Permit j, CITY OF TIGARD MECHANICAL PERMIT
°'! s COMMUNITY DEVELOPMENT Permit#: MEC2022-00810
Date Issued: 10/12/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CA00902
Jurisdiction: Tigard
Site address: 11355 SW GREENBURG RD C
Project: Quail Court Apartments Subdivision: None Lot: None
Project Description: New mini split heat pumps:(1)in unit C and(1)in unit D.
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: 1 Info Process/Archiving-Sm$0.50(up to 10/11/2022 $2.00
11x17)
Project Valuation: $4,000.00
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 $243.82
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: � y Permittee Signature:
ice
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. JJ��
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.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard p �o }+� Received
f U LoLG Date/By: 1 ,,r; ') s ' PermitNo.: A-' P
lig • 13125 SW Hall Blvd.,Tigard,OR 97223 �<r.
�, Plan Review rn Phone: 503.718.2439 Fax: 503.598.1960 DateB f
Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD^ y $-01�.
g g BUILDING DIVISILd1`date ReadyBy: lads: See Page 2 for
Internet: www.ti azd-or. ov Notified/Method: r Q Supplemental Information
l
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N�L" �, j b � � a �j'`i 2-`,.'"z�5 ' lr' R t» s F � r� k.-'z i s;� � � .i� a '9
, sa � drr",•.. s:sd �.F-uu:'';:1". 1-; ' ,1..« .._,�,...'''' s— a2 ''M _..�'Mechanical
r ems' based
on ^* >. ..:tr.. ,�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 0 Other: mechanical materials,equipment, and profit.
labor,overhead,
Value $ 14 000
'`;'. ::;-'0 .i.?;- ,L,I. J:. ° 1 . , .. t ,,
.av`-'.'°�` �.�.'�k»ed6a .,aw.�uC..t;�'6.F..n. v, >t a i
0 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
ia.Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total
� � m �� I �� Heating/cooling:
wt�' , ..: ,#`1 ', 1x 3 a 3 ', i; * t a a 1 ' ,,,x 1
�. ,,.,. . .�, _ ?,� ,. . .-� ,a,., -..a; Air conditioning 46.75
Job site ad,dress:w3C,5 Su) C�rC nbuC- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ' 4 a 00, Q12 24 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:CA._0 Project name: `1 .` • _r Duct work 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
l �� . 9 i t ,;fr at� 1,+, �' ,' a Gas fireplace/insert 33.39
`^ Flue vent for water heater or gas
`\S i_` C(A _ I V M% 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 a a. �t- '' ` : , 1 I M , Other: 23.32
� � �°' " Environmental exhaust and ventilation:
Name: . • . Gi. A. • ( Range hood/other kitchen
equipment 33.39
Address: %153 1__ -,A . r A ad • E Clothes dryer exhaust 33.39
City/State/ZIP: 2 Single-duct exhaust(bathrooms,
0 a, Z� toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
' Nn � � .• �7 • r9 f Other 23.32
ti:FFuel piping:
Business name: •• • • .i � w ..z- l $14.15 for first four;$4.03 for each additional
Contact name: * t` l Furnace,etc.
Gas heat pump
Address: t 4 ;a , it
%04
Wall/suspended/unit heater
City/State/LIP:C 4 S 0 P Q`7 0(S Water heater
Phone:50 ) z.b. `Ssti/ Fax: :( ) Fireplace
Range
E-mail:aM&nA Eh) rO cx"c(SOnS.COM Barbecue
A,zxc ,a, :,r .�,f, ,il i-,-..,..% ",.-.,.,.`°a` - �ra ms-,,,.;-, Clothes dryer(gas)
Business name: I • 4.0.
.► S \A ,0. Other:• Other:
Address: 15;OO SC 7 i A , to Subtotal
City/State/ZIP:G(, ` _ S r I a'7 0 15 Minimum permit fee($90.00)
v.
Plan review(25%of permit fee)
Phone:60')Z?>'3,CJ e, ' Fax:( ) State surcharge(12%of permit fee)
CCB lic.: % i Ca 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-County Building Industry Service Board
Print name: ��� dtT.We.►/ Date:0`I to'su
I:\Building\Permits\MEC_PermitApp_040113.doc 440-46ITT(11/02/COM/WEB)