Permit CITY OF TIGARD MECHANICAL PERMIT
IN11. COMMUNITY DEVELOPMENT Permit#: MEC2021-00689
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/23/2021
Parcel: 251116600400
Jurisdiction: Tigard
Site address: 14135 SW 100TH AVE 3
Project: Wong Apartments,Unit 3 Subdivision: TIGARDVILLE HEIGHTS Lot: 13
Project Description: Install mini-split ductless heat pump.
Contractor: HONKE HEATING&AIR CONDITION INC Owner: WONG,STEVEN Y
840 NE CLEVLAND KENDALL HANSEN PROPERTIES I LLC
GRESHAM,OR 97030 17555
LAKE OSWEGO,OR 97035
PHONE: 503-666-3725 PHONE:
FAX: 503-666-0589
FEES
Specifics: Description Date Amount
Type of Use: MF Heat Pump 09/07/2021 $61.06
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/07/2021 $10.80
Occupancy Grp: Occupancy Load: Additional Permit 09/07/2021 $28.94
Stories:
Project Valuation:
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: 1
Appliances
Vent Fans' Vent Systems: Total $100.80
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
Issued By: Ho113I v -De,weg- Permittee Signature:
Ow Aar-Aix-cot-Lam,
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 Annlication Fol1 orru H IisF t)wl.v
City of Tigard ' " ED Received
y Pert N
N-. a 13125 SW Hall Blvd.,Tigard,OR 97223 3 2021 Date1B . /4�'Z/ � 9t'1� ) -U�#(�1�'y
Phone: 503.718.2439 Fax: 501598.1960 +',_1 0 Mao/By w Other Permit
Inspection Line: 503.639.4175 Date/Re
iIGA(il) RD Date Ready/By: hear 21 See Page2for
Internet www.tigardor.gov
'IN 0',_ j'O, „ i Notified/Method: ISupplemental Information
�,r��R PP
�:xr;.41 'X . . a i ° '. I3:-Lq- it_. AEIAi,:FE't!=fserniauLK—USEt.tiECKLIST.:
Mechanical permitfees*are based on the value of the work
0 New construction IX Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
44,t.,,:( 4 ' ®ft 4 0'U '"
- -- '`.- . a-..- •- Value $
3 > gt .a�i 8i
$vFh ,**1,101-.....
PgiSS'
❑
1-and 2-family dwelling 0 Counnerciallindustrial ❑Accessory building For"eclat hsfermatfmi use cheddar.
GiMulti-family 0 Master builder 0 Other. I Description I Qty. I Ea. I Total
4
2 '- 45"t: 0— t ! '.iii a ,, 1 I Heating/cooling:
I A'lr conditioning 46.75
Job site address:
11+1 35 S w t 01a}'6-. t, ve 1 Furnace 100,000 BTU(duets/veins) 46.75
City/State/ZIP: TI(e Alto OR.. 5 )II-4 I Furnace 100,000+BTU(deeta/vente) 54.91
Heat pump ( 61.06 4,1.0(21
Suite/bldg./apt.no.:4:11-3 I Project name: til0/Ilk /rr I Duct work 23.32 II
Cross street/directions to job site: I y mnichp, watersy em 2332
( I T cssidcntial boi(cr radiator or
hydj pio) 23.32
I Unit heaters(fuel-type,not electric),
I in-well,in-duct,suspended,etc. 46.75
II Fluelvent for any of above 2332
Other: 2332
Subdivision: I Lot no.: ( I
Other fuel appliances:
Tax map/parcel no.: I I Water heater 2332
'-—. t-.-, �M De •+ a g ,,s > ' , i , k,' I Gas frep ms 33.39
TT I Flue vent for water heater or gas
.4a 51.1141.0‘. S 113 C 14 411'0 P'‘.$1,0,1?
1 P3 d SQ%Kr fireplace 23.32
Log i✓uLTti.t.. s 1.1i -r T►i1M1 I Wood/peeetstor 23.32
Wood/pa0et stove 33.39
Wood fireplace/insert I 23.32
Chimney/liner/flue/vent I 23.32
Other I 23.32
472:5::' '.7e.::::---: Envlry 1, evnil exhaust and ventilation:
Name: STS V W o s G,,, Range,oodlother Htchen
equipment 33.39
Address: 115'SS ERa 4 Coo t2..r I I Clothes dryer exhaust 33.39
City/State/ZIP: LA—KZ OS eattV O COL C$ 103$ I I Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5155 7530 .. oz,'30 I Fax:( ) I Attic%mwlspacefans 23.32
APPLICANT 1 0 CONTACT PERSON Other. 2332
_ �q Fuel piping:
Business name: 4'b NSlf {d `°'i ,g A C,
� $10.15 for first four,$4.03 for each additional
Contact name:"I)4-5+ar 14,4%.rntlrT4)r.s Furnace,etc
Gas heat pump
Address: ea y a X13. (" a EM,attt 7.1'� Q✓It
-- ----- --_— _ _ - - -tl WalUsuspended/unithcater
City/State/ZIP: i;,...tri.k A ris. 0 yt., cilb z,,,.A Water heater
Phone:(5b, (1:0‘'' 'i Z,s I Fax::( ) I Fireplace
I _ It BE mail Q`'t!-C . ofiOrke e 4;n> • CON«
Range
. , y — � ',r $4$��°:t.». � � c�'� ''vw�'mz� =` Clothesdryer(Ras)
Business name: 14e>a 1LIZ 14 r-attr N C vi IS.? I Other
?7 `yr„ „xME, CHANI['er PERMITF total
Address: 844 r.. (�N yA tv0 A,U I I Subtotal 4(.Q fD�1
City/State/ZIP: i4,44,v1 b G—t O Z et I I Minimum pennit fee($90.00) ,�
Phone:( ) eo�4-3-i .2.‘ I Fax:( ) I i Plan rg 25/o of emit fee) !O. A b
State s (12%of permit fee
CCB lie.: "7 i '-;4,' I I TOTAL PERMIT FEE i DO.$0
This permit application expires if a permit is not obtained within 1180
• x days after it has been accepted as complete.
Authorized signature: •V ` Fee methodology set.by Tri-County Building Industry Service Board
Print name: Des$fLe a tat,M1km-aJ I Dec: 1l 13)1.1 I
lAlluileing er iaAAffC_PermitApp_a40113.dec --- 440.4617T(11/O2/COM/WEB)