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Permit (2) C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00083 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/6/2008 PARCEL: 2S102BA - 00600 SITE ADDRESS: 09710 SW TIGARD ST ZONING: I - SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 059 JURISDICTION: TIG PROJECT: WILLAMETTE ELECTRIC Project Description: Replace RTU and move duct work. Project Value: $6,200 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: NAT 3 - 15 HP: 1 COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES MULL, GREGORY S AND Description Date Amount MULL, GEORGE E 19350 SW POMONA DR [MECH] Permit Fee 3/6/2008 $163.10 BEAVERTON, OR 97007 [MECPLN] Plan Rev 3/6/2008 $40.78 [TAX] 12% State Surch 3/6/2008 $19.57 Phone: Total $223.45 Contractor: OREGON HEATING & AC BOX , O R 97115 DU NDEE, OR REQUIRED ITEMS AND REPORTS DU Contact #: PRI 503 -538 -2953 FAX 503 -537 -2172 Reg #: LIC 172126 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue By: 1 ., / ,00. 4/ Permittee Signature: ` 41(i Call 503.639.4175 by 7:00 a.m. for inspection /that busi s s day. 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 Applicatio FOR OFFICE USE ONLY - - -.• Q Received � V ` 4.ity of Tigard •00% DateB : , / o 0: ter/. Permit No.: ' A./ '6008 ° 13125 SW Hall Blvd., Tigard, OR 97223 a8 I. . Phone: 503.639.4171 Fax: 503.598.1960 n & I t e/B t J j #� �� Other Permit: Ti G A R D Inspection Line: 503.639 �F \G a T: ea. yBy: �' ® See Page 2 for Internet: www.tigard or.gov C , D \ v\ ' ified/Method: a — / 6, Supplemental Information 0\ \_ r,L TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST )ir 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, equipment, labor, overhead, and profit. CA ORY OF CONSTRUCTION Value: $ 9 RESIDENTIAL EQUIPME IV 1 ( j,2 /SYSTEMS FEES* ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building E] Multi-family ❑Master builder For special information use checklist. ❑ Other: Description I Qty. I Ea. I Total JOB ' INFORMATION AND LOCATI Heating/cooling Job site address: I / S� J Air conditioning or heat pump / . (requires site plan showing placement) 14.00 City /State /ZIP: ' 1 / Furnace 100,000 BTU ( ducts/vents) 14.00 ) } / Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no.: Project name: W 1lleo 01//_ Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: I Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 `7 di � �, � / Gas fireplace 10.00 n .` 1 ) ,fe kO,P)4 / ibr 0/ 7 Flue vent for water heater or gas fireplace 10.00 f v7, ' Log W lighter ood/pellet stove 10.00 v(/ Z Wood/pellt stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER I TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Name: vv / i J) a t/' Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 City /State /ZIP: � Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 e APPLICANT 0 CONTACT PERSON Attic /crawlspace fans 10.00 Business n 011 Other: 10.00 P"� Fuel piping Contact name: CI. 1 K71-' $5.40 for first four; $1.00 for each additiona Address: Furnace, etc. Gas heat pump City/State /ZIP: Wall/suspended/unit heater Phone: (S(/ - ) (b 4 5 O ( 4,- Fax: : ( ) Water heater ,,7 Fireplace E-mail: /114-- " / 4v / ) '�1,N.A -1 / . �`-+ -' U Range (/ !/ CONTRA OR / Barbecue © ) ^ / Clothes dryer (gas) Business name: t W C J Other: n Address: ,r 7 V - ' 7 9 MECHANICAL PERMIT FEES* City /State /ZIP: n �. o r Q 7// S Subtotal ) Y/ //�� -2„,/,5.--- Fax: �7 Minimum permit fee ($72.50) Phone: ( �� `Z1 (, ) �� ' Z_ (........ Plan review (25% of permit fee) CCB lie.: l 7 7 ( � State surcharge (12% of permit fee) I � TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 e". J� days after it has been accepted as complete. Print name: 1,-,,,,/t I Date: /� ' Fee methodology set by Tri- County Building Industry Service Board I:■Building\Permits\MEC- Perm itAp p.doc 01/19/07 440. 6171(( /07JC Mechanical Permit Application - City of Tigard .� Page 2 - Supplemental Information ' Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. • $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and • $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • I: Building \Permits\MEC- PennitApp.doc 01/19/07 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008 -00083 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/'2008 Phone: (503) 639 -4171 —mitt Inspection Requests (24 Hrs.): (503) 639 -4175. n' INSPECTION WORKSHEET FOR DATE: 4115120(' - TIME: 7:02AM PAGE: 33 SITE ADDRESS: 09710 SW TIGARD ST CLASS OF WORK: SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE: PROJECT NAME: WILLAMETTE ELECTRIC DESCRIPTION: Replace RTU and move duct work. Project Value: $6,200 OWNER: MULL, GREGORY S AND, PHONE #: CONTRACTOR: OREGON HEATING & A(: PHONE #: 503 !:i30 2953 Inspection Request Scheduled For: Date: 4115/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 M(,chanical final 068377 -01 503 - 530 -2953 N Corrections /Comments/ Instructions: D2 c Y7 -a ,�z f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Pho ne #: (503) 718 Inspector: �, Date: 6 ( ) 2C ���