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Permit
CITY OF TIGARD MECHANICAL PERMIT Permit#: MEC2020 00057 COMMUNITY DEVELOPMENTiipi TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2020 Parcel: 1 S136AA01100 Jurisdiction: Tigard Site address: 7005 SW OAK ST Project: ALEXANDRE Subdivision: None Lot: None Project Description: Relocating gas clothes dryer. Contractor: HEATCO INC Owner: ALEXANDRE, DIELLE PO BOX 68542 MULCASTER, JEFFREY OAK GROVE, OR 97268 7005 SW OAK ST TIGARD, OR 97223 PHONE: 503-539-9772 PHONE: FAX: 503-653-6991 FEES Specifics: Description Date Amount Clothes Dryer Exhaust 01/29/2020 $33.39 Type of Use: SF Fuel Piping 01/29/2020 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 01/29/2020 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 01/29/2020 $42.46 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 332.2344. �. Issued By: ��1 . �., Permittee Signature: .Wc , CA Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application , FOR OFFICE USE ONLY City of Tigard Received 9( Date/By: I�,Z i' Permit No.: �,,, �� �- 44 13125 SW Hall Blvd.,Tigard,OR 972 �,�a� 'l j17r ��� !� � P }J f Plan Review Mill Phone: 503.718.2439 Fax: 503.598.1960 q (� i� Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 1 A0 `j �7 �o� Date Ready/By: Saris: ® See Page 2 for Internet: www.tigard-or.gov J x, , Notified/Method: ? Supplemental Information TYPE OF W ` �'' - COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: '-7 00 5 5 W 0 p1/4-k .1-- . Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -I-1 1-1O-1Q.-0. / 0-)2... 1 9 7 a a,3 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 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Y.UVC GIAS p -yL1. -to bi EFE)2-k7` R .OVV\ fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 1(_(i PROPERTY OWNER Other: 23.32 ❑ TENANT Environmental exhaust and ventilation: Name: 'bIELC-C- ✓i Z - e F fl F U L-L A S I F 12 Range hood/other kitchen 1,=XAN`�R�� -t equipment 33.39 Address: �j `]U S c�W © I� ST Clothes dryer exhaust { 33.39 �y City/State/ZIP: Single-duct exhaust(bathrooms, ( l y fil ms i � ct 7 a'-3 toilet compartments,utility rooms) 23.32 Phone:(503) oZ l )-(9 7 D / Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: l f 4�y� $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) l 415- i4f f I Other: Business name: 14-EXTC(_) ! f� 1 MECHANICAL PERMIT FEES* Address: fd t3n 61c1.70 Subtotal City/State/ZIP: �c(t( eve � fl Minimum permit fee($90.00) tl.. / Plan review(25%of permit fee) l Phone:�ZI?�) 3 lC�' �� Fax:( ) State surcharge(12%of permit fee) I)_D i CCB lic.: L 3 5-5-.S `v l L) y 6 7 3 TOTAL PERMIT FEE a go This permit application expires if a permit is not obtained within 180 AL iba daysafter itBuilding has been accepted as complete. Authorize ' nature' / i L. &`x,A Fee methodology set by Tri-County B Industry Service Board Print name: Date: / -9-pzOc C I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)