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Permit a CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 00407 T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/12/2010 Parcel: 2S110DD07900 Jurisdiction: Tigard Site address: 15720 SW HIGHLAND CT Subdivision: Lot: 0 Project: McCall Project Description: A/C installation. Owner: FEES MCCALL, DON Description Date Amount 15720 SW HIGHLAND CT TIGARD, OR 97224 Air Conditioning 08/12/2010 $46.75 12% State Surcharge - Mechanical 08/12/2010 $10.80 PHONE: Minimum Fee Adjustment - Mechanical 08/12/2010 $43.25 Contractor: OREGON TRAIL REMODELING LLC 1457 SE CONDOR GRESHAM, OR 97080 PHONE: 503 - 358 -0556 FAX: Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressue: 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 -0100. You may obtaiD.a -copy of the rules or direct questions to OUNC by calling 503 46.66 . 00.332.2344. ' , . z. Issued By .g.. _ — erinittee Signature: ` CaII 503.639.4175 by 7:00 a.m. for an inspection that bysl day. 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 'l t)IZ tii l Icl usl t)N1 City of Tigard Received � � DateBy: ! , Permit i tNo.: Ecg o (V_ 0 y 13125 SW Hall Blvd., Tigard, OR 97223 lE�II Plan Review r I , C ' Phone: 503.639.4171 Fax: 503.598.1960 S°` 4 10 Date/By: Other Permit: 'HOAR!) Inspection Line: 503.639.4175 ` C 1 'Si 2 Date Ready/By: IN See Page 2 for Internet: www.tigard- or.gov W r � l1) Notif Supplemental Supplemental Information TYPE OF WORK C 1O COMMERCIAL FEE* SCHEDULE —'USE CHECKLIST El New construction ❑ Addition /alteration/r Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. �� CATEGORY OF CONSTRUCTION Value: $ {J 1 and 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* „ y g ❑ Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. Total J013 SITE INFORMATION AND LOCATION Heating/cooling Job site address: St() , Air conditioning f �7 I �7� /^ < t (requires site plan showing placement) 1 46.75 " 1((t `� City /State /ZIP: —1-.; __ 0 -7 4 Furnace 100,000 BTU (ducts/vents) 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: c (I,t (� Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 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 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 �/ r n t4J 64 e/ Gas fireplace gas 33.39 A-di9 ; l/�QI v „J_ Flue vent for water heater or 1/ 1 fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 • PROPERTY OWNER . ❑, TENANT Other: 23.32 Name: VP pt, CA (( Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust . 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 • ,LEI APPLICANT ,❑ CONTACT PERSON Attic /crawlspace fans 23.32 © TVA: . d I � Ce , / Other: 23.32 Business name: VV Fuel piping Contact n ame : PoLJ -vls $14.15 for first four; $4.03 for each additional Address: . e�v? (MAW 19- Fumace, etc. `O"'� ' ` 4 " Gas heat pump City /State /ZIP: a sk cc , / 0 1` 9 "D Bo Wall/suspended/unit heater ( 503 ) , � �g _ 0 ,G S — /_ Phone: (( � Fax: : ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: 512-x. G (7 n t! Clothes dryer (gas) Other: Address: MECHANICAL, PERMIT FEES* City /State /ZIP: Subtotal 146, Minimum permit fee ($90.00) e fo (f) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: ) Y 6, 31-1 , / I t State surcharge (12% of permit fee) IQ„ / TOTAL PERMIT FEE (GO.. irrJ This permit application expires if a permit is not obtained within 180 Authorized Signature: — •-.7--e-' ` d ays after it has been accepted as complete. lAil Print name: d'P r S(514 f Date: g T,,2 /a * Fee methodology set by Tri- County Building Industry Service Board I:\ Building\Permits\MEC- PermitApp. 10 /01/09 440 -4617T ( 1 /02JCOM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: . Permit 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 $ I,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. 1:\Building\Permits\MEC- PermitApp.doc 10/01/09 2 � 157n sw i c+ `r"( oZ 972-,24 i'vol?0 kuu'rlA 4 >r S (,) ; 1 �9 Ck-`