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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2014-00175 T[GAR i3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/22/2014 Parcel: 2S103CA03200 Jurisdiction: Tigard Site address: 11535 SW TERRACE TRAILS DR Project: kitchen remodel Subdivision: TERRACE TRAILS Lot: 4 Project Description: Replacing range hood. Contractor: HARVEST CONSTRUCTION LLC Owner: FORD, ROCKY T&MARILYN J 2515 W 10TH ST 11535 SW TERRACE TRAILS WASHOUGAL,WA 98671 TIGARD,OR 97223 PHONE: 360-624-6151 PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 04/22/2014 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 04/22/2014 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/22/2014 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100 80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to foll.w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001 1090. You m. a• .in a cop of the rules or direct questions to OUNC by calling 503.232.198 Issued By: j� —Permittee Signature: cif- :=s Call 503.639.4175 by 7:00 a.m.for the next available in ••ction date This permit card shall be kept in a conspicuous place on the job site until complet on of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application ``I�� [OR Of 1.1( I. I ,I. ON1 1 � Received City of Tigard �K Received " Permit No.: IN 13125 SW Hall Blvd.,Tigard,OR 9� - Plan Review Phone: 503.718.2439 Fax: 503.598. q (Oh( Date/By: Other Permit: Ind _ a I 7 FIG�\ti 1) Inspection Line: 503.639.4175 Q �j I+ l• Date Ready/By: El See Page 2 for Internet: www.tigard-or.gov N ���,cI� Notified/Method: pig Supplemental Information TYPE OF WOI�ii �e,- O COMMERCIAL FEE" SCHEDULE - USE CHECKLIST ,��� Mechanical permit fees'are based on the value of the work ❑New construction ❑Addition/alteratiacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 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. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: /l9 35 SG./ 7{roue 77 / I, ��, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -7--j de 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 Subdivision: Lot no.: Other: 23.32 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 lecio)c,C-IKJ iL/ _ 1-lcx ( 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 I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 1 33.39 33 31 Address: 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 ❑ AP LICANT ❑ CONTACT PERSON Other: 23.32 Business name: /� ^ ,_� 7,„, d /X Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: .2 .I�ti p '+ Furnace,etc. Address: 2525- tO / Sr Gas heat pump I ���� Wall/suspended/unit heater ' City/State/ZIP: (,/l),4 Water heater ! G Fireplace ace Phone:5ZO) / 7 Fax:: ) F3/./_3/1_8‘7_____ Range E-mail: ie VgRLI ^ i5�x w1YAR v 5r `o Barbe cue CONTRACTOR Clothes dryer(gas) Business name: 2 /I-I _ a,(�� Other: �U . MECHANICAL PERMIT FEES` Address: Subtotal 43.3er City/State/ZIP: Minimum permit fee($90.00) -00 G I G l Fax:( ) Plan review(25%of permit fee) Phone:( ) /4 l State surcharge(12%of permit fee) /0 .t7 CCB lic.: /& ?� � J 'r _ , TOTAL PERMIT FEE /(X)• n /� This permit application expires if a permit is not obtained within 180 ._ L � ,�, * days after it has been ycBuildi as complete. Authorized Si:•• ,�� Fee methodology set by Tri-County Building Industry Service Board Print name-i J/�j/-'i,`/477�� Date: / M I.'Building\Permits\MEC_PermitApp_s'.113.doc 440-4617t(Il/02/COM/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 $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\Permits\MEC_PermitApp_040113.doc 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11535 SW TERRACE TRAILS DR, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final PASS - No C of O MEC2014-00175 George Heimos Violation Summary: Inspector Contractor