Permit (2) 14 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022 00859
Date Issued: 9/14/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AB00400
Jurisdiction: Tigard
Site address: 14110 SW 112TH AVE
Project: The Ridge Apartments, Building B Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: Building B: Replacing all exhaust fans and ducting.
Contractor: JET INDUSTRIES INC Owner: HOUSING AUTHORITY OF WASHINGTON COUN
1935 SILVERTON RD NE ATTN: HENRY ALVAREZ
SALEM, OR 97303 111 NE LINCOLN STE#200L
HILLSBORO, OR 97124
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 09/14/2022 $520.43
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/14/2022 $62.45
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $16,708.00
Fuel Air Handlers
Fuel Types: 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:
Appliances
Vent Fans: Vent Systems: Total $582.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m obtain a c y of the rules
Issued By: ✓ z� Permittee Signature:
Call 503.6�175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the projec .
Approved plans are required on the job site at the time of each inspection.
DocuSign Envelope ID:E8874753-ACE7-470E-B6C3-45C69C2C89F0 / r
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received PermitNo.: 1�
Date/By: �&athl ry
'
• 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
®` Phone: 503.718.2439 Fax: 503.598.1 0 Other Permit:
DateBy:
T I G A R C) Inspection Line: 503.639.4175 Date Ready/By: Jur s: ® See Page 2 for
Internet: www.tigard-or.gov SEP 1 4 2022 Notified/Method: Supplemental Information
� �� CQlfIiLIAL •` CKLIST
,...�, ' � _spy _ , ,,,`'tid ��, ��. € ��_'.',, �� - �
Mechanical permitfees*are based on the value of the work
El New construction ®Addition/alter �4DiVISION performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other:
i> Value:$ 16,708 00
/ ' ''' ' I
El 1-and 2-family �'' .•_..� �. E�1�T13* �5�
dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
LJ Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
„ ',\ . f ,i a m„ INFORMATI AI LOCATION
r' Heating/cooling:
Air conditioning 46.75
Job site address: 14110 SW 112th Ave Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: BLDG B Project name: The Ridge Apartments Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
SW G a a rde St 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
' WORK Gas fireplace/insert 33.39 DESCRJPTK c OF
''" Flue vent for water heater or gas
Replacing like for like fans and ducting fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
p RTY { TENANT Other: 23.32
l ' Q Environmental exhaust and ventilation:
Name: Housing Authority of Washington Cty Range hood/other kitchen
Address: 111 NE Lincoln St, Suite 200E equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Hillsboro, OR 97124 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
IC ft*,.1 CI cl! Other: 23.32
Fuel piping:
Business name: Jet Industries, Inc.
$14.15 for first four;$4.03 for each additional
Contact name: Stephanie Gilbert Furnace,etc.
Address: 1935 Silverton Rd NE Gas heat pump
City/State/DP: Salem, OR 97301 Wall/suspended/unitheater
Water heater
Phone:(503) 798-4445 Fax::( ) Fireplace
Range
E-mail: Stephanie.g@jetindustries.net Barbecue
Clothes dryer(gas)
Business name: Stephanie Gilbert Other:
Address: 1935 Silverton Rd NE RANteALt al Subtotal
City/State/ZIP: Salem, OR 97301 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 503) 798-4445 Fax:( ) State surcharge(12%ofpermit fee)
CCB lie.: 3944 TOTAL PERMIT FEE
r —Onc'S grad by This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: J L l(li * Fee methodology set by Tri-County Building Industry Service Board
Print name: Stephanie GIPbe�ZO9agy... Date: 9/14/2022
I:\Building\Permits\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB)