuildingPermits MEC_PermitApp_040113.doc 440-46617T(11/02/COM/WEB)