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Permit CITY OF TIGARD MECHANICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MEC2019-00599 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1113/2021 Parcel: 1 S 136DD02300 Jurisdiction: TIG Site address: 11799 SW 69TH AVE Project: HAMPTON INN&SUITES Subdivision: Lot: Project Description: Install HVAC equipment,duct work,grills and registers for new hotel. Contractor: AIR COMFORT INC Owner: DVKOCR TIGARD, LLC 16055 SW 74TH AVE SUITE B 1419 W MAIN STREET, SUITE 110 TIGARD,OR 97224 BATTLEGROUND,WA 98604 PHONE: 503-260-7806 PHONE: 360-723-0024 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/30/2021 $21,296.71 Class of Work: NEW Type of Const: IIIB Plan Review 09/30/2021 $5,324.18 Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 09/30/2021 $2,555.61 Stories: 4 Info Process/Archiving-Lg$2.00(over 09/30/2021 $50.00 11x17) Project Valuation: $740,000.00 Info Process/Archiving-Sm$0.50(up to 09/30/2021 $75 00 11x17) Fuel Air Handlers Fuel Types. Natural Gas Units< 10000 cfm: 100 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: 4 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: 135 Appliances Vent Fans: 135 Vent Systems: Total $29,301.50 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1000 Fire/Smoke Dampers: 6 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: j...j Va De,Wegr; Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. .a.r+nrW Mechanical Permit Application i ,.,--. rol(.91.1.11 1, l SI:°nl_i Cityof Tigard Received .CL L I tf- ) Date, . : GP /3 /- ,S'/ Permit Nyti/E O/9-005419 i il 71 i3125 SW Hall Blvd.,Tigard,OR 9i ^'° ■ Phone: 503.718.2439 Fax: 503.598.1960 Plan Revi aS Inspection Line: 503.639.4175 13 2°19 Date By: +3- ' Other Pe �� 06 L/ T 1 G A R I) p Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 1 / g otified/Meth /I Supplemental Information TYPE OF`; COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ` New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit. Value:$ 7 Lit,/G9® 0 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: it 7 GHQ • s � 6q Ter l7 r (� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: re kn alz'x O Q +`j >- -3 Furnace 100,000+BTU(ducts/vents) 54.91 t IJ` f�� l T r Heat pump 61.06 Suite/bldg./apt.no.: Project na -& �e: -- 23.32 /GG Duct work Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 9/ii/ _ /� /� �^,` � Unit heaters(fuel-type,not electric), /L�"!/ .? .[. in-wall,in-duct,suspended,etc. 46.75 � -62::7r l� �/ ( Ste`/ -. Flue/vent for any of above 23.32 / Other: Subdivision: Lot no.: �1 23.32 [j Other fuel appliances: Tax map/parcel no.: Water heater 23.32 J DESCRIPTION OF WORK Gas fireplace/insert 33.39 �r r ,1 / Flue vent for water heater or gas 31,7t1i, - (Ivor, (...._,,,A, L/� til\Q}�-t {bud...q ak fireplace 23.32 4 Q��]� Qj 0" �` s '�✓"= Log lighter(gas) 23.32 il-I ILL ,. -` ``I r`" ''Nk + Wood/pellet stove 33.39 Wood fireplace/insert 23.32 jjj��� Chimney/liner/flue/vent 23.32 Other: 23.32 0 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: Range hood/other kitchen U Address: equipment 33.39 Clothes dryer exhaust 33.39 i City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSO 23.32 Business name: Ct tp/f�- /J r, r) S(— ` �• 14_r`/ pkov07- Chi ic V e ✓ C D Ir 1 la /c ` Iitional Contact name: V Address: /t!© )1--- •c I t1 n `_ It q .p _ City/State/ZIP: l L'`� sj A r l y�r "tom [� ,----- Phone:(Szi3) 4.Q6 _"7`re, 6 Fax: :( ) E-mail: al.k_ n , T (la_ t'YA S 1,1 '' -k,� CONTRACTOR Business name: i-i IL_ OD py P/2 T} yi` t Address: (6® rC 5'71-0 74 it t -e, g I City/State/ZIP: 77 / A 9 9� .) 2- ) Phone:(9 ) 2X G—^- 00 C Fax:( )) CCB lic.: S g -- aired within ISO ji days after It has been accepted as complete.Authorized signature: 6 * Fee methodology set by Tri-County Building Industry Service Board Print name: 7l IG , RA,' T Date:c /��2,y)2 I:A BuildingAPermits\MEC_PermitApp_040113.doc 44 -4617T(l /02/COM/WE