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Permit CITY OF TIGARD MECHANICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00044 TIGARD 13125 SW Hall Blvd., T OR 97223 503.718.2439 Date Issued: 01/27/2011 Parcel: 2S110DD00109 Jurisdiction: Tigard Site address: 11035 SW SUMMERFIELD DR 3 Project: Summerfield Apartments Subdivision: SUMMERFIELD APARTMENTS Lot: 0 Project Description: Install vent for new dryer. Contractor: SKYWARD CONSTRUCTION INC Owner: SUMMERFIELD ASSOCIATES, LLC 15908 NE 10TH AVE BY HSC REAL ESTATE RIDGEFIELD, WA 98642 1500 SW FIRST AVE STE 1020 PORTLAND, OR 97201 PHONE: 360- 546 -1625 PHONE: FAX: 360- 546 -1630 FEES Specifics: Description Date Amount Type of Use: MF Mechanical Permit - COM 01/27/2011 $90.00 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/27/2011 $10.80 Occupancy Grp: Occupancy Load: Stories: Project Valuation: $0.00 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 $100.80 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: A f —.411 Permittee Signature: ) V 97 /' ,6e/ - 4/ 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. Mechanical Permit Applicatio FOR OFFICE USE ONLY ������� R eceived City of Tigard Date /By: �. Pennit No.: HJ��/ j// ° 13125 SW Hall Blvd., Tigard, OR 97223 ' 111. Plan Review Phone: 503.639.4171 Fax: 503.598.1960 JAN 2 7 ?Oil Plan Review Other Permit: ' "f I G AR I� Inspection Line: 503.639 Date Ready /By: tuns: El See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 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. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling �+- / /` / Air conditioning Job site address: // 0 3 7 3IA , � j a N+,..., ed` r' C /�( ©/o, (requires site plan showing placement) 46.75 City /State /ZIP: : c7-7-.A4-1 Furnace 100,000 BTU (ducts /vents) 46.75 j R. 9 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bld 1 /apt. o.: a` 3 Project name: S U r'h N1 e /' F , e /I os�I /S . Heat pump 61.06 Cross street/directions to job site: l 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: Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 �// � Gas fireplace 33.39 � tt/ S 41 // v't-N I fur r ® V Flue vent for water heater or gas J fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 ❑ PROPERTY OWNER ❑ TENANT Other: 23.32 Name: S,-t ^7 P, ef (.- c // 4 5 s • L 4 e Environmental exhaust and ventilation Address: s Range hood /other kitchen / 5 o 0 SG✓ / a c., Q .5 ? /U ,2 0 equipment 33.39 City /State /ZIP: ` /A/ Clothes dryer exhaust I � 33.39 ca ./ I/4 C Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Fuel piping Contact name: /r ` j ' 5 i ' - uN $14.15 for first four; $4.03 for each additional /� Furnace, etc. Address: Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: 6 3) 3 /0 , -)/ ( 19 7 Fax: : ( ) Water heater Fireplace E -mail: Range CO NTRACTOR � Barbecue Clot Business name: 3' ' war Cx / c .NS 1 ,( r U c (' d /'' Othehes dryer (gas) Address: / ��d el) 4/F /0 a t/,. MECHANICAL PERMIT FEES* City /State /ZIP: , c. r l � t.. `/ -/j 9P L/ � Subtotal / ..-1 d 0 Phone: (36o) S �� b G 7 S Fax: (3 ) yt ii 3 0 Minimum permit permit fee `7 S Plan review (25% of permit fee) CCB lie.: / 5 j>,? c ol State surcharge (12% of permit fee) /0. to TOTAL PERMIT FEE /D0 .0 This permit application expires if a permit is not obtained within 180 Authorized signature: A. 7e , -- days after it has been accepted as complete. Print name: efi ) 4 u✓o Date: .� .. 7 -,' / * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (11 /02 /COM /WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi - Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1: \Building\Permits\MEC- PermitApp.doc 10/01/09 2