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Permit CITY OF TIGARD MECHANICAL PERMIT P COMMUNITY DEVELOPMENT Permit#: MEC2016-00619 TART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/25/2016 Parcel: 2S104DB06400 Jurisdiction: Tigard Site address: 13252 SW MAPLECREST CT Project: WALLOCH Subdivision: MAPLECREST Lot: 11 Project Description: Gas piping for fire pit. Contractor: REFINER'S FIRE SERVICES Owner: WALLOCH, RICHARD 19105 S LYONS RD 13252 SW MAPLECREST CT OREGON CITY, OR 97045 TIGARD, OR 97223 PHONE: 971-275-7592 PHONE: FAX: 971-223-3232 FEES Specifics: Description Date Amount Fuel Piping 08/25/2016 $14.15 Type of Use: SF 12%State Surcharge-Mechanical 08/25/2016 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/25/2016 $75.85 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) y,. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes apd 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 requir,ss you to follow the rules adopted/by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 52-001-0090. You may obtain a;copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. I Issued By: Permittee Signature: \\N-,�_ _ .-- `-_ NNW 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 Tigard 1 of Received ' Permit No.: ? City � r ,'" Date/By: 1.I� r'? ,,t , IIIN 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ Phone: 503.718.2439 Fax: 503.598.1960Other Permit: Date/By: T 1 G A R D Inspection Line: 503.639.4175 9 `��1� Date Ready/By: See Page 2 for Internet: www.tigard-or.gov �`\C) $ *t Notified/Method: Supplemental Information r TY, " OF WORK 'l'''''‘It' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction V 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: i 3 2„..c.,-- 6, pI e_6 -A1c51 6.--f-- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: l c(U�`L' Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: _ I T i! ►.N Duct work 23.32 Cross street/directions to job site: kfeAtI L)l 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 et vxc'ev-e' al©te t i Y/ 4,s Li,/ 14-/-c C // c 'f'd/�)t — fireplace 23.32 G-e ! Log lighter(gas) 23.32 Wood pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Ltia /rot A_ 1'L t Range hood/other kitchen V " t 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 PPLICANTACT PERSON Other: 23.32 e4/Res-- /e' S'67144-5 Fuel piping: Business name: /// $14.15 for first four;$4.03 for each additional Contact name: lLe0` !✓I ey ct 0 Furnace,etc. Address: (' 1 (0 S S L/ �S4 l6 Gas heat pump !/ WalUsuspended/unit heater City/State/ZIP: ©r '� ly , 97 G/� ���s u 1 C t C � © Water heater Phone:(q 7'i) 075---75--1z_ Fax::( �-j- Fireplace Range E-mail: iqe I A eves dye q r't✓lE) L t",,,c__ o c_o <c'\ Barbecue CONTRACTOR Clothes dryer(gas) Business name: 5 �/ Other: fl ` --- MECHANICAL PERMIT FEES* Address: aSubtotal c` City/State/ZIP: Minimum permit fee($90.00) lei -- Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) c.>. CCB lic.: i l o-I i L' 4-11)-311`6 TOTAL PERMIT FEE i6,0„g,) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: �_�( i1 '� 1 Date: X71 1:ABuilding\Permits\MEC_Permi`tAwpp_040113.doc I 440-46174_c/i 102/ /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 Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 13252 SW MAPLECREST CT, TIGARD, OR, 97223 Residential - Mechanical 610 Gas line FAIL MEC2016-00619 Jeff Grove No one home 9:30 am R109.1 ORSC work site to be accessible Violation Summary: Inspector Contractor