Permit CITY OF TIGARD MECHANICAL PERMIT
l: - COMMUNITY DEVELOPMENT Permit #: MEC2010 -00509
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/14/2010
TIGARD Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: Lot: 0
Project Description: Add (3) energy recovery accessories to existing RTU units #4, 11 and 14.
Contractor: AMERICAN HEATING INC Owner: DAYTON HUDSON CORPORATION
1339 SE GIDEON ST BY TARGET CORP T -0345
PORTLAND, OR 97202 PROPERTY TAX DEPT/TPN -0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 503 - 239 -4600
PHONE: 612 - 761 -1588
FAX: 503 - 239 -7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/14/2010 $299.94
Class of Work: ALT Type of Const: IIg Plan Review 12/14/2010 $74.99
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 12/14/2010 $35.99
Stories: 1
Project Valuation: $8,300.00
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 $410.92
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: energy
Duct Work: recovery
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1 :10.33 ' 4.
Issued By/ r Perm ittee Signature: / % G)G � � Cin C eSer
Ca 139.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application '"-- - - ' ' . ' FoitoFvicE usF,oNis - -:
- . Rec:eived ..,,,, ..,„ ,. ,
13125 SW Hall Blvd., Tigard, OR 97223
. 71 City of Tigard OCT 2 02010 Date/By: if ei -.6 ft , iii &odi PermitNoff Cerg0/0 --- 60.5oq
-
: g Plan Review ,3, , 1
'' Phone: 503.639.4171 Fax 503.598 3960
• . . ' • .. crry OF TIGARD Date/By: . 1 1 . ( Other Perin4 /0
Inspection Line: 503.639.4175
TlfiARDI i Date Ready/By: Juris: Fd See Page 2 for
' ..
Internet . - BUILDING.DIVISIO Notified/Method:IA. 1n e /.6.--- Supplementai information
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Pli§igitOtial,'$f.5:
.'-'-q4?,:',:*N:';',,:'.::-'"7:,:,.Y"`--,'',,,.'",..',.,-;,:.,..T-'c: : . ',..:!'kN;.:!:' .';'::;':.': ..'':: :0: ,':,.-3''',:'.-f.r: .,:-.,:.-,.;,,,,,,,,,,;.1.,,,,,,,A,......,,.--;:-.:4,_,,,,,,,,.,r,f-0.,,,,,.,..:.:T.,..,,,,,,...,...,.7'.
Mechanical permit fees* are based on the value of the work
0 New construction 2Addition/alterationireplacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition CI Other: mechanical materials, equipment, labor, overhead, and profit.
''.-egi'l:•:F•VOV:i'4M:.:',WrOre'XilkiWliViiiY•11C*16iati. i5g.W:gfg1V•,:::::.'i,,Ii.4:V;Y*iii•:0i Value: $ e...3..,00,,.. .. .
'::'4;:. ''''' ,' ' ' 'iliT:.'ffi:".,:;:';;WS ,, i , :i::;ot-';' , - , 4l - -j.mr• - :" ,,, 'o'i'n''' ,0,7 - 1, 0: 1 4#1 1 0 , 00;t .:;.=..-:1, - .7, - ::.
0 1- and 2-family dwelling BC 0 Accessory building For special information use checklist.
0 Multi-family El Master builder 0 Other: Description I Qty. I Ea. i Total
;V.:541M5f1FAT•t'IJ'OitOlitikUigikatiiikar15ithObAitii*.f:.04';0,&:P4/gt HeatinWcooling
Job site address: / 0 0 Sw I-1g 11 b I v cJ Air c
(requires site plan showing placement) 46.75
City/State/DP: - 1 - 16a rd 0 R 97223 Furnace 100,000 BTU (ductervents)
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: 1 Project name: 7 r e 1 4t Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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: I Lot no.: Other: 23.32
Tax map/parcel no.: Other fuel appliances
• • - •,-,, ...., ,,,e.r.i_r ,.,.., Water heater 23.32
: : •4q.n : :'..:?:',•;,T. : V.: 'I1.,ttg. .
J . .--2 . - .. . - Gas fireplace 33.39
Cf c.-1 / 0 q 3 .ner:1)/ reCover/ cfCceSsoncS Flue vent for water heater or gas
-- fe' - exls+ i P li R'7 on -1-._ A: k LI 1 11 1 11-1 . fireplace
Log lighter (gas) 23.32
23.32
Wood/pellet stove 33.39
• • Wood fireplace/insert ' 23.32
Chimney/liner/flue/vent 23.32
•
!(,.. : i'.,,:,,.;_w"'A';',. - -4 - .:; ,, : , . Other: I 23.32
Name: Environmental exhaust and ventilation
-
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) ' 23.32
lii0kfiiiidt§P".fOkciS ve em
poroforoufilmom Attic/crawlspace fans 23.32
,„..A„,.... t.,,,,,, .1.;4;;AS: 5.4,.;',WFwni:s _^. 'ii* ' A..?.. ..' -?1, 1,1,4 ..,./.-kg=1,:,:,;!:, A;;.■
Other: I 23.32
Business name: /1 ryje r 1 C. 0 r7 H Cal *Irly Fuel piping
Contact name: /3 rat ci M a r7 c„, 17 e S + c■-• $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: /33 (::7 5 6 , oleo ,-, 5 -t- .
Gas heat pump
City/State/ZIP: FO r ±la el Ci ' a 97202_ Wall/suspended/unit heater
Phone: (503 )2 t 4 7 - '/ 6) 0 0 I Fax: : ( go 3 ) 23'7-7C'3 8 Water heater
Fireplace
E-mail: • Range
er .1•74*•'g& . ..4r0: 45 r`,..P" , e;',-,%''''" ''* ;Y*.-.-c,,VCi;N*.ftit.;*..M7-±4.alikr."i24,4t 4 Barbecue
',l0Mfel..age,:.44'rizevi.N:1,'.., '-:**I'ar-r-'0.01001.4".:i1.'1:3-*Oed,•:%•Y;..4&-rtle.rea'd
Business name: A rn e r i C ,0 r) H ,,, 7
- f i Clothes dryer (gas)
Other:
Address: /33 7 5E 6 .1 c.1 -e 0 ri 5 cfix ''4'ffdioe:Aw;:.-k-,c,;::,:;
:',‘,. -7
City/StateP/ or flar7d 0 g ' Subtotal
Minimum permit fee ($90.00)
Phone: (50 S ). 23(3- LI 6,0 0 Fax: (503 )23•=7-7038 Plan review (25% of permit fee)
CCB lic.: 3s136 State surcharge (12% of permit fee)
- TOTAL PERMIT FEE
Authorized signature: iZe / c 4r -1- This permit application expires if a permit is not obtained a within 180
days after it has been ccepted as complete.
Print name: grof c l /11 Re c A e 5 -I- ce" - Date: /0 120 1 0 * Fee methodology set by Tri-County Building Industry Service Board
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