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Permit CITY OF TIGARD MECHANICAL PERMIT .111 a COMMUNITY DEVELOPMENT Permit#: MEC2021-00618 Date Issued: 9/8/2021 T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S136AD04000 Jurisdiction: Tigard Site address: 11513 SW PACIFIC HWY Project: Infinity Golf Subdivision: VILLA RIDGE Lot: 7 Project Description: Relocate duct work. Contractor: VILLA HEATING AND COOLING Owner: MCLELLAN ESTATE CO 186 S ALPINE DR 707 OLD COUNTY RD BEAVERTON, OR 97113 BELMONT, CA 94002 PHONE: 971-344-5140 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/08/2021 $939.53 Class of Work: ALT Type of Const: VB Plan Review 09/08/2021 $234.88 Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 09/08/2021 $112.74 Stories: Info Process/Archiving-Sm$0.50 (up to 09/08/2021 $0.50 11x17) Project Valuation: $33,254-.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: Alr Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $1,287.65 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 50 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate 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: ] qr)Gjr, t/a x/J Permittee Signature: M VCOct Q� w��c c�"C�alll 503.639.4175 by 7:00 a.m.for the next available inspection date. ` `j '-"' 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. 'e—el- 2 Mechanical Permit Application FOR OFFICE USE ONLY 'PI ;*� Cl of Tigard �.{ / 20,21 $' Permit No.fb�� �/-( (pr8 13125SW Hall 18.243.,Tigard,OR 97I!2lECEIVEC Receivede �CL- Plan Revi It Phone: 503.718.2439 Date ' Other Pennil: Inspection Line: 503.639.4175 1�i!� l /.:J. �� TIGARD :1U 4 .- Date Ready/By: huffs: ® See Page 2 for Internet: www.tigard-or.gov t�ptified/Metho . _ Z l� Supplemental Information "�„ITY OF TIG/fA��R/ID�1�� ,�j1YPE OF vt7tWckDING DIVIOItt'.' COMMERCIAL FEE*SCHEDULE-USE CHECKLIST ❑New construction u Addition/alteration/replacement Mechanical permit fees-are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition E Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ "';';i `Z.Sit E I-and 2-family dwelling [Commercial/industrial 0 Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES* For special information use checklist. ❑ Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: I L S 1a' 5 to C I i i Air conditioning 46.75 Ca �l Furnace 100,000 BTU(ducks vents) 46.75 City/State/ZIP: T 4 J G.Y 1 ( C p (i tc 1 i iN.V-e> l� Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: 1 v„ C,n t C Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 c?--e tQ C GA-L f lick -l-!., u Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER ❑ TENANT Other: 23.32 pp Environmental exhaust and ventilation: Name: �` L L i ft I . d�n K Air e Range hood/other kitchen Address: 73 t NL 1.M # equipment 33.39 S brie Ow 1�+ City/State/ZIP: t Clothes dryer exhaust 33.39 1-V1t.s 7 C yb GAL 9'1 t 24 Single-duct exhaust(bathrooms, Phone:( �) _ M 1 Fax:( ) toilet compartments,utility rooms) 23.32 AtEr tic/crawlspace El CONTACT CONTACT PERSON fans 23.32 - Other: 23.32 Business name: ,„, j Fuel piping: V,►�cs ��� a ��n� tH If.f Contact name: __. 514.15 for first four;$4.03 for each additional V t�� U&t t & Furnace,etc. Address: rAG, j ALt''1o£ Vo— Gas heat pump City/State/ZIP: Wall/suspended/unit heater C o�+�eA+�� Q2 -� _Water heater Phone:(ill ) W 514 0 I Fax::( ) Fireplace E-mail: V‘kkU ( Fihz' C. C:fV\G.t . C.C,;, Range CONTRACTOR Barbecue / ` �+ f Clothes dryer(gas) Business name: Un(` _ lacbii-trA c+v�C ld©.thq lnC, Other: Address: g6 S /41-e I NE3 t L J MECHANICAL PERMIT FEES* • Subtotal City/State/ZIP: �1'Y .tJ-t u� eq.., Cf1 -I.') Minimum permit fee($90.00) Phone:(17 k) 4 4- S l y 0 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: `Z29 LI Li 3 i (/ I/i� TOTAL PERMIT FEE i 111 This permit application expires if a permit is not obtained within 180 Authorized signature: s I '� days after it has been accepted as complete. t , / * Fee methodology set by Tri-County Building Industry Service Board Print name: U\ Vv Date: 6/Q / LoL I I:\Building\Penults\MEC_PemntApp_082520.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Submittal Requirements: • (2) sets of plans, drawn to scale. • (2) sets of equipment cut sheets. • (2) copies of site plan for ground and roof top equipment location and screening per Tigard development code. 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. I:\Bullding\Permits\MEC_PermitApp_082520.doc 2 a a-- >OFFICE COPY RECEIVED 6/�/1p�OF WORKV 1,ut. 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L p'"..I"•'..m.t..N.Y..n wp- CaitACT.FICISTN ] W11L 0xM410 m m rGeOME . ......v......... [ 8 n reuTVxwxlre m TO P.4U* 11 1 ° L tacosenauol Inlu l aneaw eaaa'''``m ao gr-ge•aaAA..�"C�. Y°"0Y Rk 101i9A•16n 1a.MprNaottlalrAa.WnoReauErluWeere.lw. nw.m.i.+.........Mrr CONTACT FOE LRRSOOW 2 coaelwmsNa lrveeuvaaraaeeeeea:T. I1M.ro1lMGImmOLR OFFICE SOP' 1FFICE COPY CITY OF TIGARD;, REVIEWEIZ FOR CODE COMPLIANCE Approved: DNA] OTC: I ] Permit#: m PCca O,k f - a D ti/ R Address: 1 Jsf/3 /O c c: L J J1v-y Suite#: By: j (] Date: Sr'.Z5-1 -2) J VALIDITY OF PERMIT THE ISSUANCE OF A PERMIT BASED ON CONSTRUCTION DOCUMENTS AND OTHER DATA SHALL NOT PREVENT THE CODE OFFICIAL FROM REQUIRING THE CORRECTION OF ERRORS. OSSC 105.4