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Permit u CITY OF TIGARD MECHANICAL PERMIT 3111 I COMMUNITY DEVELOPMENT Permit#: MEC2014-00015 Date Issued: 01/14/2014 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112CC03300 Jurisdiction: Tigard Site address: 8060 SW CHURCHILL CT Project: STEWART Subdivision: BOND PARK NO 3 Lot: 61 Project Description: Gas piping for range. Contractor: ROOTBUSTERS SEWER DRAIN CLEANING& PLUME Owner: STEWART, KAREN ANNE 2127 N Q STREET 8060 SW CHURCHILL CT WASHOUGAL, WA 98671 TIGARD, OR 97224 PHONE: 503-753-0907 PHONE: FAX FEES Specifics: Description Date Amount Fuel Piping 01/14/2014 $1415 Typo of Use: SF 12% State Surcharge- Mechanical 01/14/2014 $10.80 Class of Work: ALT Type of Cunst: Minimum Fee Adjustment-Mechanical 01/14/2014 $75.85 Occupancy Grp: 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 or 1.800.332.2344. Issued By: � J Permittee Signature: �� `,•y ' 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. 01/14/2014 10:30 5035342373 WESTRIDGE PAGE 01 tuk Hi 1 It S •1 (0..i Mechanical Permit Aa lication Recaved 1 f� City SW Tigard ,�,CET jE� Daretve I s I/ . 13125 SW Hall Blvd.,Tigard,OR $t' 1 v Pi-Review Other Permit: Phone: 503.70.2439 Fax 500.5 X60 �Y kris. E Se Fmre 2 for Inspection Lice: 503-6394175 Dee ReayBY Internet: www.ti8ard°rg°v Notified/Method: Sopplomanal l.te r.at.e JAN 14 2014 `- , —COMMERCIAL WEE' ;CHROME -179E crCKLWT t� TYPE Off Mechanical permit fees*are based on the value of the work Addiriot,LtiltSrSttp�(�+P} j ON mrchanica Indicate she value nt,labo to the neatest dollar)of all ❑New construction l�f i ��,��i1!�y LLrr 111 v 1 mechanical taazerials,e�upn►eet,labor,ovefiead rtd�rofit. []Other: Valves S ❑Demolition ---C' YQ SENT/SYSTEMS PEES' CATEGORY oor IRVCrION Accessory building For sp al befor+ on use ehecurt. :��. d 2-family dwelling ❑Commercial/industrial Q Dcsoription -1 Qty.-I Es. J Total builder uilder ❑Other: ❑Multi-family ❑ Heating/mg♦ 46.75 JOB 917E lrlppRltgATION AMD )(,OGATIOIV Air condo tr , Furyr .100 000 BTU(durWvetm 46,75 lob siu address t CAA l tYt ('1 t I` t 1 54.91 , Ft.Jame 100,000+BTU(ducttivelrtsl City/State/ZIP: 1-1 J 1 ottrC / 0 it / ell 27-4- neat pump 61,06 Project name: K1are el Sit t_d VC . Duct work 23.32 Suite/bldgJlgt.no.; iiydronic hotwater Q5tem 23.32 Cross street/directions to job site: - Residential boiler(radiator or Ns. ,y,� C �-ciryl�.� [, hydr°nie) 23.32 l�1 a�V1 a 7 Unit heaters(fuel-type,not electric), _ — in-wall,Induct,suspended,etc. - , 46,75 FlIue/vent for am of above 23.32 I Other: _ 23.32 Subdivision: Lot...o.: WI appllaseme L — water heater r 23.32 Tax map/parcel no.: or*Ow ` fireOacelinsat 33.39 Flue vent for water heater or gas ll Ru n 0. J l rAe. . -i-4te Jc.: 41-te- fireplace 23.32 Lei lighter() 23.32 } •a.V fix- A, ne-gA, GOc �� + 1^ 'r-e" Wood/pellet stove 33.39 - - • tieG,£•hC $ °to ,_ $,t:r Wood fireplace/insert 23.32 de-a ,e, Chimney/liner/flue/vent 23.32 `, GaoIC�F.D• art �Iot.m © Other: 23.32 a ' PROPERTY OWNER PP - Eaviroameatal cabalist tad ventilation: Name: t- Range hood/other kitchen ;� + equipment 33.39 \� Address �ip(� ) C11 i ��' Clothes dryer cthaust _ , 33 39 4 City/State/ZIP: Ti a rd l,79, I GI 7 ZL'A' Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 1 Phone:( 503) C q g- 4 4 t Fax:(503) 534- 2-373. Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT pgitsoN Other 23.32 Fuel piping: Business : $14.13 tar Ant tour,S4.03 for each additional Contact name:lime: Furnace,etc. 3 Address: Gas heat ptunp Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace w Range iii. e-mail: Barbecue - CONTRACTOR thee dryer(gas) Business nanYc: Atom.str�'s 1' $V& iS Other: MECHANICAL PERMIT FEW Address: a 1%.1 {� S t Subtotal City/StateOP: U1/�SV%ot.. At, Vtl A cl g fol 1 Minimum permit fee($90,00) '�a ,..) Plan review(25%of permit fee) ��' Phone:( Q3i 0 l Fax:( ) State surcharge(12%of permit fee) 0. CCB tic.: , s ' 4 ; 17-. TOTAL PERMIT FEE / )0• (n This permit application expires if•permit is not obtaieed*MIN 140 Imo` f - days after it has been accepted as castpkte. Authorized signature: /v)L * Fe methodology eel by Tri-County Building Industry Service Board Print name: n fk. S it" Date: 111 1 I`"+' - r:IBoildia•T n.istMEC_Peasitaep,Wn1t3.6ec goo-so1?T(1tt021COM'VBa)