Permit (16) IN
CITY OF TIGARD MECHANICAL PERMIT
2. ' COMMUNITY DEVELOPMENT Permit#: MEC2022-00937
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/6/2022
Parcel: 2S110AB00400
Jurisdiction: Tigard
Site address: 14400 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 $582.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: 9
Permittee Signature: 63V. aPp 1 ku}inn
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
DocuSign Envelope ID:E8874753-ACE7-470E-B6C3-45C69C2C89F0
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
111111
Date/By: Permit No.:�' �`�../C/\8 .
® 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review lJ {`
�' Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By:
Ti GARD Inspection Line: 503.639.4175 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
62 1 11.0 EE* SailtpULE — USE IEOKLISST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
�` y +wONi.ICIo1,1. Value:$ 16,708.00
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
®Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
•''O TI $ 'L AT N Heating/cooling:
,
a rt, Air conditioning 46.75
Job site address: 14400 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 K Project name: The Ridge Apartments Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
S W G a a rd a 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
,0 I) 'l�WTIOt Gas fireplace/insert 33.39
'y 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
Other: 23.32
:/%,' E II 0 -'MAW
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
I y c tit ACT 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
City/State/ZIP: Salem, OR 97301 Wall/suspended/uniterheater
Water heater
Phone:(503) 798-4445 Fax::( ) Fireplace
Range
E-mail: Stephanie.g@jetindustries.net Barbecue
; CONTRACTOR Clothes dryer(gas)
Business name: Jet Industries, Inc. Other
Address: 1935 Silverton Rd NE Subtotal
City/State/ZIP: Salem, OR 97301 Minimum permit fee($90.00)
Phone:(503) 798-4445 ( ) Plan review(25%of permit fee)
Fax: State surcharge(12%of permit fee)
CCB lic.: 3944 TOTAL PERMIT FEE
Dnco.Sipmad by' This permit application expires if a permit is not obtained within 180
( l � /C7(U'(1 days after it has been accepted as complete.
J
Authorized signature: 1 * Fee methodology set by Tri-County Building Industry Service Board
Print name: Stephanie i ertiu9499 Date: 9/14/2022
1:\Building\Permits 3MEC_PemiltApp_040t 13.doc 440-4617T(11/02/COM/WEB)