Permit 1111111 q CITY OF TIGARD MECHANICAL PERMIT
' si
COMMUNITY DEVELOPMENT MECHANICAL
MEC2021-00769
Date Issued: 10/20/2021
T i G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S 110AC01400
Jurisdiction: Tigard
Site address: 11544 SW BULL MOUNTAIN RD
Project: Array Apartments-Building D Subdivision: ARRAY APARTMENTS Lot: None
Project Description: Venting exhaust for bathrooms,dryers and range hood. Install exhaust fans.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: ANDREWS MANAGEMENT LTD
4474 SE MILWAUKIE AVE 5845 JEAN RD
PORTLAND, OR 97202 LAKE OSWEGO, OR 97035
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 10/20/2021 $522.97
Class of Work: ALT Type of Const: VB Plan Review 10/20/2021 $130.74
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 10/20/2021 $62.76
Stories: 3 Info Process/Archiving-Lg$2.00(over 10/20/2021 $12.00
Project Valuation: $16,900.00 11x17)
Info Process/Archiving-Sm$0.50(up to 10/20/2021 $7.50
11x17)
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: 21 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans 21 Vent Systems: Total $735.97
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 31
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Hotu,y Va -per,we9e Permittee Signature: nw A r .Qvt,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
8-q 12 /_
Mechanical Permit ApplicatioilECEIVE 1 FOR OFFICE FSE ONES'
City of Tigard ReceivedDate/B yl/�/00,020 �� 146C20.Permit No. �069
;, 4 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 7 2021
Plan Revievy
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: /0—Jy '' Other Permit:
T I G,1 P[) Inspection Line: 503.639.4175 CITY OF-TIG A RD Date Ready/By. Jun• ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISlO otified/Method // / Supplemental Information
TYPE OF WORK COMMERCIAL F SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
4 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 16,900
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
®Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
AJob site address: 11544 SW Bull Mountain Road Furnacr e
conditioning46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: Array Apts - BUILDING D Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
SW Bull Mountain Road & SW 114th Ave 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.: 2S 11 OACO 1400 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
venting exhaust for bathrooms, dryers and range hoods. fireplace 23.32
Install exhaust fans. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Andrews Management LTD Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
Jacobs Heating&Air Conditioning
$14.15 for first four;$4.03 for each additional
Contact name: Andrea Bowlds Furnace,etc.
Address: 4474 SE Milwaukie Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97206 Water heater
Phone:( 503) 234-7331 Fax::( ) Fireplace
Range
E-mail: andreab@jacobsheating.coin Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Jacobs Heating&Air Conditioning MECHANICAL PERMIT FEES*
Address: 4474 SE Milwaukie Ave Subtotal
City/State/ZIP: Portland, OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 234-7331 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 1441 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: /�! JT71 1/di * Fee methodology set by Tri-County Building Industry Service Board
Print name: ANDREA BOWLDS JJ" Date: 9/20/21
I:ABuildingV Permits AMEC_PermitApp_040I 13.doc 440-4617r(I1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2- Supplemental Information
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.
Note: All new commercial buildings require 2 sets of plans.
l:\Bui lding\Permits\MEC_PermitApp_040113.doc 2