Permit '` .
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00904
Date Issued: 10/17/2022
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD12200
Jurisdiction: Tigard
Site address: 10893 SW ANNAND HILL CT
Project: Armand Hill Partition, Lot 1, Primary Subdivision: ANNAND HILL CT PARTITION Lot: 1
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: COM 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)
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 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: 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: egT�I" �--� / Permittee Signature: t�l
a4-e-
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 Applicant'1 FOR OFFHUE t� I. f)'�i.v
City of Tigard I BR.wsy/O G+3 207Z ' Permit No.14/5Z2D22-01O q0-3
111 f • 13125 SW Hall Blvd.,Tigard OR 97223 SEP 2 9 2022 Plan Review Other Permit.
Phone: 503.718.2439 Fax: 503.598.1960 DaltBr J 0-)1-' a —JP Other r/t 0o 3v w
c n Inspection Line: 503.639.4175 CITY OF TIGAFiI� Daaxeadyray '' See P>+sezfor
Internet: www tigard-or got, Notified/Method: Supplemental Information
BUILDING DIVISION �� ��ry
TYPE OF WORK ,0 ' COMMERCIAL FEE'SCHEDULE— USE CHECKLIST
Mechanical permit fees*are 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 700 0 "
CATEGORY OF CONSTRUCTION RESIDES'TLAL EQUIPMENT I SYSTEMS FEES*
[.] 1-r
and 2-family dwelling 0 Ctmnmerciallindustria] 0 Accessory building For special;gJormmioa use checklist.
Multi-family ❑Master builder 0 Other. Description Qty. Ea. Total
Heating/cooling:
L.—V [' ` JOB SITE INFORMATION AND LOCATION Air conditioning 46.75
Job site address: 102,CA 3 A A' 0 HILL ?n LVi__� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:
11-7--L 1 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump ; 61.06
SuitelbldgJapt.no.: Project name: 31tia :41.-C,V 5/e- - Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
,p Residential boiler(radiator or
J2 l�t:
rrr 1 .+aa..-R�� 4 p, �x— hydronic) 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 fueplaceltnsert 33.39
..y� Flue vent for water beater or gas
4U 5%4CC ,J17) SP 4-J ) e 1r I F-C:0/C,� fireplace 23.32
i - c_ Log lighter(gas) 23.32
VE, &p£ �L �'/ L u 0"n'f' G Wood/pellet stove 33.39
V lg 7,).1 17 ft.N.1 C-flt 2--(c Or 5 ft u u f/*(.�L. Wood fireplace/insert 23.32
VE-l�T.- ISN'T-Ft :RN 5 AG67,p' $v►vv—ii INAa Chimney/liner/flue/vent _ , 23.32
Other: 23.32
0 PROPERTY OWNER ` 0 T "T Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment t 33.39
Address: Clothes dryer exhaust 1 33.39
City/State/ZIP: Single-duct exhaust(bathrooms, ' 23.32
ty toilet compartments,utility rooms)
Phone:( ) Fax:( ) Attic/crawispace fans 23.32
0 APPLICANT 0 CONTACT PERSON
Other 23.32
Fuel piping:
Business name: 514.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address: WalUsuspended/uait heater
City/State/ZIP: Water heater _
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other: G
Business name: -�0t�c(„//lc?�u b f ur G �Ia v MECHANICAL PERMIT FEES' 1 i r
egi
Address: (,03 t 4, Ca{. Z ,4L ,4✓(-. Subtotal
Minimum permit fee(S90.00)
City/State/ZIP: cAto 2^k-- Lyc}to _ Cr)(r_ (a1 Z Plan review(25%of permit fee)
Fax:( ) State surcharge(12%of permit fee)
���(' 3 ��/T-A����� TOTAL PERMIT FEE
CCB lic.: '�L.1�C.7 iD—1 Z This permit application expires if a permit is trot obtained within too
days after It has been accepted as complete.
• Fee methodology set by Tri-County Building Industry Service Board
Authorized signs 1
Printname: tllle.*esar!Z, # N4'Ir5O Date:q 12t)(2-
L\Buadbg\Pennas\MEC_Pe:mfApp 040113.doc 440.461Tf(11/0I/COM/WEB)