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Permit (3)
CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2020-00172 TIGA P D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2020 Parcel: 2S 101 AA08200 Jurisdiction: Tigard Site address: 12455 SW 68TH AVE Project: McGee Wealth Management Subdivision: WEST PORTLAND HEIGHTS Lot: 8 Project Description: 3-ton gas pack replacement. Contractor: TEMP CONTROL MECHANICAL SERVICE Owner: MCGEE DEFOE FAMILY TRUST 29755 SW BOONES FERRY RD BY MCGEE, JUDITH A TR WILSONVILLE, OR 97070 12455 SW 68TH AVE PORTLAND, OR 97223 PHONE: 503-285-6139 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/30/2020 $408.67 Class of Work: ALT Type of Const: VB Plan Review 04/30/2020 $102.17 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/30/2020 $49.04 Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/30/2020 $27.50 11x17) Project Valuation: $12,372.00 Fuel Air Handlers Fuel Types: Natural Gas Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers&Compressors Furnaces < 100K BTU: 0-3 HP: Furnaces>= 100K BTU: 3-15 HP: Floor Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $587.38 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: 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 By: A Permittee Signature: e�s v f� /e 7ef (((rrr , eJ 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 R s �°� FOR OFFICE USE ONLY City of Tigard [ . �ldi Date/By: 4 �19 666��Euuu 999 CC l�. (,7-[J ru ru�a No.. u 13125 SW Hall Blvd.,Tigard,OR 972 Plan Revie ��! /F1�up'kxk'�-r�I '' II. Phone: 503.718.2439 Fax: 503.598.1960 . 1. _1 0 Othcr Permit MAR `' p n rt Date/By: 7/ TIGARD Inspection Line: 503.639.4175 Mt,ft p s) 202U Date Ready/By: lain " 0 See Page 2 for Internet: www.tigard-or.gov NotifiediMethoda(/Z(i Supplemental Information TYPE OFtlkill{I�lNU DIVISION L' l�'fZ L Ci:Al Axed" COMMERCIAL FEE* SCHEDULE - USE CEIECIQ..IST 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. Value:$12,372 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling ©Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:12455 SW 68th Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 M_ �Z Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Re 03/ "Ifi ! aiDuct work 23.32 Cross street/directions to job site:The corner of 68th and Franklin tier"' - 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: Other: 23.32 Lot no.: Other fuel appliances: Tax map/parcel no: 2S101AA08200 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Like-for-like replacement of a three ton gas pack. 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 El PROPERTY OWNER I El TENANT Environmental exhaust and ventilation: Name:McGee Wealth Management Range hood/other kitchen equipment 33.39 Address: 12455 SW 68TH AVE Clothes dryer exhaust 33.39 City/State/ZIP: Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 503 ) 597 2222 Fax:( ) Attic/crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 i(j Fuel piping: Business name: Trotter and Morton Facility Services of PNW / .(� $14.15 for first four;$4.03 for each additional Contact name: Jason Jones // 'I �j /r M Furnace,etc. //1'►1A Ix1 Lr-./So— _I t„IA �t ,ti/' (3, Gashcatpump Address: 29755 SW Boones Ferry Rd ^�NI'C �e G a heatpended unit heater V Q City/State/ZIP:Wilsonville,OR 97070 5/ ji7 Water heater 4 t/ ()� Fireplace Phone:( 503 )285-6139 Fax::( ) Vv ( Range E-mail: JJones@TMLGroup.com / A/t;, i PI L C7 Pi'A7?,Co....t Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name:q'me ac ahnva /L-"I'r CIJ/t/ t i7t�7�fyA,/iCftz- MECHANICAL PERMIT FEES* Address: S gr`1 ,..52,'7?-a/r Is Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB liclQ 3 /bs TOTAL PERMIT FEE 5f ,_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: Pt-. /ZQ.d Z7 * Fee methodology set by Tri-County Building Industry Service Board Print name:Jason Jo Date:Date: 3/20/2020 C*Building\Prnnits\MEC_PennitApp_040113.doc 440-0617T(I IN2(COM/WEB)