Permit (9) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2022-01018
Date Issued: 11/30/2022
T f G A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD00100
Jurisdiction: Tigard
Site address: 14660 SW 76TH AVE
Project: Bonita Villa Apartments-Building D Subdivision: DURHAM ACRES Lot: 65
Project Description: Replace electric heaters,exhaust fans,wall and roof caps,and heater flues and ducting.
Contractor: JET INDUSTRIES INC Owner: HOUSING AUTHORITY OF WASHINGTON COUN
1935 SILVERTON RD NE 111 NE LINCOLN ST #200-L
SALEM, OR 97303 HILLSBORO, OR 97124
PHONE: 503-798-4445 PHONE:
FAX: 503-363-2622
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/30/2022 $1,722.27
Class of Work: ALT Type of Const: VB Plan Review 11/30/2022 $430.57
Occupancy Grp: R-2 Occupancy Load: 12`)/0State Surcharge-Mechanical 11/30/2022 $206.67
Stories: 2 Info Process/Archiving-Lg$2.00(over 11/30/2022 $40.00
Project Valuation: $64,400.00 11x17)
Info Process/Archiving-Sm$0.50(up to 11/30/2022 $9.00
11x17)
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: 12 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 6 Vent Systems: Total $2,408.51
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in 0 -001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: 4 r L v 7
Call 503.639.4175 by 7:00or the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard ReceivedBy PermitNo.: �—
Iii • 13125 SW Hall Blvd.,Tigard,OR 97223 EG E IV E CateBy. t D r2`� aM L` �'� 0��
® Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
ate/By: f 7 ,,L
T1GAR1) Inspection Line: 503.639.4175 Date Ready/By: Jur s:
Internet: www.ti ard-or. ov y y' y See Page 2 for
g g OCT 17 2022 Notified/Method 1 all>2.- Supplemental Information
,.01 t t(' 1fl).
�`- - , 1 s * SCHEDULE - USE CHECKLIST
�P'OP;WO, 5•; ' ...,,,•
�
i TIDING D V1 TO Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
.,
Value:$ 64,400.00
' CATEGORY OP CO , t , , '
. '.. ,,, lTSIH I IPI I/SYSTEAS FEES*
❑ 1-and 2-family dwelling [XI Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
k �` Heating/cooling:
,,•, .: ,,, ATION AND LOCATION
Air conditioning 46.75
Job site address: 14660 SW 76th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Portland, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: BLDG D I Project name: Bonita Villa Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
SW Bonita Rd 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�,....,.
OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replacing electric heaters, exhaust fans, wall and roof caps, and fireplace 23.32
water flues and ducting Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
• d% - ` I .'. OWNEB E ° f ,_., ,'' • Environmental exhaust and ventilation:
Name: Housing Authority of Washington County Range hood/other kitchen
equipment 33.39
Address: 111 NE Lincoln Street, Suite 200-L 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
1:1 APPLICANT "'4 '',1 ►;t ONI"ACi PEA '= Other: 23.32
Fuel piping:
Business name: Jet Industries, Inc.
$14.15 for first four;$4.03 for each additional
Contact name: Stephanie Gilbert Furnace,etc.
Gas heat pum
Address: 1935 Silverton Rd NE
Wall/suspended/unit heater
City/State/ZIP: Salem, OR 97301 Water heater
Phone:(503) 798-4445 Fax::( ) Fireplace
Range
E-mail: Stephanie.g@jetindustries.net Barbecue
y7 t Clothes dryer(gas)
Other:
Business name: Jet Industries, Inc. i : -$ PERKS*
Address: 1935 Silverton Rd NE Subtotal
City/State/ZIP: Salem, OR 97301 Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
(503) 798 4445 Fax:( )
State surcharge(12%of permit fee) i
CCB lie.: 3944 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
_ days after it has been accepted as complete.
"LiAuthorized signature: " Fee methodology set by Tri-County Building Industry Service Board
Print name: Stephanie Gilb rt Date: 10/14/22
I:\Building\Permts\ME.C_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)