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Permit (160) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2019-00223 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2019 Parcel: 2S102CCO2600 Jurisdiction: Tigard Site address: 13885 SW 102ND AVE Project: Ortiz Subdivision: FRELEON HEIGHTS NO.2 Lot: 12 Project Description: Mechanical for remodel:(1)air conditioner,replacing duct work for new basement bedroom,(1)clothes dryer exhaust,(2)bathroom exhaust fans,and gas piping for kitchen range. Contractor: GO DUCTS Owner: ORTIZ, DANIEL J&KAREN A 253 N OLIVE ST 13885 SW 102ND AVE YAMHILL, OR 97148 TIGARD, OR 97223 PHONE: 971-226-9504 PHONE: FAX: FEES Specifics: Description Date Amount Air Conditioning 04/08/2019 $46.75 Type of Use: SF Duct Work 04/08/2019 $23.32 Class of Work: ALT Type of Const: Clothes Dryer Exhaust 04/08/2019 $33.39 Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 04/08/2019 $46.64 Stories: Utility Rooms) Fuel Piping 04/08/2019 $14.15 12%State Surcharge-Mechanical 04/08/2019 $19.71 Investigation Fee 04/08/2019 $90.00 Investigation 12%State Surcharge 04/08/2019 $10.80 Fuel Fuel Types: Gas Pressure: Total $284.76 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-Is -4090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.0.332.2344. Issued By: Permittee Signature 14 ,c Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR 014 IC L:SE O\L\ City of Tigard eived �v ' ,. /B ' ,wc Permit No.: ,ac1, 13125 SW Hall Blvd.,Tigard,OR 97223 V a y r �- �, Plan Review Other Permit:Phone: 503.718.2439 Fax: 503.598.1960 ��� Date/By: 441h ll_ca0 , T 1 c ARD Inspection Line: 503.639.4175 g to late Ready/By: gi See Page 2 for n Internet: www.tigard-or.gov I R Notified/Method: PM. Supplemental Information fl�1`G,.• TYPE OF WORK Us. '14G OW v,..- N COMMERCIAL FEE* SCHEDULE USE CHECKLIST BUIL Mechanical Mechanical permit fees*are based on the value of the work El New construction [j�Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CO)T5'l7tt1CTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* Eli-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATIOPB: LO4AI , ..s$ Heating/cooling: .N• Air conditioning / 46.75 9t .Z 5 Job site address: l j 3sa 1�20d t Furnace 100,000 BTU(ducts/vents) 46.75 _ City/State/ZIP: -riot a . e9 on ( } 7 ZZ.> Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: T)(7-1 Z Duct work _ / 23.32 )- •31= Cross street/directions to job site: Hydronic hot water system 23.32 1 l Residential boiler(radiator or �G b J,')a LJ 99 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 _ ' DESCRIPTIO OF=W0 '4" Gas fireplace/insert 33.39 w'. �xF;:44-i„4„4.1,,,,, , .•: .. i �� "..„, Flue vent for water heater or gas L 1X- S �- (y Rec�"j^f, �n; fireplace 23.32 JJJ i Log lighter(gas) 23.32 DrY eQ— 1 Doc:1 `c p/`?c /� �J�� Wood/pellet stove 33.39 �e� / �2— �eUtd` 4`- ,/' 1/' C /�d1Tv L'/'� Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 : (# PERT , .,. ,.. . 7” :'... ❑ TENANT " .< Other: 23.32 - Environmental exhaust and ventilation: Name: a��C Jr j'l Z Range hood/other kitchen Address: /J ( t� �(� equipment 33.39 �J 8S S%.j 1 V 2i'd )I )�-• Clothes dryer exhaust i 33.39 31.-1C) City/State/ZIP: ( d Ore)6'C/) '�z2� Single-duct exhaust(bathrooms, �� toilet compartments,utility rooms) a' 23.32 46• br Phone:( ��) . '?Lfl.t' i s 7 Fax:( ) Attic/crawlspace fans • 23.32 T APPLICANT' ' ' Other: 23.32 0" t3�VTAGT PERSON :-;1"::: Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: a 0)e) 3 O.r T . Furnace,etc. Address: 1•_ 8S --. 5t,-) lo2i)c) .gas heat pump Wall/suspended/unit heater City/State/ZIP: ---T; rel ore- 9 7Z2- Water heater Phone:(�l ) 374,.,-Lei S? Fireplace Fax::( ) 1 ft)5H1115- Range E-mail: clo nZ7"fie c7,13 c)0©r._ C-- Barbecue CONTRACTOR Clothes dryer(gas) __ Business name: l.r'V y�•'js Other: V"'- MECHANICAL PERMIT FEES* ' Address: 7© d cx 0'7 Subtotal /0.2;" 1 / OC cii ^ Minimum permit fee($90.00) City/State/ZIP: � �M�1!�'j (f S1C��.� _t v , Phone:9 i 6 j ) "2.24, ,__ 9,...S0' 1 Fax:( ) .1surchar e 2%of e it _ 30It),5 State surcharge 2/o of permit fee) �,,�f CCB lic.: 2p2 •' 9 i TOTAL PERMIT FE I�'J ais li 7, This permit application expires if a permit is not obt ned within 18 days after it has been accepted as complete. Authorized signatur OP)a7J ---- * Fee methodology set by Tri-County Building Industry Service Board Print name: 1 a nim) !,- (j rel tet_ Date: /—,a._t 9 (:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/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 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13885 SW 102ND AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Mechanical MEC2019-00223 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Permitted Mechanical appears ok. Violation Summary: Inspector Contractor