Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00815
Date Issued: 10/12/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CA00902
Jurisdiction: Tigard
Site address: 11353 SW GREENBURG RD C
Project: Quail Court Apartments Subdivision: None Lot: None
Project Description: New mini split heat pumps:(1)in unit C, (1)in unit D,and (1)in office building E.
Contractor: ROBBEN& SONS HEATING INC Owner: QUAIL COURT APARTMENTS LLC
2214 SE 8TH AVE 3570 SW RIVER PKWY#2307
PORTLAND, OR 97214 PORTLAND, OR 97239
PHONE: 503-233-5841 PHONE:
FAX: 503-238-8849
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 10/11/2022 $176.51
Class of Work: ALT Type of Const: VB Plan Review 10/11/2022 $44.13
Occupancy Grp: R-3 Occupancy Load: 12%State Surcharge-Mechanical 10/11/2022 $21.18
Stories: Info Process/Archiving-Sm$0.50(up to 10/11/2022 $2.00
11x17)
Project Valuation: $4,000.00 Investigation Fee 10/11/2022 $90.00
Investigation 12%State Surcharge 10/11/2022 $10.80
Fuel Air Handlers
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 $344.62
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
r, t
Issued By: Permittee Signature: y '
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the joh site at the time of each Inspection.
Mechanical Permit Application FOR OFFICE USE ONLY'
C. of Tigard - Received „
t `J ¢ii...tl ty� Permit No.: '+,•y�^' ,�/''
13125 SW Hall Blvd.,Tigard,ORM7223 4 9 L.
�I V Y )/ "' J /" �T 1� ��
to-. Rview
Phone: 503.718.2439 Fax: 503.598.1960 Date/Bey: C],.S ,-_)2 ---17 Other Permit:
T I G A R D Inspection Line: 503.639.4175 S E P 6 1' - Date Ready/By: km: ® See Page Z For
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGA_R_ AA IA
F ,,,_,,!,'_1..!. .Y ...� t3
.86. r li S. }E � g rva aliir». .$ 1 l: IJI., ..sw.:h 9-�G:.l di,!" 41;dA4 +'' f)1J ,� ° 9t3s1+
.�, ._:. '. "' ��-; „ t , ram- `� r� , ,
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
§=l mIl.,, .l.` Ir .'+.`_ i. ,, ,. ..: Value:$ 14 POO
❑ 1-and 2-familydwelling kli
❑Commerciallindustrial ❑Accessory building For special information use checklist
Multi-family ❑Master builder ❑Other: Description Qty. I Ea I Total
� d !-.. x, -P It m-sE a" u t = Air c nditt oling:
.. ..<.. °. 22 - -, - .� , s ,. ems. Air conditioning 46.75
Job site address: kv5s3 SW C'NC«.' ur' Re\ Furnace 100,000 BTU(ducts/vents) 46.75
City/State&ZlP: i 1 n�rck o 0. R-12 Z4 Furnace 100,000+BTU(ducts/vents) 54.91
1 Heat pump 61.06
Suite/bldg./apt.no.:La f)i E Project name: e 1 „ r Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
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
Subdivision: Lot no.:
Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'Pt, dica sti °%91 a "'
Gus fireplacelmsert 33.39
`" v T{�'<.�3' µ, ss �arw�«m .. n r+ , `�ha �_: a �r. •_
Flue vent for water heater or gas
Zlns N.‘ her - 9l3fv. t fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
r , �� �-� Other. 23.32
,
i ill y
`� Environmental exhaust and ventilation:
Name: Qum;, Gk A--a`l. _._�C_n IEJ Range hood/other kitchen
�� equipment 33.39
Address: 1 1553 Sw C,ree tl burg iZc1 .- 6 Clothes dryer exhaust 33.39
City/State/ZU': 1 I qe�d 02 G 7 ZZ(` Single-duct r hn rst(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax: ( ) Attic/crawispace fans 23.32
„-:;4a '".m,-sue . ,:i a a ,�4, 41,7 i� �r" 1,,, cre. ... Other: 23.32
Fuel piping:
Business name: 9,oblloatn sons �,,,�[D�.�r� . Z n C
_� - J $14.15 for first four;$4.03 for each additional
Contact name: priAnan Furnace,etc.
, Gras heat pump
Address: W2BCv SE 9 tat tr. At. . 1 O'1r wawsuspendedhmit neater
City/State/ZIP:Cke.CY,Dake .► Ca, q 7 015 Water heater
Phone:Fjc ) _b ,S ( Fax::( ) Fireplace
Range
E-mail:annan 6) rOblse."04. Y44 SC1AS.COM Barbecue
; ` - £- ', ' 4 " t ',.` f Clothes dryer(gas)
Business name: O _en Jr SAS µ.ea atoi e Other.
Address: 15000 S(, P I A226 10q �» Subtotal
City/State/ZIP:CI 3 ol� q70 i 5 Minimum permit fee($90.00)
Phone:S0 Z. 9B, C1 ( ) Plan review(25%of permit fee)
�!) 3 5 v�{l Fes' State surcharge(12%of permit fee)
CCB lie.: y842,4 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-CCounty hBuildin Industry
stry Service Board
Print name: NAG6,14„6„ 6G,3(Le,r Date:Q -ILO's Z.L
I:lnuilding\PerrndsnMEC PermitApp_040 113.dac 44O-4 1 T(I 1/02/COM/w®)