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Permit
1114 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Pe COMMUNITY MEC2022-00905 Date Issued: 10/17/2022 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110AD12200 Jurisdiction: Tigard Site address: 10895 SW ANNAND HILL CT Project: Annand Hill Partition, Lot 1,(1 of 2)ADUs Subdivision: ANNAND HILL CT PARTITION Lot: 1 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 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: $7,000.00 Single Duct Exhaust(Bathrooms,Toilet, 10/17/2022 $69.96 Utility Rooms) 12%State Surcharge-Mechanical 10/17/2022 $26.53 Fuel Air Handlers Plan Review 10/17/2022 $55.28 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: `--(..--' / 91 Permittee Signature: lam'6. + sSI 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 FOR OFFICE L'E°NI.1 gg , City of Tigard ECEI /--• f0 d 2022�ry� !� II y I '0� 111 • 13l25 S W Hall Blvd.,Tigard,OR 9 plan Revie g Phone: 503.718.2439 Fax: 503.598.1960 SEP 2 9 Z02Z Date/By: a mi Other Remit:,. , ._P 6' 7 T i i;; o Inspection Lisle: 503.639.4175 pare Ready/By: runs: n See Page 2 for Internet: www.tigard-or.gov CiN OF T CiktiLi Notified/Method: t'J lro/i l ':' Supplemental information WILDING DIVISION 0 L,rt,L 4 TYPE OF WOnn. iri.avtive.04 COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees are based on the value of the work ,ENew construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit ID Demolition ❑Other: Value:S '700 0 aro CATEGORY OF CONSTRUCTION RESIDENTLAL EQUIPMENT/SYSTEMS FEES* ["I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use %4ulti-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB.prI SITE INFORMATION AND LOCATION Heating/cooling: (- I- 1Air conditioning 46.75 Job site address: 4()a 95 AWN I'i"30 )44 Lt— ?")R L��=-- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1')7...7.-L4 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 1 61.06 Suite/bldg./apt.no.: Project name: 31(.a . (lAtirvuSA.—. Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 r-02 ee_rz`( � �� hydronic)R boiler(radiator or opo-T23.32 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 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gasfireplacefmsert 33.39 .may- Flue vent for water heater or gas t.IL)5%J� fk7 ,IV) Se 4.1 J e I .Q5 l fireplacefg liP 23.32 (gas) 23.32 ,/O/ a C-,A e 't.V 7-H- fit- L Wood/pellet stove 33.39 V'L i T 911)4 r-e2 Iry ail 13v '5toin t1't (/*(,t Wood fireplace/insert 23.32 url, jl,Sr -— '�eaN 5 a Co oo,lri Wfta Chimney/liner/flue/vent 23.32 23 32 Other: 0 PROPERTY OWNER ` ❑' T Environmental exhaust and ventilation: Name: Range hood/other kitchen {1 33.39 equipment Address: Clothes dryer exhaust f 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, 3 23.32 toilet compartments,utility rooms) Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other 23.32 Fuel piping: Business name: S14.15 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:( ) f Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) /c —r Other. Business name:—1 f..f /(,�u — H J A.C ..-/v C- MECHANICAL PERMIT FEES* d Address: to'''‘%4, S( —4.1,91/24t I"�if Subtotal t �#Z Minimum permit fee($90.00) City/StatefZIP: c41 2"'S^ L!4 N ©(2— CI i Z`' Plan review(25%of permit fee) Phone (` T� sin-r- - -it4,e, Fax:( ) State ell%of permit fee) CCB lic.: TOTAL PERMIT FEE ��(, �p-CA1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signs 1 • Fee methodology set by Tri•County Building ludasny Service Board Print name: yll te. fiszrC, f't- Alt lt,.5a✓ 1( Date: (4la6(27' NBnildiaglreamns\MEC_PemitApp 040113.doe 440.4617r(I 1/02/COM/WEB)