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Permit (133) CITY OF TIGARD MECHANICAL PERMIT 111111 s ■ Permit#: MEC2016-00801 COMMUNITY DEVELOPMENT Date Issued: 11/28/2016 T t c A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 BC01100 Jurisdiction: Tigard Site address: 10220 SW VIEW TER Project: BARNETT Subdivision: GREENBRIER Lot: 7 Project Description: (2)bathroom exhaust fans,(1)laundry fan,and(1)range hood. Contractor: OWNER Owner: BARNETT,JEREMY R JEREMY BARNETT 15115 QUARRY RD 10220 SW VIEW TERRACE LAKE OSWEGO,OR 97035 TIGARD, OR 97224 PHONE: 971-404-5141 PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 11/28/2016 $33.39 Type of Use: SF Single Duct Exhaust(Bathrooms,Toilet, 11/28/2016 $69.96 Class of Work: ALT Type of Const: Utility Rooms) 12%State Surcharge-Mechanical 11/28/2016 $12.40 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $115.75 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou may obtain a copy of the rules or direct to OUNC by calling 503.232.1987 or 1.800.332.2344. Issue By: ,f� . ) �A Permittee Signature: Y Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application holt OFFICE USE ONL1 Cl of Tigard Received r � r Permit No.: , Date/By: �: 13125rSW Hall Blvd.,Tigard,OR 972 3k ° Plan Review 1� 1,� is (l to ■ A Other Permit: ' ..- Phone: 503.718.2439 Fax: 503.598. Date/By: r. Ins Inspection Line: 503.639.4175 r �" �r T I G A R D p 1i l r.6 Date Ready/By: H See Page 2 for Internet: www.tigard-or.gov s f? - ' Notified/Method: M Supplemental Information TYPE OF WORK, 0Ci` 4SI COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1 Mechanical permit fees*are based on the value of the work ❑New construction °A,Addition/alterattt)h/r l� tx performed.Indicate the value(rounded to the nearest dollar)of all El Demolition 0 Other: )N\ f' mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FFFS* 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �� Air conditioning 46.75 Job site address: ./ ��?- ) 51/j ) a,Y C. _ Furnace Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: L h v� D C3 7 a...a--L Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: VI� HeaDuctt 61.06 t work 23.32 Cross street/directions to job site: r� (/f Hydronic hot water system 23.32 ll�r/ if)3 k y� tJ� V C. Meir Residential boiler(radiator or V�..Y �� 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 X 2 n is > ' Gas fireplace/insert 33.39 h14DESCRIPTION OF VOR,% Flue vent for water heater or gas A / ,,iti/),r-z,5)-/\ , v41 (y fireplace 23.32 i-l�,�)C'�- / // ��, �"� '� Log lighter(gas) 23.32 - z� C Fsr �-s� Wood/pellet stove 33.39 �l Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY.< '•}°❑ TENANT } <� _� Environmental exhaust and ventilation: Range hood/other kitchen Name: _ ---c2„.„.0_3./04 Q,r�„ 1 g ,� p,.� equipment �I 33.39 ,j7 34 Address: / . //?" �, Jam/ Clothes dryer exhaust 33.39 City/State/ZIP: l L� (,,..�.,.O d r� (4, 703 s� Single-duct exhaust(bathrooms, b q. 3 23.32 j� toilet compartments,utility rooms) ati Phone:(q 7/) 41/)`7 - 57/ (j/ `r Fax:( ) Attic/crawlspace fans 23.32 ©;APPLICANT " y 1:;1CONTACT' PEON v Other: 23.32 . Fuel piping: Business name: $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:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: OW/tie-ATOW/tie-AT MECHANICAL PERMIT FEES* Address: Subtotal �' City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) • / ,LID CCB lic.: TOTAL PERMIT FEE/it_5,'7, 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: of "-- Date: li j��r 43, I:ABuildingAPermits\MEC_PermnApp_ 13.doc 44-4617T(11//6,2//C�OM/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