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Permit (116) • CITY OF TIGARD MECHANICAL PERMIT 1111 .. COMMUNITY DEVELOPMENT Permit #: MEC2011 -00567 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/16/2011 Parcel: 1 S135BD00100 Jurisdiction: Tigard Site address: 9600 SW OAK ST 500 Project: Spec Space Subdivision: ASHBROOK FARM Lot: PTS 5 & Project Description: Remove and replace (2) rooftop units Contractor: HEINZ MECHANICAL SERVICE Owner: SUN LIFE ASSURANCE CO OF CANADA 2615 NW ST HELENS RD BY NORRIS BEGGS & SIMPSON PORTLAND, OR 97210 121 SW MORRISON ST #200 PORTLAND, OR 97204 PHONE: 503 - 220 -0855 PHONE: FAX: 503 - 220 -0260 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/16/2011 $921.75 Class of Work: ALT Type of Const: VB Plan Review 12/16/2011 $230.44 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 12/16/2011 $110.61 Stories: 5 Info Process /Archiving - Sm $0.50 (up to 12/16/2011 $16.00 11x17) Project Valuation: $32,571.00 Fuel Air Handlers Fuel Types: Natural Gas 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: Uhit Heaters: 30 -50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $1,278.80 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 Notifi - '.n -= ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -S.90. You may obtain a copy of the rules or direct • estions to 0 C by,gallinq 503.23287 or 1.800.332.2344. ) Issue. By: :� Permittee Signatur: . F - 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. 'DEC ?evil:AN cm ( 9 241 1 (/...._ Mec hanicA ( in • • + I ion OFFICE USE ONLY Ci ty of B e a vertc,a t 76 v� t i / Date Receivetl: r Permit No . PO Box 4755, ' Fax (503) 526 -2550 %0976 `. / �� `�� Phone: (503) 5 403; Date Issue.: l +�MM� � By. / t o - � G �� y/ In ernet address: www.BeavertonOregon.gov ��a�i� / `/",_ Payment Type: TYPE OF WORK G(154e,- M AL FEE SCHEDULE — USE CHECKLIST ❑ New construction ® Addition /alteration /replacement Mechanical permit fees are based on the value of the work performed. Indicate the ❑ Demolition ❑ Other, Specify: value (rounded to the nearest dollar) of all mechanical materials, equipment, labor, overhead, and profit. *Use Table on Page 2 for value. CATEGORY OF CONSTRUCTION * Value: $ 32,571.00 ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES ❑ Multi - family ❑ Master builder ❑ Other, Specify' For special information use checklist. JOB SITE INFORMATION AND LOCATION Descnphon Qty. Ea. Total Job site address: 9600 SW OAK ST Heating /cooling "For Furnace, Select One Furnace, Intl ductwork, vent, and liner City/State/ZIP' TIGARD, OR 97224 Air condijioner I 44.10 Suite /bldg. /apt. no . '5c 0 ( \ Project name PLAZA WEST Heat pump i 57.60 / Duct work, alterations and additions 22 00 Cross street /directions to job site' 6PE( 6N4-C E_ Hydronic piping system 22 00 Boiler, incl. vent ** Select One Gas heaters /unit in -wall, in -duct, suspended, etc. not incl. vent. 44 10 Other. 1 \s‘ Other appliances d Subdivision: Lot no Water heater 22.00 Tax map /parcel no.. Gas fireplace /insert/stove 31 50 Gas log/log lighter 22.00 DESCRIPTION OF WORK Pool or spa heater, kiln* 22.00 PUSH /PULL (2) CARRIER GAS PACK UNITS Wood /pellet stove /inset 31.50 Wood fireplace 31.50 Chimney /liner /flue /vent w/o appliance 31.50 ® PROPERTY OWNER ❑ TENANT Oil tanks /gas /diesel generators 22.00 Name: PLAZA WEST, LLC Other. 22.00 Environmental exhaust and ventilation Address: 9600 SW OAK ST Range hood /other kitchen equipment 31 City /State /ZIP. TIGARD, OR 97224 Clothes dryer exhaust 31.50 Single -duct exhaust (bathrooms, toilet Phone. Fax' compartments, utility rooms) 22.00 APPLICANT Attic /crawlspace fans 22.00 \ Whole house ventilation or Radon 22 00 Business name. HEINZ MECHANICAL SERVICE mitigation Other. 22.00 Contact name: DEANI BAUCK Fuel p r m g i $13 Address. 2615 NW ST HELENS RD .35 for first four, $3.80 for each additional Furnace # /outlets City /State /ZIP: PORTLAND, OR 97210 Wall /suspended /unit heater # /outlets Phone: (503) 220 -0855 Fax: (503) 220 -0260 Water heater # /outlets E -mail deanib @heinz- service corn Fireplace /log lighter /gas log # /outlets Range # /outlets CONTRACTOR Barbecue # /outlets Business name. HEINZ MECHANICAL SERVICE Clothes dryer # /outlets Other # /outlets Address' 2615 NW ST HELENS RD CALCULATE MECHANICAL PERMIT FEEStMIT FEES City /State /ZIP. PORTLAND, OR 97210 Subtotal 870.55 Phone' (503) 220 -0855 Fax: (503) 220 -0260 Minimum permit fee © Check for Plan Review (25% of permit fee) 217.64 E -mail: deanib @heinz- service corn State surcharge (12% of permit fee) 104.47 CCB lie.' 19 tO1 City or metro lic.: 725279 TOTAL PERMIT FEE 1,192.65 Author E This permit application expires if a permit is not obtained within 180 days signature. — after it has been accepted as complete. _ 1 - Site plan required for an outdoor unit. Print name I AN I BAUCK Date: 2 - Requires approval from Building Codes Division. rev 06/11 P'LAZA.'If1uEST SriIiI SW Oak St. Tigard OR! 17223 Roof coess VII t J rg R C o Equipment • Hof!" '•17 C C) v� P zo T o ®