Permit (5) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00924
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/6/2022
T f C�A '� g Parcel: 2S110AB00400
Jurisdiction: Tigard
Site address: 14312 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 $582.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: j/ Permittee Signature: `-e— ,;
CsAtittil
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
DocuSign Envelope ID:E8874753-ACE7-470E-B6C3-45C69C2C89F0
Mechanical Permit Application FOR OFFICE USE ONLY
Received ��
City of Tigard PemritNo.: C� (w(\
74 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
6 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
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 E Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: i14 a SVU 112th Ave AirFurnaceconditioning0, 00 46.75
3 Z 1 OQ000 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 '% 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
Other: 23.32
MIFROPIRTY"QVI'11RR 1 Ei\tAPIT Environmental exhaust and ventilation:
Name: Housing Authority of Washington Cty Range hood/other kitchen
equipment 33.39
Address: 111 NE Lincoln St, Suite 200L 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
APPLICANT CS 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 beat pump
Wall/suspended/unit heater
city/state/ZIP: Salem, OR 97301 Water heater
Phone:(503) 798-4445 Fax::( ) Fireplace
E-mail: Stephanie.g@jetindustries.net Range
Barbecue
CONTRACT CONTRACTOTt Clothes dryer(gas)
Other:
Business name: Jet Industries, Inc. MECILWICALPERMITFEES*
Address: 1935 Silverton Rd NE Subtotal
City/State/ZIP: Salem, OR 97301 Minimum pennit 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
F —nocusigoed by This permit application expires if a permit is not obtained within 180
SiJ_ � days after it has been accepted as complete.
Authorized signature: i�,i/UAln-1 * Fee methodology set by Tri-County Building Industry Service Board
`-8B1.0cqBDD209489...
Print name: Stephanie Gilbert Date: 9/14/2022
I:\Building\Pemvts\MEC_PermitApp_040113.doc 440-461TT(11/02/COM/WEB)