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Permit
CITY OF TIGARD MECHANICAL PERMIT ' 'INk' COMMUNITY DEVELOPMENT Permit#: MEC2022-00910 Date Issued: 10/17/2022 T IC All D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD12400 Jurisdiction: Tigard Site address: 10849 SW ANNAND HILL CT Project: Annand Hill Partition,Lot 3,Primary Subdivision: ANNAND HILL CT PARTITION Lot: 3 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 Duct Work 10/17/2022 $23.32 Occupancy Grp: R-3 Occupancy Load: Range Hood/Other Kitchen 10/17/2022 $33.39 Stories: 1 Clothes Dryer Exhaust 10/17/2022 $33.39 Project Valuation: S7,000.00 Single Duct Exhaust(Bathrooms,Toilet, 10/17/2022 $69.96 Utility Rooms) Plan Review 10/17/2022 $55.28 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: 3 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: 1 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: . '�L� �1 Permittee Signature: * 7 ' 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 ApplicationRECEIVEy ��il r( City of Tigard 2022 D, y,ed JjJQ3 PermitNo.:14 ��VOy to Su 13125 SW Hall Blvd.,Tigard OR 97223EP 2 9 = Phone: 503.718.2439 Fax: 503.598.1960 Plan ReviewDale/B : . Dther Permh t. 1 1 , p 1 Inspection I�ne: 503.639.4175 CITY®F1IGAHL Date Ready/By i1 �Z"i Isis: PP&ez '�x Internet: www.tigard-or.gov BUILDING DIVISICi\oliftedimethod: t,,�ii1D fifif Supplemental information TYPE OF WORK ,/`N tit M CO CIAL FEE'SCHEDULE-USE CHECKLIST idi "= t� 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 0 a'o CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS 12Y1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ;31vlulti-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SUE INFORMATION AND LOCATION Beating/cooling: LU T 3 Air conditioning 46.75 job site address: t d atiq 04,iiitifz$10 0 MI-_. -i',rz t1tr`- Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP: 1 ZZ 4 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump F 61.06 SuitelbldgJapt.no.: Project name: 3 ujE 94L.C71lSiit- Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 2332 /y, ,,� �r �j p Residential boiler(radiator or 0/244 a ir T4 1.e-R-�r -fi • 1 ck gi:- hydronic) 23.32 (Jnit 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 fireplace/insert 33.39 y Flue vent for water heater or gas .o J4CC.1. . s- ill -I A") Sj}�t 1� J (2 RC Ft CD I� f�Pllaoe 23.32 Log ighter(pis) 23.32 Vr IA 0 CO .v41, enot 504..O 177 A-L. L Wood/pellet stove 33.39 Xi t r2( . 1j2_ 2-05 oc 5ty(,ova (/j'-(,L Wood flreplace/insert 23.32 u' -c _ LSp -t ie4,t, /AG Eown, viola Chimney/liner/flue/vent 23.32 et C C sJ r © PROPERTY OWNER ` 0 Other: Environmental exhaust and ventilation: 23.32 Name: Range hood/other kitchen ,s equipment / 33.39 Address: Clothes dryer exhaust f 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, 3 23.32 toilet compartments,utility rooms) Phone:( ) Fax:( ) Attic/crawispace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: S14.15 for first four;54.03 for each additional Contact name: Furnace.etc. Gas heat pump Address: WaWsuspended/imit heater City/State/ZIP: Water heater Fireplace Phone:( ) Fax::( ) Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) �^ LtUPrc ,_1 ,a t G Other: Business name: -/OrbitA,/I q t-l.- 14 a/_ L-!v MECHANICAL PERMIT FEES* i Address: la 3 l ee Ga{�- ? 4L- 9's i`4-.. Subtotal - t Z- Minimum permit fee(S90.00) City/State/ZIP: tZ�'T LI4N or?__ -t 2 Plan review(25%of permit fee) Phone: 523 41°7- Z.1 j 4 e, Fax:( ) State surcharge(12%ofpermit fee) CCB lie.: LA C:> 6. TOTAL PERMIT FEE �-''' _ _ "� This permit application expires If a permit is not obtained within 180 days after It baa been accepted es complete. Authorized signatti ' Fee methodology set by Tri-County Building Industry Service Board Print name: /oi7+ehcis,rC, f- /kit 4,5D✓ Date: q 12.b 2--K I:\Bailding\PermitAMEC PamilApp 040113.doc 440.4617T(Iti0bCOINVES) CITYrOF TIGARD 4 MECHANICAL PERMIT r / Permit#: MEC2022-00910 COMMUNITY DEVELOPMENT Date Issued: 10/17/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR'97223 5'03.718.2439 Parcel: 2S110AD12400 Jurisdiction: Tigard Site address: 10849 SW ANNAND HILL CT Project: Annand Hill Partition, Lot 3, Primary Subdivision: ANNAND HILL CT PART ION Lot: 3 Project Description: Mechanical for primary dwelling in a new multi-family building:(1)mini split heat pump, (1)range ..od, (1) clothes dryer exhaust,and (3)bathroom exhaust fans. Contractor: T HNIQUE HVAC INC Owner: BLUE PALO E PROPERTIES LLC 103 • SE 38TH AVE 333 S ST• ST STE V452 PORT.•ND, OR 97222 LAKE O' EGO, OR 97034 PHONE: 50 ,07-2448 ONE: FAX: FEES Specifics: Description Date Amount T e of Use: MF Heat Pump 10/17/2022 $61.06 YP Duct Work 10/17/2022 $23.32 Class of Work: NEW Type o onst: VB Occupancy Grp: R-3 Occupant Load: Range Hood/ether Kitchen 10/17/2022 $33.39 Clothes Dry-r Exhaust 10/17/2022 $33.39 Stories: 1 Single D Exhaust(Bathrooms,Toilet, 10/17/2022 $69.96 Project Valuation: $7,000.00 Utility -•oms) Plan r eview 10/17/2022 $55.28 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 8 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: 3 Vent Syste- s: Total $302.93 Hoods: Comm I inerators: -equired Items and Reports(Conditions) Woodstoves: Gas Fi -places: Clothes Dryers: Oth- Mech Units: Gas Outlets: 0 ,er Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued bject to the regulations contained in the Tigard Municipal Code, St- e of OR. Specialty Codes and all other applicable law. All w rk 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 s suspended for more the 180 days. ATTENTION: Oregon law requires you to ollow the rules adopted by the Oregon Utility Notification C ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may •stain a copy of the rules f Issued By: / 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.