Permit „ CITY OF TIGARD MECHANICAL PERMIT
111 11 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00558
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/15/2011
Parcel: 2S 112 DB00700
Jurisdiction: Tigard
Site address: 15245 SW 74TH AVE
Project: Comcast Subdivision: Lot: 11
Project Description: Mechanical for equipment building for new service hub.
Contractor: Owner: HUEWE, ERIC J & JENNIFER E
1199 FAIRWAY RD
LAKE OSWEGO, OR 97034
PHONE: PHONE: 503 - 968 -5450
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/15/2011 $1,010.65
Class of Work: NEW Type of Const: VB Plan Review 04/15/2011 $252.66
Occupancy Grp: U Occupancy Load: 12% State Surcharge - Mechanical 04/15/2011 $121.28
Stories: 1
Project Valuation: $36,100.00
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:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $1,384.59
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Gas Packs
Duct Work: 1
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 tv follow the rules adopte• iy the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0r • 1. You may obtain a co of the rules
or direct que ns to • NC b calling 503.232.1987 or 1.800.332.2344.
Issued By: .0 / • Permittee Signature: `u . =� 4....111161
Call 503.639.4175 by 7:00 a.m. for the next available inspection ate.
This permit card shall be kept in a conspicuous place on the job site until comp •tion of the project.
Approved plans are required on the job site at the time of each inspection.
I.11 O/0 -cam
Mechanical Permit Application FOR OFF I t I I :NE._ (). I
D ECEIVED Da l e t ed ,
City of Tigard / /O ( Penn" lvu�L'�D /D � • '
– 13125 SW Hall Blvd., T' OR 97223
im il
Plan Review l►
z Phone:
s i 503 639.1 7503.59s.1960 3 2 010 y �l�r ' • b I Z) Izmir ®K race 2 for
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Internet: www.tigardor.gov NCUBOdlM od: S See
llaformation
CITY OF TIGARD
TYPE OF vk,D ING DIVISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
® New construction ❑ Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION
Value: S 536,100.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. ] Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 15245 SW 74th Avenue Air condition pl
(requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR Furnace 100,000 BTU (duets/vents) 46.75
Furnace 100,000 t I3TU (ducts/vents) 54.91
Suite/bldgJapt. no.: I Project name: Cornetist Tigard Ilub
Heat pump 61.06
Cross street/directions to job site: SW 74th Avenue N. & SW Durham Road Duct work 23.32
- — Hydronlc 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.: Wash Co 2S1 12DB 700 Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Construction of a +/- 896 SF unoccupied CM11 block and metal roof equipment Flue vent for water heater or gas
g with IIVA(' units, in a gravel and fenced compound fireplace 23.32
building g pound also containing
Log lighter (gas) 23.32
backup power generator and fuel tank for Comcast service to area. Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
Other: _ 23.32
Name: Ric Huewe Environmental exhaust and ventilation _
Address: PO Box 2026 Range hood/other kitchen
equipment 33.39
City / State/ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust 33.39
Single - duct exhaust (bathrooms,
Phone: (503)968 -5450 Fax: (503)598 -5474 toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other. _ 23.32
Business name: Legacy Wireless Services, Inc. Fuel piping
Contact name: James Kramer $14.15 for first four; $4.03 for each additional
Address: 15580 SE For Mor Court F '
Gas heat pump
City/State/ZIP: Clackamas, OR 97015 Wall /suspended/unit heater
Phone: (503) 804 -9202 Fax:: (503) 656-5305 Water heater
Fireplace
E -mail: jkramer(a)legacy- wireless.com Range
CONTRACTOR Barbecue
Business name: Legacy Wireless Services, Inc. Clothes dryer (gas)
Other:
Address: 15580 SE For Mor Court MECHANICAL PERMIT FEES*
City / State/7IP: Clackamas, OR 97015 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 656 -5300 Fax: (503) 656 -5305
Plan review (25% of permit fee)
CCB 1k.: 150432 State surcharge (12% of permit fee) _
TOTAL PERMIT FEE
Authorized signature: • 4 i % 71a permit application expires if a permit is rot obtained within 1110
days after it has been aorglsd as complete.
i lt I p trytsitb 1 • Fee melhndoIne% cet by Tri- ('cxinty Auildine indufry Service Board