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Permit CITY OF TIGARD MECHANICAL PERMIT 4 ! t: COMMUNITY DEVELOPMENT Permit#: MEC2015-00031 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/02/2015 Parcel: 2S102AD01900 Jurisdiction: Tigard Site address: 8935 SW BURNHAM ST Project: TVF&R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21 Project Description: Gas line for new RTU,connect to existing gas line. Contractor: BEAVERTON PLUMBING INC Owner: TUALATIN VALLEY FIRE&RESCUE 13980 SW TV HWY 20665 SW BLANTON ST BEAVERTON, OR 97005 ALOHA,OR 97007 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/02/2015 $105.90 Class of Work: ALT Type of Const: VB Plan Review 02/02/2015 $26.48 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/02/2015 $12.71 Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/02/2015 $0.50 11x17) Project Valuation: $1,700.00 Fuel Air Handlers Fuel Types: Natural Gas Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers&Compressors Furnaces<100K BTU: 0-3 HP: Furnaces>= 100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $145.59 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: 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 ification -•er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or di ct questions to OU b - .n. 503.232.1987 or 1.800.332.2344. Issu d 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. From: 01/16/2015 14:54 #500 P.002/004 Mechanical Permit A lic FOR OhFIf ..FSF ONI.I EIVED Received f��s 3� City of Tigard Date/By: A0 /S Permit No.: �! 13125 SW Hall Blvd.,Tigard,OR 97223�p Plan Rcvi x II Phone: 503.718.2439 Fax: 503.598.123jAN 2 0 2015 Date/13y. I( f aherPetmit: TIGARD Inspection Line: 503.639.4175 Date Ready:y �, „ 1 's ®See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method. /40417,5' .j,', Supplemental information BUILDING DIVI • I. 1,477 s7-411W.v ■Orr.• TYPE OF WORK COM •CIAL 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,equipmValue:ent 5 labor,77 overheadd profit. CATEGORY OF CONSTRUCTION �- RESIDENTIAL EQUIPMENT/SYSTEMS FEES* q ❑ 1-and 2-family dwelling e ommercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION l Heating/cooling: 1CI 35 ' )Cr Q�� Air conditioning 46.75 Job site address: Y ) Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: " cv,N ©1, (-1-7g.3 Furnace 100,000+BTU(ducts/vents) 54.91 r Heat pump 61.06 Suite/bldg./apt.no.: 1 Proj ect name: � �� 1�� 6-1 Duct work 23.32 Cross street/directions to job site: Hydronic hotwater 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 3/C/i t g `� / 7 Flue fireplace vent for water heater or gas g V� < os .� p t? fireplace 23.32 Log lighter Sgas) , 23.32 _ at - - `J ' d n /^s ' � '� Wood/pellet stove 33.39 <,;C:_/---- /4-ETZ4 f i>.�lf1✓c% } />�/ Wood fireplace/insert 23.32 • /i /Ter / /2 ^J Chimney/liner/flue/vent 23.32 ❑/PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 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 0 APPLICANT 0 CONTACT PERSON Other: - 23.32 Business name: piping: $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:( ) I Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) • Business name: BEAVERTON PLUMBING, INC. Other: f MECHANICAL PERMIT FEES* Address: 13980 S.W.Tualatin Valley Hwy. Subtotal BeavwturI,Olegun 97005 Minimum permit fee $90.00 City/State/ZIP: e� ��i� ( ) --- (50.3-761a---- Plan review(25%of permit fee) Phone:( ) Fax:(503 Ip4 5 . ?to t 7 State surcharge(12%of permit fee) CCB lie.: % D.,cr e l TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 3J..`- 5t_ i ' Fee methodology set by Tri-County Building Industry Service Board Print name:ID 4Armn, vottnlr l` .( Date: 1)I /JS COV . o 4_ --75 I.Building\Permits\MEC_PermitApp_040113 do, �" _ 440-461Tr(I1/0LCOM/WFB) !! From: 01/16/2015 14:54 #500 P.001 /004 BEAVERTOI1 rLumrnno < 1 3980 SW Tualatin Valley Hwy. Beaverton OR 97005 503.643.7619 Fax 503.643.7620 CC B# 012889 FAX COVER SHEET Date: lit �' I To: ■ Company: CC T Fax #: Phone #: Total # of pages: Reference: n.0 Sincerely, D'Ann VanRiper Project Manager Beaverton Plumbing, Inc. 971.400.6519 cell 503.643.7619 office / 503.643.7620 fax vanriperPbeavertonplumbing.com • /Av 1-- 1<•1-0((-) e1 ti6-J,U O -sue ys r I:_,.7M'ti›: y 7/- ..,,, 6-6 6 JST.y )& 1I/ ort 11>sCac oLb t)4-7PR WF4-7FA CITY OF TIGARD REVIEWED FOR CODE COMPLIANCE 3/y'To Ng-a) R T O t) OTC: Approved: I � �o�• /� f U5 u) Permit#: :ti E7D l`3- Address: •.'3 P-f�E-VI,1& viltyVg Suite# 4, ' N ' By. Dates SO FS '. / 0\ .�,p, OFFICE COPY �� o N O al 1 �� G /sue 090P.C1) 0-1 Ain 1 5� 01 C D v4 o Zo Z rn 0 Om bz m o <G o < ° 0 NgLv P2pE c- ii-kdv -cam;<.71,1( ov "' m A z Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8935 SW BURNHAM ST, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00031 Jeff Grove 2lb gas verified 60 lbs 1 hour Violation Summary: Inspector Contractor