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Permit CITY OF TIGARD MECHANICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: MEC2022-00907 Date Issued: 10/17/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503,718.2439 Parcel: 2S110AD12300 Jurisdiction: Tigard Site address: 10871 SW ANNAND HILL CT Project: Annand Hill Partition,Lot 2,Primary Subdivision: ANNAND HILL CT PARTITION Lot: 2 Project Description: Mechanical for primary 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 Heat Pump 10/17/2022 $61.06 Class of Work: NEW Type of Const: VB Range Hood/Other Kitchen 10/17/2022 $33.39 Occupancy Grp: R-3 Occupancy Load: Clothes Dryer Exhaust 10/17/2022 $33.39 Stories: 1 Single Duct Exhaust(Bathrooms,Toilet, 10/17/2022 $69.96 Utility Rooms) Project Valuation: $7,000.00 Plan Review 10/17/2022 $55.28 Duct Work 10/17/2022 $23.32 Fuel Air Handlers 12%State Surcharge-Mechanical 10/17/2022 $26.53 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: 1 Appliances Vent Fans: Vent Systems: Total $302.93 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: �� Permittee Signature: COVIB ��; 14 ^ a 1503.639.4175 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 FOR OFFICE L s F:O\L S Cityof Tigard RECEIVE uJo o5zozZPennil No Me 2 2 7 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Daterey: O other Permit.hip�j � ' i +,i f1 Inspection Line: 503.639.4175 SEP 2 9 2022 Date Ready/By: russ: ® See Page 2 for Internet: www.tigard-or.gov Y Notifu:d/Method: Supplementallnformatloe CITY OF TIGAHU TYPE OF WORKjUILDING DIVISION COMMERCIAL FEE*SCBEDULE- USE CHECKLIST Mechanical permit fees*arc based on the value of the work 'New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other. mechanical materials,equipment,labor,overhead,and profit. Value:S -7000 vfl CATEGORY OF CONSTRUCTION RESIDENTL4LEQLIPMENTI SYSTEMS FEES* DI-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist. 0 Master builder 0 Other. Description Qty. Ea. Total L(7"L' Z JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: ti V$'1 \ /j} /ti5 f+j I � 2e�..,�, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: '��1-Z..Z(.4 �//�„ Furnace 100,000+BTU(duets/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: ZujE 94L 1Iss - Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 OlaNr,le 1 +`� 2`( 4 c\ck�� Residential boiler(radiator or � f3 hydroniaic) 2332 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended etc. 46.75 Fluelvent for any of above 23.32 Subdivision: Lot no.: ] Other 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fn'eplacelmsett 33.39 Flue vent for water heater or gas '.- A.o 5 LACC iJV) SPC1 j ) er-A Ftco/C,„ fireplace 23.32 VEIL ?-Efs p£ 2 L. ( l t &ia 0,ram +4-L. [ Log lighter(gas) 23.32 Wood/pellet stove 33.39 iE NI.l v rt..4�i I Z 2-6, s7 r r 5/it o xa Gre-fi I- Wood fireplace/insen 23.32 V r-p...r1— b1,Tf4 �R1V n(2�, sou01,,_/ viola Chimney/liner/fludvent 23.32 0 PROPERTY OWNER O4 0 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen 7 equipment / 33.39 Address: Clothes dryer exhaust 1 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, �L toilet compartments,utility moms) wJ 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other 23.32 Fuel piping: ' Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace.etc. Address: Gas heat pump Wallsuspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace 1 Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: -1.0GF4NlgL.1� (-EVf,�tCC- MECIIAMCALPEItMITFEES* It?el:" Address: t©3 4 C� �� k J tom. Subtotal ^ ^ - 1 Minimum pennit fee(S90.00) City/State/ZIP: c4tt —7- L-141-A) Ei ©Ifs Ct 1 2-Z Plan review(25%of permit fee) Phone:(_5-7_ L f 07- .7.4.14.e Fax:( ) State surcharge(12%of permit fee) CCB lies: �1 (7 6,C\ 7 , TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 1S0 days after It has been accepted as complete. Authorized 5igne ' Fee methodology set by Tti-County Building Industry Service Board Print name: 7 le.heat fal<<, t 1. s“5oJ Date;qL 12--c I:1Bu0d®a\Penults\MEC PanitApp_040113.doe 440-4617t(11/02/COM/WEB)