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Permit w. CITY OF TIGARD MECHANICAL PERMIT _ COMMUNITY DEVELOPMENT Permit#: MEC2021-00613 if GA I?f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/24/2021 Parcel: 2S112AA00300 Jurisdiction: Tigard Site address: 14200 SW 72ND AVE Project: Gerber Gear Subdivision: None Lot: None Project Description: Install multi-port ductless pump in existing offices Contractor: SPECIALTY HEATING&COOLING Owner: GERBER LEGENDARY BLADES 7500 SW TECH CENTER DR STE 14200 SW 72ND AVE PORTLAND, OR 97223 PORTLAND,OR 97223 PHONE: 503-620-5643 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/23/2021 $305.56 Class of Work: ALT Type of Const: VB Plan Review 08/23/2021 $76.39 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/23/2021 $36.67 Stories: Info Process/Archiving-Sm$0.50(up to 08/23/2021 $6.00 11x17) Project Valuation: $8,500.00 Fuel Air Handlers Fuel Types: Electricity Units<10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers&Compressors Fumaces<100K BTU: 0-3 HP: Fumaces>=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 $424.62 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Holly VamiDe'Wege Permittee Signature: Ovt.,tppUCCttt an Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applic 1-01z OI 1 1( 1 I til tt\l_l Cityof Tigard �� Received D Permit No; * / g Date/By: QO I0 24Sf �� 2•"tf�c'(3 • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.I96OJG 6 2O2 Plan Review j. �y l ' Date/By: ��3' Other Permit 1"I G n F.I.) Date Line: 503.639.4175 Date Ready/By: lur Y y fJ 0 See Page 2 for Internet: www.tigard-or.gov 6;ITY OF TIGARD fMeh4 : /2 G. Supplemental Information 31.alLnlNr nlvIsto l TYPE OF WORK C ERCIAL FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work 0 New construction 'Et—Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. value:$ 4 c5ev"� CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES* ❑ I-and 2-family dwelling '^Commercial/industrial 0 Accessory building For special information use checklist , ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating cooling: lob site address: tI2I ©e, '.5LJ AirFurnace conditioning 46.75 �`/�j�^�'/P. 100,000 B7'l1(duets/veins) 46.75 City/State/ZIP: 7 eoe 9jr, 9/(7' a L/ Furnace 100,000+BTU(ducts/vents) 54 91 Suite/bldg.lapt.no.: V Project name:/' cc Heat pump 61.06Cv�,°` J��r�/�t�� Duct work 23.32 Cross street/directions to job site: f 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: 1—Lot no.: Other: 23.32 E Other fuel appliances: Tax map/parcel no.: _Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 - �7�--y� / / 1 / Flue vent for water heater or gas -i,4,J`faII Ar111T7'dO`f eluc7/e f ecat"O, /,ti , fireplace 23.32 / Log lighter(gas) 23.32 ex)J iLi�C� e'Ack et.c, Wood/pellet stove 33.39 V Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER l - `TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 6, Coy.. Range hood/other kitchen equipment 33.39 Address:11420o Stoj Clothes dryer exhaust 33.39 77 City/State/ZIP: 4t�d ©,r, 97 4/ Single-duct exhaust(bathrooms, s toilet compartments,utility moms) 23.32 Phone:(3o3 ), j—G7602e Fax:( ) Attic/crawispace fans 23.32 APPLICANT aCONTACT PERSON Other: 23.32 Business name:5Dec#rti/i e //ea 1,d4 r i G•oof' L G.G Fuel piping: l / V S14.15 for first four;S4.03 for each additional Contact name: �B-fel .. w,pk /� Furnace,etc. Address: 7,5e0 S G.f T- CP.✓tr, a.- #/30 Gas heat pump Wall/suspended/unit heater City/State/ZIP: �qo jd CeA, Q 2a073 Water heater Phone:( 03)jjf F!^077�✓' Fax: :( ) Fireplace �+�+ Range E-mail:1`o'ST s eji ,l', CJallyAecdi i C'D.7" Barbecue CONTRACTOR Clothes dryer(gas) Business name: S rctja t t�pJ/ q a Co J LC- Other: 7 - / �� , MECHANICAL PERMIT FEES* Address: ?✓t'o 54) y di1 ced.der efr ti 4.30 Subtotal City/State/ZIP: 7 ?,,e ICA., 97 — Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( O3)4 l --0773 Fax:( ) State surcharge(12%of permit fee) CCB lic.: do2t, 7 77 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO 0days after it has been accepted as complete. Authorized signature: • Fee methodology sei by Tri-County Building industry Service Board Print name: \ ,.r¢" j y 4 Date:7/t7e3/200,1/