Permit CITY OF TIGARD MECHANICAL PERMIT
; COMMUNITY DEVELOPMENT Permit #: MEC2010 -00057
TIQARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/09/2010
Parcel: 2S101DB00201
Jurisdiction: Tigard
Site address: 7580 SW HUNZIKER RD
Subdivision: Lot: 0
Project: Hillcrest Apartments Office
Project Description: Replace existing residential grade gas furnace with like kind.
Owner: FEES
NICOLAS VIAL Description Date Amount
7900 SW HUNZIKER ST Permit Fee 02/09/2010 $148.88
TIGARD, OR 97223 12% State Surcharge - Mechanical 02/09/2010 $17.87
PHONE: 503 - 953 -6579
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 - 670 -8343
FAX: 503- 598 -6746
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 1 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 $166.75
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifi - - - • -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direc .uestions to OU ► s allina •3.246.6699 or 1.800.332.2344.
Issue. By: ' /: • i Permittee ignature: �, 0
Call 503.639.4175 by 7:00 a.m. for an inspection that busine - iay.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
A
Mechi3nica1 Permit Application FO! Ot;kvi(f I `$i; ON
d of Tigard gar ! CEI b EEC' Received �`Ol� /�
`J r� DatcBy: ��lD
/• Permit No.: Ee 'V�
1 3125 SW Hall L'Iv Tigard OR 972
g Plan Review
111 Phone: 503. 639.1171 Fax: 503.598.1960
FEB 0 2010 Datc/A_v; Other Permit
TI.GAID inspection Line: 503,639.4175 Date Ready/By: forts: Q See Page 2 for
Internet: www.[hard- ow Npnficd/lvieth d; Supplemental Information
It
CITY OF TIGAI�
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W, GbMsf'I1C12CIJiVL "aFF,R' SCBEDtfL'F. S.VCHECICLTST'
C,�I1�I
El New construction Addition /alteration/replanement
Mechanical permit fees arc based on the value of the work
//��" pctformed_ Indicate the value (rounded to the nearest dollar) of all
O CAT satsiiiAii` .tai4sreit�9&rit lt' , W mechanical lc c ui Value: labor_ o ad. and profit.
°SII]t� tYTF Value S ... em0 ition ... al maieria 4-..I).— % p
... AT MS [FEES*
X 1 - and 2- family dwelling ❑ Commercial /industrial 0 Accessory building
10 Multi - family 0 Mastcr builder ❑ Other_ For special information use checklist.
Description Qty. Ea- Total
X1.013 ' hE Y.
` SIFilRMA.TION; A LO TI , Ileatin;/cooling
7 ' L/ {5 j/ Veer' Air conduit ning
Job site address: _ (requires site plan showing placement) :46.75
City /State/ZIP: !/ / ietri Ale � Furnace 100,000 BTU fdnetci.�ents) I 46.75 '�' /
/ 2 g q 0 Neat Furnace
pump 100.000= BTi) (duets vents) 54.92
Suitc/bldg. /apt. no.: Pmject name: �,;
Hest pump 61.06
CroSS Street/directions to job site: Duct work 23.32
1-lydronic hot water system 23.32
Residential boiler (radiator or
hydtonic) • 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 _
I?lr INTIot C7P VVCIbCi�' k Wn : 'i Waist heater 23.32
w1
Gas fireplace 33.39
Flue vent fbr water healer or gas
r/ f� �7 fs 1/ fireplace 23 -32
6�-/ ( CL- bl/ _t ,o. htcr(gas} 23 -32
.jte4-i J,Q.S.Xj ?al/4 - . Wood/ diet stove 33.39
Wood fircolace/insert 23.32
�D1'4tN`ElA1►1`I met /flue /vent 23.3
w' l n Other.
Name: /s i et e Vi j T 0 v /6 Environmental exhaust and ventilation
�t Range hood/other kitchen
\
Address= [ � b SZTe Clo Clo equipment 33.39
City /State/ZFP = • / thes ee dryer cr exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) $ / ' Fax: ( ) - toilet compartments, utility rooms) 23.32
t � l, ,E' . ''' 1T fl c o Ti cr . A '' ' ,C1N Attic /crswlspscc fans 2332
Business name: r ! IL IU I Other: 2 - ; ;2
Foci piping
Contact name: y / / . Do m e S14.15 for first four: 54.03 for each additional
Address: • 120 v ifr' (1 r iOt) Furnace_ etc. - 4
Gas heat pump
City/Stale/ZIP; Aarri 4 9 7 21.- Wall /suspcndcdfunii heater
Phone:66)b4p..B j l Faa / x �i Fax: :M)
t— Ran=
•
ace
q ) ' 4 4 ,7 '7 Water heater
E FirEpl
� to /n uh' l t �' C „ Ran 9 �
'I 62* -111 ikti£il2®( Barbecue
Business name: I Clothes dryer (gas)
— Other:
Address: - - - �-
YVIECFIANIC +1L PL'Ft F� FiS
},� �. ..�_ l ey,
City /Slatr/ZIP: _ _ S ubtotal +� ✓ /1TD
Phone: { ) • F es: { ) Minimum perm it fee ($90.00) Wt.r05” • b
Plan review (25% of pcmut fee) t?
CCB lie.: f 7 J State surcharge (12% of permit fee)
TOTAL PERMIT Fhb; 16 ?6
Authorized si.natur - This permit application expires if a permit is not obtained within tau ' lite
days after it has been accepted as complete.
Print name. � � 40,01(g1 ', ate: , D :' m
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