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Permit
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CITY OF TIGARD MECHANICAL PERMIT IN 17 COMMUNITY DEVELOPMENT Permit#: MEC2021-00762 Date Issued: 10/25/2021 T I(;A.R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AB01607 Jurisdiction: Tigard Site address: 7540 SW HERMOSO WAY Project: Luby Professional Building Subdivision: HERMOSO PARK Lot: 9 Project Description: Venting for micro/hood up through roof Contractor: JAVAZ HEATING&AIR CONDITIONING LLC Owner: OR BUILDING BLOCK A LLC 12009 REES ST NE 811 SW 6TH AVE DONALD, OR 97020 PORTLAND, OR 97204 PHONE: 503-310-9416 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/21/2021 $78.27 Class of Work: ALT Type of Const: VB Plan Review 10/21/2021 $19.57 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/21/2021 $9.39 Stories: Info Process/Archiving-Sm$0.50(up to 10/21/2021 $1 00 11x17) Project Valuation: $800.00 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: Appliances Vent Fans. Vent Systems: Total $108.23 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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: Ho-Lt,y Va,n,De- We-ge, Permittee Signature: Ov' Ark! 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. I RECEIVED =9 Mechanical Permit Application FOR OFFICE t si.Oyl.l SEP 2 ���� Receised A1�1o1� �►v mEC�zt-oo-14„, City of TigardDate/By Permit -'w 13125 SW Hall Blvd.,Tigard,OR 97 2 p O ���(��{� Plan Reuelilh J o Phone: 503.718.2439 Fax: 503.598.1 1 IF Datc,'gy- I �- Other Permit. TIGARD Inspection Line 503.639.4175 pUIl©��! ���� Da c Ready'B ��i lurh Internet www.li and-or.Gov 9 7 11IVI, 7 ® Sec Page 2 for --- - 6 b Drilled Meth / / / '6 Supplemental Information TYPE OF WORK t ,, AL ' * SCHEDULE -USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction $Addition/alteration replacetnent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,oeerhead.and profit. _M--- Value:3 ZOO ,00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SI STEMS FEES* ❑ 1-and 2-family dwelling %Commcrcial'industtial ❑Accessory building _ Fur special information use checklist. El Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: . , . "' „. -) /�� - Air conditioning 46.75 Job site address: .7 S 11 0 SW HE�MQ Sr WA-� _ Furnace 100,000 BTU(ducts/vents) 46.75 ('ity/State/ZIP: 'T'i CaA 2 0 0 R _9"7 a Furnace 100,000+BTU(ducts/vents) 54.91 J Heat pump 61.06 Suite/bldg./apt.no.: Project name: (J 66 i 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.. j Water heater 23.32 • - DESCRIPTION OF WORK Gas fireplace/insert 33.39 n� M I ro r hmol riU � Fluevent 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 - - - - Other: 23.32 PROPERTY OWNER j 0 TENANT Environmental exhaust and ventilation: - - -- Name: - '4 a tia."4 ��h Range hood'other kitchen ��JV LLC_ equipment .1 1.+ 33.39 Address: 7 V f O 6 Li H ER MO 30 WA,e 7'' Clothes dryer exhaust 33.39 City/State'ZIP: Ti G A RD 0 Single-duct exhaust(bathrooms, -_-- _ - toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 14_4PPLICANT 0 CONTACT PERSON Other: 23.32 Business name: � / TAVAt tfLeAT1 nt& L PIQ COWO)f 11► Fuel piping: --_�1,� $14.1 t for first four;$4.03 for each additional Contact tame: 3' to VAZ4U$2 -- - Furnace.etc. 9 sp Gas heat pump Address: 1200 �� S J N " Wall/suspended/unit heater City/State/ZIP: 00 ein/t� at 17 O2 0 water heater Phone:(3 3 to I L I‘.., Fax::( ) Fireplace Range E-maii:TAV HEN-I/V(i MID COOLING e ( MA 1 L.CO►l`1 Barbecue CONTRACTOR. Clothes dryer(gas) Other F Bu.messname:' /A A►2 c MD)Tl(�l/IIIGI Li-C - p' MECHANICAL L PERMIT FEES* Address: 1'?. 0"t get. o �4.. N I[ - - Subtotal City/State:ZIP: 00(IQ 11 1 oh_ 4 7Q .j3 - iv1inintum permit fee(390.00) --_- - ''VW(J v Plan review(25%of permit fee) Phone.(SZ) 110 1"V Fax:( ) State surcharge(12%of permit fee) ('('B tic.: w c 3 C-9 ��� ---- TOTAL PERMIT FEE _ J This permit application expires if a permit is not obtained within 180 UJ/ days after it Ms been accepted as complete. Authorized signature: " fee methodolog 7 y..el by lrid'ounty Building Industry Service Board Print name: J 4 1/417 kg Z. Date: 9-£ . y .O Z I<Budding,Permirs,MEC PcrnunArr(440113.do, 4411-4617T II 1/020'(1M WI Hi I