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Permit CITY OF TIGARD MECHANICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MEC2022-00906 Date Issued: 10/17/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD12300 Jurisdiction: Tigard Site address: 10869 SW ANNAND HILL CT Project: Annand Hill Partition,Lot 2,(1 of 2)ADUs Subdivision: ANNAND HILL CT PARTITION Lot: 2 Project Description: Mechanical for lower dwelling in a new multi-family building:(1)mini split heat pump,(1)range hood,(1)clothes dryer exhaust,and(3)bathroom exhaust fans. Contractor: TECHNIQUE HVAC INC Owner: BLUE PALOUSE PROPERTIES LLC 10316 SE 38TH AVE 333 S STATE ST STE V452 PORTLAND, OR 97222 LAKE OSWEGO, OR 97034 PHONE: 503-407-2448 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: MF Duct Work 10/17/2022 $23.32 Class of Work: NEW Type of Const: VB Heat Pump 10/17/2022 $61.06 Occupancy Grp: R-3 Occupancy Load: Range Hood/Other Kitchen 10/17/2022 $33.39 Stones: 1 Clothes Dryer Exhaust 10/17/2022 $33.39 Project Valuation: $7,000.00 Single Duct Exhaust(Bathrooms,Toilet, 10/17/2022 $69.96 Utility Rooms) Plan Review 10/17/2022 $55.28 Fuel Air Handlers Info Process/Archiving-Lg$2.00(over 10/17/2022 $4.00 Fuel Types: Electricity Units< 10000 cfm: 11x17) Gas Pressure: Units> 10000 cfm: Info Process/Archiving-Sm$0.50(up to 10/17/2022 $5.50 Furnaces Boilers&Compressors 11x17) 12%State Surcharge-Mechanical 10/17/2022 $26.53 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: 3 Vent Systems: Total $312.43 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: 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: A_ _ Permittee Signature: p_t_ 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 Application I OR OFF',CE LE o\l.1 City of Tigard Received D D3 2022 ,''" Permit Ne-lJ a022-Od9°6 i • 13125 SW Hall Blvd.,Tigard,OR 97223 R E C E I V E Pvn tesie. E Phone: 503.718.2439 Fax: 503.598.1960y; tab 3w1.."----0) Other Permit: I i, '.i I Inspection Line: 503.639.4175 Date Ready)By: lurs: ® See Page 2 for Internet: wwW.tigard or.gov SEP 2 9 2022 Notified/Method: `i a 112 _ Supplemental information .4 , _ CITY OFTIGAHDcgcta. 1 TYPE OF WORK CUNLMEItCIAL FEE, SCHEDULE- USE CHECKLIST BUILDING DIVISION i Mechanical permit fees"are based on the value of the work ,Q'New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other mechanical materials,equipment,labor,overhead,and profit. Value:S -700 a 170 CATEGORY OF CONSTRUCTION RESIDENTIAL EQCiPMENT/SYSTEMS FEES' Of-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. Multi-family ❑Master builder ❑Other. 'i. Description Qty. Ea. Total L.„p-- 'Z, JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: \c%69 f 0.04.30 )fiL.L� � -3efC (If-' Furnace 100.000 BTU(duds/vents) 46.75 City/State/ZIP: 11 ZZ L I �/ Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 3L[jE (7ai-C> Ls1 - Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 /�,� ,� �r��� p Residential boiler(radiator or OPA a 01(Z A.L...rzy . l q� hydronie) 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: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplaedinsert _ 33.39 Flue vent for water heater or gas tea)5 LAj i g ill) SP L a I" ) (,it A FL CO/C.s, fireplace 23.32 , / C-- u t7 �!r L Log lighter(gas) 23.32 VE,'t� ? k0P �i> ( t Wood/pellet stove 33.39 X.J IL Jgr C7 ir Fl i ity 6 t- '$/y4,c n J' j,L_ Wood fireplace/insert 23.32 t4S1- ISPZTV lRN 5 Acp to.septri Chimney/liner/flue/vent 23.32 C/pr O / Other: 23.32 0 PROPERTY OWNER ' ❑ TeRforr- Environmental exhaust and ventilation: Name: Range hood/other kitchen — equipment 33.39 , Address: Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: toilet compartments,utility rooms) 3 _ 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 © APPLICANT 0 CONTACT PERSON ,Other: 23.32 Fuel piping: • Business name: $14.15 for first four;S4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Fireplace Phone:( ) Fax::( ) Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) V G C- Other: Business name: �er/4.,4//Q u t MECHANICAL PERMIT FEES* I r Address: {©3 t 4 a- -- c51,-4k A&'ii-- ._ Subtotal y 1 p- r_� Minimum permit fee(S90.00) City/State/ZIP: i -� l l'4 N ! - L iTL `� 2 Plan review(25%of permit fee) Phone:(_ 3. L.(Q7- �.yt4,g I Fax:( ) State surcharge(12%of permit fee) CCB lic.: aL�CC, Co q TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signs * Fee methodology set by Tri-County Building Industry Service Board Print name: j se.{Ajlr£ls et- yre(a5aA'` Date: C?12i;3(// Z:"{ BiluidiagWamas\MEC PamitApp 040113.doc 440-4617T(I I/02/COM/WEB)