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Permit CITY OF TIGARD �,,P MECHANICAL PERMIT • I ; COMMUNITY DEVELOPMENT ` Permit #: MEC2011 -00095 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 - Date Issued: 03/17/2011 / Parcel: 2S101CA00400 Jurisdiction: Site address: 7940 SW HUNZIKER RD Project: Charter Mechanical Subdivision: Lot: Project Description: New gas service. 3/30/11, reprinted to correct address from 7930 to 7940 SW Hunziker. Contractor: CHARTER MECHANICAL CONTRACTORS INC Owner: GOULD FAMILY PROPERTIES VI 9636 SW HERMAN RD 105 PINE ST TIGARD, OR 97060 IMPERIAL, PA 15126 PHONE: 503 - 691 -1700 PHONE: 704- 519 -6130 FAX: 503 - 691 -1717 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/17/2011 $578.85 Class of Work: ALT Type of Const: Plan Review 03/17/2011 $144.71 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/17/2011 $69.46 Stories: Info Process /Archiving - Lg Sheet (over 03/17/2011 $2.00 Project Valuation: $19,100.00 11x17) 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 $795.02 • 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 questi to OUNC calling 503.232.1987 or 1.800.332.2344. l � Issued • 1 Permittee Signature: eP-fr 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. ,, CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00095 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/17/2011 Parcel: 25101 CA00400 Jurisdiction: Site address: 7930 SW HUNZIKER ST Project: Charter Mechanical Subdivision: Lot: Project Description: New gas service Contractor: CHARTER MECHANICAL CONTRACTORS INC Owner: COE MANUFACTURING COMPANY 9636 SW HERMAN RD ATTN: NICOLE OLESEN TIGARD, OR 97060 PO BOX 520 PAINESVILLE, OH 44077 PHONE: 503 - 691 -1700 PHONE: FAX: 503 - 691 -1717 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/17/2011 $578.85 Class of Work: ALT Type of Const: Plan Review 03/17/2011 $144.71 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/17/2011 $69.46 Stories: Info Process /Archiving - Lg Sheet (over 03/17/2011 $2.00 11x17) Project Valuation: $19,100.00 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 $795.02 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 N. ' cation Ce Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or dire ques 'ons to OUNC i c- " g ' 03. - .1987 or 1.800.332.2344. Issued By: , ` /1.//fj Permittee Signature: 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. Meehanival Permit Application FOR OFFICE USE ONLY Received g�e .�� g _ �/ 05- City of Tigard RECEIVED Received Permit No.: r� j� ,' n 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review f j ' Other Permit: _ 4 TIGARD Inspection Line: 503.639 MAR 9 Date/By: . Date Ready/By: �/ Juris: Page 2 for Internet: www.tigard- or.gov Notified/Method;��f // El See Supplemental Information CITY OF TIGARD J 0/fN "// TYPE OF valt.DING DI VISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction . Fa 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. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: ? Air conditioning Job site address: 7 ! Q J 0 5 j iJ H iLt k (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: j� r . Z r /yam �'` C9 t l 7 -3 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: ✓ Project nam (' J �. �f , ( � � Heat pump �I �y rte.' �i� / � L /J't � t' C © '1' - / / r,.gi (requires site plan showing placement) 61.06 Cross street/directions to job site: I) 0,4- ,t.-JS tdc,T,Z.410„,/v F c.. 1.4 Duct work 23.32 Hydronic hot water system 23.32 �/ / [ / Residential boiler (radiator or P ; /4 a; - J �, Co r4l� 0 � .5.0 v i // 3 L hydronic) 23.32 J Unit heaters (fuel -type, not electric), ,it A . t ke--C in -wall, in -duct, suspended, etc. 46.75 Subdivision: I Lot no.: Flue /vent for any of above 23.32 Other: _ 23.32 Tax map /parcel no.: 2 5/o /Ci ®p 90 0 Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 de Gas fireplace 33.39 .A.,- .A.,- C S S2 l re,,, y rvIL.r , fo ' - r (9 +ta„r. Flue vent for water heater or gas fireplace 23.32 cp4 r Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER I X TENANT Chimney /liner /flue /vent 23.32 Name: ti...„,.. // • - : i . Other: 23.32 Environmental exhaust and ventilation Address: We 3 .'e-J /7 i[/I R I. Range hood /other kitchen equipment 33.39 City /State /ZIP: • - 7 tx y,4 I 0 A 9 7 Q` 0 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (.d3) 6.)V-/ 700 Fax: (3 ) �- `17,-/ 7/ '7 toilet compartments, utility rooms) 23.32 IZI APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: 1�� � , N` PP e �x� n�� Fuel piping: �) g: Contact name: ,�b 1, , ye C.1 f $14.15 for first four; $4.03 for each additional Address: iAl`nG, idt Furnace, etc. Gas heat pump City /State /ZIP: t CA-- 4 170 G 0 • Wall /suspended/unit heater Phone: (<QJ (OY ( - 1700 Fax: : 3 ) 6,f/ 17/ 7 Water heater E -mail: 1N. j Fireplace ,�U' n .. y,�6Jenr CAA rfe rM PCA . Ai(tP•lrrt't Range / CONTRACTOR Barbecue Business name: , 1 j #qM 6 A s A .k7 I t- Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* • City /State /ZIP: Subtotal t" 7 8 L'' Phone: ( ) I Fax: Minimum permit fee ($90.00) ( ) Plan review (25% of permit fee) , t y 3J CCB lie.: / 7/ CQ S7 /7///c ,, State surcharge (12% of permit fee) ( 37 TOTAL PERMIT FEE I * 9 2 Authorized Signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: .....7 n g .P.1"--- Date: 377 / �� * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 0 /09/10 440 -4617T (11 /02/COM/WEB)