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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2019-00866 Date Issued: 12/16/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114BB14500 Jurisdiction: Tigard Site address: 10498 SW KENT ST Project: LANNON Subdivision: SWANSON'S GLEN NO.2 Lot: 86 Project Description: Range hood venting for kitchen remodel. Contractor: REF CONSTRUCTION LLC Owner: LANNON, BRADFORD 17825 SE EMI ST 10498 SW KENT ST DAMASCUS, OR 97089 TIGARD, OR 97224 PHONE: 503-756-4680 PHONE: FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 12/16/2019 $33.39 Type of Use: SF 12%State Surcharge-Mechanical 12/16/2019 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 12/16/2019 $56.61 Occupancy Grp: Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued B c^rmittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application�� FOR OFFICE USE ONLY _ Cityof Tigard �CEIVED Received g VV Date/By: i ((I sl Ili - • 13125 SW Hall Blvd.,Tigard,OR 97 23 Plan Review Phone: 503.718.2439 Fax: 503.598.1960DEC 16 2019 Date/By: Other Permit: T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Id See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: En Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLlS �n Mechanical permit fees*are based on the value of the work ❑New construction IF Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value;$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* © 1-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION HeatinPJcooling: s / Air conditioning 46.75 Job site address: I Cr 4 q V I $' K'e n t S'r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:11 a ,y- a 0 (7 Z Z Furnace 100,000+BTU(ducts/vents) 54.91 J Heat pump _ 61.06 _ Suite/bldg./apt.no.: Project name: j,,,c yt ift,S w Duct 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 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 � pp Flue vent for water heater or gas k J..k iti 1 rV e iM,c,,i el t Acid, Nt c..1 1/C.✓tt _fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 :. PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: I3r..4. Let yyni�r0� w Range hood/otherkitchen Address: I,0 "L S W I<Lw' — Clothes - 33.39 �j .3�( SC— Clothes dryer exhaust 33.39 City/State/ZIP: l' QJro OR '77 Z \ Single-duct exhaust(bathrooms, .r� toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _ ® APPLICANT ❑ CONTACT PERSON Other: 23.32 __ Business name: �r/ Q Fuel piping: R Le. t 1 " R.0 1 y 6 t-t- $14.15 for first four;$4.03 for each additional Contact name:5e4.44, Gt0S-rCe/ Furnace,etc. Address:11 5( ,5 '�AAA 5 't-- Gas heat pump Wall/suspended/unit heater City/State/ZIP:p 4,M 46 E LA.,5 Oiz `1 6-1©5 I Water heater Phone:(g C 3) ii �/LZ,33`i a Fax::( ) Fireplace Range E-mail:'e,w4S, ,I`e{-e.n,ty13•ttC 1 i4.a. C_ C uVt Barbecue _, CONTRACTOR Clothes dryer(gas) Business name:R C(5.,v,s UG 4 Other: r�V1 MECHANICAL PERMIT Address: i7% L r )• 5-r— ef SubtotFEESa*l 3C( City/State/ZIP: 0 ct CAS C Cc,' ©(1- 9,7 b g ck Minimum permit fee($90.00) 1t,L)L)) Plan review(25%of permit fee) Phone:(r03) 7s."4 - 4.1 G PC' Fax:(5'(x j ) 46 5 71 7 t State surcharge(12%of permit fee) (d- CCB lie.: 'Z 0 1 s,1 7 l a^�'a t TOTAL PERMIT FEE [( V !V This permit application expires if a permit is not obtained within 80 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name: 5,,, tt re.OS dr-ev Date: ('Z - 16 » 10 I:'Building'Permite\MEC_PermitApp_040113.doc 440-4617r(11/02/COM/WBB) 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\Pernvts\MEC_PermitApp_040113.doc 2