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Permit
CITY OF TIGARD MECHANICAL PERMIT . ' COMMUNITY DEVELOPMENT Permit#: MEC2022-00911 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2022 Parcel: 2S110AD12400 Jurisdiction: Tigard Site address: 10851 SW ANNAND HILL CT Project: Annand Hill Partition,Lot 3,(2 of 2)ADUs Subdivision: ANNAND HILL CT PARTITION Lot: 3 Project Description: Mechanical for upper 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 Duct Work 10/17/2022 $23.32 Plan Review 10/17/2022 $55.28 Fuel Air Handlers 12%State Surcharge-Mechanical 10/17/2022 $26.53 Fuel Types: Natural Gas 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: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) 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: /r�l� 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 Applicatio (,.,, ruu oFFiCE i, l_ l,til_5 City of Tigard A , � � Re /0 A3 . p2L (" gcC2022-X q permit No. • 13125 S W Hall Blvd.,Ti OR 97223 r° Phone: 503.7182439 F�503.598.1960 ��p �° �i�1d riatemy:Review I 1�,�.2 `�� Other Permit: 0„i--Q°d1cl r i, i'.L: Inspection Line: 503.639A175 CITY OF 71GAHL; Date Ready/By: ) runs: ® See rigs 2 for Internet: www.tigard-or.gov Notifed/Method:j6 (-�1Alf Supplemental Information BUILDING DIVISION 1 �' TYPE OF WORK a{errs CONDIERCIAL FEE* SCHEDULE-USE CHECKLIST 61/.1 +''n Mechanical permit fees*are based on the value of the work AY New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other. mechanical materials,equipment,labor,overhead,and profit. Value:5 7()0 0 4''' _ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 2 t-and2-family dwelling 0 Commercial/industrial 0 Accessory building For spade!information use checklist pviulti-family 0 Master builder ❑Other. Description Qty. Ea Total (� ,r 3( JOB SITE INFORMATION AND LOCATION Heatinir/trootieg: Air conditioning 46.75 , Job site address: tog S( 4i N pr'0 ).4 i L.L ?›!t U1C . .._ Furnace 100,000 BTU(aucuroents) 46.75 City/State/ZIP: 11 7.-7-.4 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 311.1j. V aL Cs)�'S ir--- Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 .e R`( -4 ck hhydResidential y�drn j I boiler(radiator or 23.32 G� 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.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplacermsat 33.39 Flue vent for water heater or gas ... .A.)S l ACC J 1 NI SP 4-1'1 I ir lea F.03/C.� fireplace 23.32 \Witt M D 0 �(.. C-lA SM u 0 TH .9-(, L. Logla(gas) 23.32 Wood/pellet stove 33.39 iJ1Eilk 1 an: k.fn 2�Cv 6or '501-0va Gilt&L- Wood fireplace/insert 23.32 iJ ` 'TLAS,- ��T .,4� 5 e[n��, ,i was Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 1 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 Ci ty/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawispace fans 23.32 0 APPLICANT ❑ 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 Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) / H. h t Other: Business name: �Gtt`><�/q LT 'v C MECHANICAL PERMIT FEES* Ill l Address: tO3 l(p a-- .--S5:1344 IA If(4 _ Subtotal • _ I Minimum permit fee(S90.00) w City/State/ZIP: , �-Z^ . Ai Q ©f a ci.1 ZZ2, Plan review(25%of permit fee) Phone:(.r�O3 1407. Z.L.�t.(•g Fax:( ) State surcharge(12%of permit fee) CCB lic.: Lt-� C7 (C>Z TOTAL PERMIT FEE This permit application expires if a permit Is not obtained within IS0 days after It has been accepted as complete. Authorized signs Fee methodology set by hi County Building Industry Service Board Print name: y4,1 ig<►MaleC, 11- 144 4-50,a Date~ 4 Lb[)2?t L\Bu0diog\Permits\MEC PamnApp 040113.doc 4404617r(lIA2/C011tw®)