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Permit CITY OF TIGARD MECHANICAL PERMIT 2 •� COMMUNITY DEVELOPMENT Permit#: MEC2020-00770 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/8/2020 TIGARD RD Parcel: 1 S135DD00701 Jurisdiction: Tigard Site address: 11740 SW WARNER AVE Project: XAG Solutions Subdivision: HOFFARBER TRACTS Lot: 38 Project Description: New ductless heat pump in production room. Contractor: SPECIALTY HEATING &COOLING Owner: WYIM LLC 7500 SW TECH CENTER DR STE 11795 SW GREENBURG RD PORTLAND, OR 97223 PORTLAND, OR 97223 PHONE: 503-620-5643 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/07/2020 $179.58 Class of Work: ALT Type of Const: VB Plan Review 12/07/2020 $44.90 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/07/2020 $21.55 Stories: Info Process/Archiving-Sm$0.50(up to 12/07/2020 33.00 11x17) Project Valuation: $4,100.00 Fuel Air Handlers Fuel Types: Electricity 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: 1 Appliances Vent Fans: Vent Systems: Total $249.03 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling503.232.1987 or 1.800.332.2344. Issued By: �� V I l��aikAl Permittee Signature: 'On ap?1� -{-GILLY� ` lll��Y"' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ` This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. - 1 _IP Mechanical Permit Anntic l I V r()r, t)rrl( f: ( St: Oil l City of Tigard Received 12� 2020 Permit No..M C,ZO2D. 00710 III • 13125 SW Hall Blvd.,Tigard,OR 9741 1 9 ZOZO pan Review Ill Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ja,,A . i -ca..Q 4 Other Permit: T I c,n k t.) Inspection 503.639.4175nv1y y raris: peti Lie: Ty OF TIGARD�G QRD Date Read/e .- ® See Page 2 for Internet: www.ti and-or. ov Notified/Meihod: j 1 k_ 11 Supplemental Information TYPE OF WORK r"-'r1r 7 RCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees'are based on the value of the work ❑New construction ®Ad dition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 1:1S2ther: mechanical materials,equipment,labor,overhead,and profit. Value:$ Z7�7 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* D 1-and 2-family dwelling "Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family ❑Master builder 0 Other: Description Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling:. Air conditioning 46.75 Job site address: 117 yp S'tef G+/avtlei„ /five. Furnace 100,000 BTU(ducts/vents) _ 46.75 City/State/ZIP: ��v`� ,/� 0,„ 9��� Furnace 100,000+BTU(ducts/vents) 54.91 y � ./_J Heat pump 61.06 Suite/bldg./apt.no.: Project name:�(�� S hLG !ep [>S 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 Other: 23.32 Subdivision: I Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 -7� c / rf /t p t Q a Flue venace for water heater or gas -F,/` t i'f/� � l/'J!/M f4/ �/G?', (/ /�Dct/ fire lace 23.32 N Log lighter(gas) 23.32 11 0/7iY/. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 0 PROPERTY OWNER Err Environmental exhaust and ventilation: Name:/Y7 ! y e 6 5Q /,,.L 6/J�NS Range hood/other kitchen equipment 33.39 Address: (//7(n' 5/41/..e,//avwe`- ,vim, Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: !j�`� ©� ��3 toilet compartments,utility rooms) 23.32 Phone:(0G23 ) .F.3 .-!67 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT CONTACT PERSON Other; 23.32 � �,�( JJ/� J / / Fuel piping: Business name:slJCG tG�G.4, /TO / Rau < 06 ,,i L L. $14.15 for first four;$4.03 for each additional Contact name: J art " ✓l-ai�ai V Furnace,etc. 1 _ /� //✓2 Gas heat pump Address: 7.50o 54) 7rWl 6:: lY .0 4_, 0 Walllsuspendedlunit heater City/State/ZIP: /y��� ©�� 9-7��3 Water heater j] -Z Fax: :( ) Fireplace i Phone:(SGT3) 6l6 ©��✓1 Range e•„E-mail:)€- 1 SD Gp .-er�7/7A etvL ii5• eOM Barbecue CONTRACTOR' Clothes dryer(gas) Business name p /J, `/e � ���J LG Other: MECHANICAL PERMIT FEES* Address:7 54 -�,..„ eoy7pv A ,<3 Subtotal ^ ,/y /�( ,7 3 9 2' Minimum permit fee($90.00) City/State/ZIP: jf 4 CY/St Plan review(25%of permit fee) Phone: )6Y6 O77 J Fax:( ) State surcharge(12%of permit fee) CCB lie.: ,2a7 77-7 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 0 ' Fee methodology set by Tn County Building Industry Service Board Print name: g.e'f"T Sdt✓y� Date:j///6/2e2o20 I:11iuildine'J'crmits1MGC PermitAnn I4111i dot. 4446177 II 1/02/C0M/W1.11'