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Permit (34) t CITY OF TIGARD MECHANICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MEC2019-00561 T j(;r1 R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2019 Parcel: 2S111DD14000 Jurisdiction: Tigard Site address: 15720 SW 87TH AVE Project: WINDEN Subdivision: MILLMONT PARK Lot: 17 Project Description: Adding gas line to range. Contractor: MP PLUMBING CO Owner: WINDEN, ROBYN RICHMOND AND PO BOX 393 JERRY CLACKAMAS, OR 97015 15720 SW 87TH AVE TIGARD, OR 97224 PHONE: 503-655-9161 PHONE: 503-684-0567 FAX: 503-655-1726 FEES Specifics: Description Date Amount Fuel Piping 07/31/2019 $14.15 Type of Use: SF 12%State Surcharge-Mechanical 07/31/2019 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 07/31/2019 $75.85 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OU,,Yby calling 51<'232.1987 or 1.800.332.2344. Issued By: - Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection .ate This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE oNL1 City of Tigard Received 71 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Z�L "' i� Z I R ' INI Plan Review Phone: 503.718.2439 Fax: 503.598.1960 t> Date/By. Other Permit: 7 1 G A RD Inspection Line: 503.639.4175Ab r Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Iy�+•` ` Notified/Method: Supplemental Information 7 , Cyd;i4: .t lr* gi n 9t~ 4 '4,4 a; t-� h ;. Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alterationtr l9eelnehM? l�' performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: 4t mechanical materials,equipment,labor,overhead,and profit. ':. Value:$ !RY OF C914S1R[1CTIoN_ > , ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total td Heating cooling: t SIT 1 , 1 1"TION AND LOA*Ni�.: i G(i) __ h--- � Air conditioning 46.75 Job site address: 47_, !r/� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: f. 0A ?3z 19 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 110/�ateDuct work 23.32 Cross street/directions to job site: 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION or WORK{ n7 Iv, x. #. Gas fireplace/insert 33.39 ' :.o . Flue vent for water heater or gas 'A• 41/VL { fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 4 T Other: 23.32 ''9 yr, Environmental exhaust and ventilation: Name: , �01,3314) /�t. Id°„ / Range hood/other kitchen l /V 'V equipment 33.39 Address: /� S� !/"� Clothes dryer exhaust 33.39 City/State/ZI�. ©,— }*2 2—y Single-duct exhaust(bathrooms, f/ 1 toilet compartments,utility rooms) 23.32 Phone:($y�) 7'1s 7 Fax:( ) Attic/crawlspace fans 23.32 ' ' I�f` * CT PF i V Other23.32 A Fuel piping: Business name: e- e h, �� $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater . City/State/ZJP: Water heater Phone:( ) I Fax::( ) Fireplace Range E-mail: Barbecue 4`�. ?.;:,17-..,e { �ii r:�t : 'T "�a r, ,'1«, .;y, . r:�" ���:-` . „r„ " ��S ,1. � ", Clothes dryer(gas) Business name: (y(fel Other: Address: ,/ � Z �_"' �.4,g $ ��. "��r 7 r/ehL ,j5 3 Subtotal City/State/ZIP: �u� ��4 s V r y 0 (� Minimum permit fee($90.00) v Plan review(25%of permit fee) Phone:(syr) (,fZ a Cri 7 Fax:( ) State surcharge(12%of permit fee) CCB lic.: .c./7121... 11 3 i20 TOTAL PERMIT FEE �,—C/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized si_} ? (,t)f�� * Fee methodology set by Tri-County Building Industry Service Board _ „Print name: TDate: t' 3i 2017 I.ABuilding\Per..s\ME _'ermitApp_0401 t3.doc 440-46I7T(t 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Famil Fee Schedule: $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_PennitApp_040113.doc 2 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 15720 SW 87TH AVE, TIGARD, OR, 97224 August 15, 2019 at 10:14:07 AM Record Type: Record ID: Residential - Mechanical MEC2019-00561 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor