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Permit (17) CITY OF TIGARD MECHANICAL PERMIT z COMMUNITY DEVELOPMENT Permit#: MEC2022-00938 Date Issued: 10/6/2022 T 1G7y}x.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110A600400 Jurisdiction: Tigard Site address: 14402 SW 112TH AVE Project: The Ridge Apartments Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: Replacing 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 10/06/2022 $520.43 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/06/2022 $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 $582.88 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: 974, _ Permittee Signature: can epIIC GI.4-101 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. DocuSign Envelope ID:E8874753-ACE7-470E-B6C3-45C69C2C89F0 Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received g Date/By: Permit No.:ME�%:►^ ��Q p, II a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review CJ 1J ® Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T IG A RD Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OP WORK COMMERCIAL FEE* SCHEDULE — ESE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 19,191.00 CATEGORY,OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. • ®Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB Sill; INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: ly 4oIZ Si 112th Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BUJ(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: BLDG k Project name: The Ridge Apartments Ductwork 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or SW Gaarde St 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 DESCRIPTION OF WORK' Gas fireplace/insert 33.39 Flue vent for water heater or gas Apts- 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 Og Other: 23.32 PRC�PI ItTY OTVER © TENA1lT Environmental exhaust and ventilation: Name: Housing Authority of Washington Cty Range hood/other kitchen equipment 33.39 Address: 111 NE Lincoln St, Suite 200E 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 ( I APPLICANT l CONTACT PERSON 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 Wall/suspended/unit heater City/State/ZIP: Salem, OR 97301 Water heater Phone:(503) 798-4445 Fax::( ) Fireplace Range E-mail: Stephanie.g@jetindustries.net Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: Jet Industries, Inc. MECRANICAL PERMIT FEES* Address: 1935 Silverton Rd NE 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%of permit fee) CCB lie.: 3944 TOTAL PERMIT FEE r—nocusipned by. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. c Authorized signature: J 1 t-• tli • Fee methodology set by Tri-County Building Industry Service Board L---BB c BDD2094B9... Print name: Stephanie (ill(bert Date: 9/14/2022 i:\Building\Permits\MEC_PemutApp_040113.doc 440-4617T(1 t/02/COM/WEB)