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Permit
CITY OF TIGARD MECHANICAL PERMIT q COMMUNITY DEVELOPMENT Permit#: MEC2020-00535 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/9/2020 Parcel: 251010001600 Jurisdiction: Tigard Site address: 7790 SW HUNZIKER RD Project: The Fields Apartments-Building 3 Subdivision: FIELDS APARTMENTS Lot: None Project Description: Building 3-New 1-story clubhouse. Contractor: BLUE MOUNTAIN POOLS INC Owner: FIELDS, FRED W REVOCABLE LIVING 13121 S WARNOCK RD 111 SW 5TH AVE#3675 OREGON CITY, OR 97045 PORTLAND, OR 97204 PHONE: 503-760-4554 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: Permit Fee 09/09/2020 $191.86 Class of Work: Type of Const: Plan Review 09/09/2020 $47.97 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/09/2020 $23.02 Stories: Info Process/Archiving-Sm$0.50(up to 09/09/2020 $0.50 11x17) Project Valuation: $4,500.00 Fuel Air Handlers Fuel Types: 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 $263.35 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to UNC by ca ' g 503.232.1987 or 1.800.332.2344. Issued By: //A-LaXLtq----) Permittee Signature: (ft/ r4;1 C Call 503.639A175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r Mechanical Permit Application Cityof Tigard RECEIVED Pemdt No.: 't 1312 SW Hall Blvd.,Tigard,OR 97223 e ��/'/ �Q�s�t7 Phone: 503.718.2439 Fax: 503.598.1960 DatefB 1_C� 2 J - 1 11, Other Permit: Inspection Line: 503.639.4175 y TIGARD �° JUL 2 a 2l Metho q� orris: See Page for Internet: www.tigard-or.gov tified/Method: -.. -.D Supplemental Information TYPE OF WORK ( ill tf9ii�[(z !'�iV 1�3itJk�3 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work (• New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mechanical materials,equipment,lab�orj overhead,and profit. �. Value:$ 44, ''-oli CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling 1$-Commercial/industrial 0 Accessory building For special information use checklist. 0 Multi-family ❑Master builder El Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 glob site address: 7776 ,,,,,,, /-/ / _ 2d_ Furnace 100,000 BTU(ducts/vents) 46.75 y City/State/ZIP: 7/��Z f)t /IX. ��a3 Heauntacem00,000+BTU(ducts/venu) 61.54.06 91 .NsSuite/bldg./apt.no.: / Project name: �� P pp t��G� 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 Flue vent for water heater or gas POL Ile fireplace 23.32 K. Log lighter(gas) 23.32 Wood/pellet stove 33.39 r Wood fireplace/insert 23.32 v Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other:?M 1-(7,042 1 23.32 oti3,. Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 tt City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility moms) 23.32 ..,f Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _�v 0 APPLICANTCONTACT PERSON Other: 23.32 �Susiness name: Fuel piping: � (%UN%A//1/ / �S $14.15 for first four;$4.03 for each additional k. Contact name: $)64 4r--A7 Furnace,etc. Address: /3�7/ t��®G�� Rd . Gas heat pump Wall/suspended/unit heater City/State/ZIP: O'Ege,( 'Ty, f 97i/ Water heater Phone:(&I3) 40_ �r0 Fax::( ) Fireplace Range ��(/�E-mail: 0 OZitt,' 1/-ropy/J}�'(�G,:45-' Barbecue CONTRACTOR Clothes dryer(gas) Business name: �f[/� �Q iV/Vf �a/S Other: 6�""' MECHANICAL PERMIT FEES* Address: /'/.( c,. 14/4 k/<' Rd'. Subtotal City/State/ZIP: ©Re / &Ty OR (7-7Q4,(iJ/ Minimum permit fee($90.00) Plan review(25%of permit fee) Phone: - ?deer_ tl/ ( Fax:( ) State surcharge(12%of permit fee) CCB lic.: 0?39.) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 /4 O �f / days after it has been accepted as complete. Authorized signatur' /% * Fee methodology set by Tri-County Building Industry Service Board Print name:rir`G, :� 4. M✓fG-�V Date:0-S4 0;70 I:uBudding\Permits\Ml C_PermitApp_0401 I 3.doc 440-4617T(1 l/ONCOM/WEB)