Permit ,c0 MECHANICAL PERMIT
t � C IT O F T.I.GARD
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,1":! 1 r s COMMUNITY DEVELOPMENT Permit #: MEC2010 00261
�Wa a Date Issued: 07/06/2010
TitARE): 13125 °SW Hall Blvd., Tigard OR 97223 503.639.4171
cur Parcel: 2S110DC00700
Jurisdiction: Tigard
Site address: 11205 SW SUMMERFIELD DR '
Subdivision: Lot: 0
Project: Summerfield Clubhouse Estates
Project Description: Replacing RTU.
Owner: FEES
TIGARD RETIREMENT RESIDENCE LLC Description Date Amount
600 UNIVERSITY ST STE 2215
SEATTLE, WA 98101 Permit Fee 06/29/2010 $263.41
Plan Review 06/29/2010 $65.85
PHONE: 12% State Surcharge - Mechanical 06/29/2010 $31.61
Contractor:
JET INDUSTRIES INC
PO BOX 7362
SALEM, OR 97303
PHONE: 503 - 363 -2334
FAX: 503 -363 -2622
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: 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 $360.87
Hoods: Comm Incinerators:
Required. Rettig and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other-Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of'OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plats. This permitwill'expire•if work is not started within 180 days of
issuance, or if work is suspended for'more the 180 days. ATTENTION: Oregon law requires you to follow the adopted by the Oregon
Utility Notifica _aentter. Those rules are'set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Yo obtain a copy of the rile'
or dir raiestions to ODNC • , ca l 1 in.503.246.6699 or 1.800.332.2344.
1 suedBy: /. 4 / 1 / �, Permittee Signature: /' (_ . /
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CaII 503.639 :4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN-O8-2010 1 3 : 15 JET INDUSTRIES 43 .4 .. .E.)( ■ " JO ; fe- ) P.002
... .
Mechanical: Per nriit Application 1N.41EVRIPtlai4t4alTiNARNIY0'..40NOlg01114,544
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Tigard ,, . Iff
.11 iissw Fka illvd.. Tigant OR 97223 .1** ' ' 1 . ,., ; p ai ,$/ rjy; , i-ff/IV=1 Permit No.: r ,. _
Plan,Re■fielMvifinktipplil 7 . . c - -
;Ph6nre 503;639.4171 Fax '503.598;1 "' s% c‘ ,Daterity; 114, 41111r3 0 ili rPernut
,
. al ,
.41sPiectiOn Line: 503.6394175 --,„ -
/ A ,,,,, i• 1 . - Ja a See page Vor
4' InternM:: www.tigard Q S) N V
ehti -• ...!: . P ., A Suppkmental Information,
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_ e l'{‘C APAVO- . - L -7 ' • .
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1';',:ti.ly;;;.:1...11,1:IfiCHii!!':!!!bi';16:''.:11Ai,d,,:47.:1,!2,!'ir;t0'01;c1,7311*010q::::MIWN*4:br .S.'::1U;6;:•. :'‘ . Iii,2,':"''' 71*.0! - SittICLisT.."
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0 New construction EI Addon/alteration/170ml it : Mechitnica 7:, .; 't fees* are based ort the Value of the work
.performed. Indicate the value (aminded to the nearest dollar) of all
0 Demolition 0 PtIler: mechanical material -. ui m Labor ov- • -, • and • rofit.
.' ,,'.,.', .. ,.: Value:S S71
iltr
0 1- and 2-family dwelling LEI Commercial/industrial 0 Acce0ory building " " " ' - ' " " - '' - ' ' - • " • ' '''''' ' '
Fr special &motion usc ch " 4 .
0' Multi-family 0 Master builder 0 Oth'er:
Description Qy. 1 a. I Total
r7!11iiiii:2;iliti11111 ,,,Ilaiitt.!PO,101,( ** , . 011 NAT#4 11 ** 0 :* ) 1 ; Z.iii1;1',i , ni!hr1111.4,i,, : :;!!!'ita . lieatin:. Coolin:.
• Air conditioning
- , Job site address: 11205 SW Summerfield Dr
...lbws site • Ian lihovi - .lacomon0 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 46.75
. .
Furnace 100,0004- BTU (duets/vents) 54.91
Suite/bIdgJapt. no.: Project name: Sumrnerfield Clubhouse Est
Heatzump 61.06
Cross street/directions to job site:
Duct work 2332
Hydronic hot water system 23,32 1111
Rmicklatial boiler (radiator or
. . ' • MC) 2332
Unit heaters (fuel not electric), 11111
, 1111
wall in-duct, sus ,-, cm.
- Flue/vent for any of above 23.32
Subdivision: Lot no.:
Cither. ... 23.32
,
Tax map/parcel no.;
-Other fuel a , ;lances
Itilittitlii101111111 .:' ... • .. "c' N'0,tilIN. 11 . T,O0I filIMI/ IIIIIO'jR;41'1!S.;',19!!III;',11iigIrMIIIIIIiir Ill' 23.32
i f,,AY` J ). ,,,,tr(1- Flue ve . , ME 33 111.1.
nt for water heater or gatt
Replace old RTU for new RTU N° ‘-'/- , 6t(I'l fi .lace 2332 In
Ena
-dgMal-e'LlalliMMIIIMil- 1 -0: , .. ' as
Wood/pollet stove
taimminfimi 33.39
-w„ _ datee/insert 11.11
En 23.32 MN
. . , -- -• ••- - - •--- •,... .. . . .
- - Chiratt /liner/flue/vent 23.32
Ilkii,:: ''' j111 '„ '. corgitlk,.., . , ' •{4.., Ill 111104:41112%1111 i'0111 ,ok .
23.32 . •
. .
Name: Suramerfield 'Clubhouse Estates
Environmental exhaust and ventilation
lie
Address;,11205.SV na
.VAnmerdeld Dr _ Range hood/other idten Rel
' .taent
-• m
City/State/ZIP: TigMal OR 97224
33.39 MEI
- - SingleAduct exhaust (bathrooms, MINI
Phone: ( ) Fax: ( ) . toilet corn. ,- i. : .4: mili rooms
litr..-1.4.!!!i:'tjr,:lltlitaIr4044i0,A'r'INik,MIRIelfefiltVIIIINIng' ,i , vt..1,;4111.1u IIMEMlmmumlllnl 23 32
. EMI
Business nantm Jet Industries Inc Other
Fuel piping
Contact name: Chip Ayers
$14.15' for-tirst four $4.03 for oath add1donal
Addrew PO'lii: 7362 •1' _j
Gasleat r.,....,x. 1.111.M.
City/State/ZIP: Salem OR 97303
firaill/sti.s =II
Phone: (503) 363.1334 Fax: : (503) 363.8908 Water heater
F' • .Iace IMMIIII=
&mail: chipas@jetindustries.net
En11
: r 'C'119! :III 1 VIO Barbecue .10 IMIIIMIIIIIIM
Business nainc: Jet Industries Inc Clothes dryer (gas) IIINIII
Other:
AddresS: PO Box 7362
'41111Dliiilfi0041*E". '":"'';,,.:"C4ttrt$IFkl#111,016:1"Ndlii1,71511ibill;h
City/State/ZIP: Salem OR 97303 IIMMEMIIIMIIIIMI=111111111=
'
Phonc:.(503) 363.2334 Fax (503) 363.8908 Minimum permit fee ($90.00)
-
Flan review (25% of permit fee)
CCB lie.: 3944
State surcharge (12% ofpoircit fee)
TOTAL PERMIT FEE
/ 01
TWA permit appneation expires if a Permit Is not obtained within 180
Authorized signature. ' P 4 01 11 :i
ay* after It has been acceptol as complete,
..._ -___ .. d
Print namc: Julie Br #, t Date:-6.07.10 • Fee methodology yet by Tri-Couaty Building Industry Service Board