Permit 'IN „ CITY OF TIGARD MECHANICAL PERMIT
.:- COMMUNITY DEVELOPMENT Pe rmit #: MEC2012 00034
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
Parcel: 1 S134DD00100
Ju Tigard
Site address: 10615 SW TIGARD ST 13
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Install (4) ductless heat pumps in units 13, 14 15 & 16.
Contractor: THE HEAT PUMP STORE Owner: RICHARDS, JAMES E & SHARON S
. • 985 N MAIN ST BY NORRIS & STEVENS
INDEPENDENCE, OR 97351 621 SW MORRISON ST #800
PORTLAND, OR 97205
PHONE: 503 - 606 -9165 PHONE: 503 - 624 -9856
FAX: 503 - 837 -0572
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fe e 01/20/2012 $360.41
Class of Work: ALT Type of Const: VA Plan Review 01/20/2012 $90.10
Occupancy Grp: R - Occupancy Load: 12% State Surcharge - Mechanical 01/20/2012 $43.25
Stories: 2 Info Process /Archiving - Sm $0.50 (up to 01/20/2012 $4.50
11x17)
project Valuation: $10,452.00 Misc Administration Fee 01/20/2012 $4.50
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 4
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: 4
Appliances
Vent Fans: Vent Systems: Total $502.76
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
as 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
issEiance, 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: Permittee Signature: /
Dec/ f f' �G,i�' 07-7-709j
_z0
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 Application , FOR USE OFFICE USONLY
• , .. .., , .. .. . •
. , " City of Tigard RECEIVED Received
Date/By: / 6 IA k , Permit No.: ) /a - 3 i t
.. 13125 SW Hall Blvd., Tigard, OR 97223
liPq Plan Review p- • 2
: Phone: 503.718.2439 Fax: 503.598.1960 pi02.
2 Permit:
Date/By: i ;' - Tr t [cc) i
Inspection Line: 503.639.4175 JAN 1 3 2012
T,I.GAR.D . Date Ready/By. 2, :mils: 0 See Page 2 for
::. '' Internet: www.tigard-or.gov NotifiecVMethod: i i C. Supplemental Information
I i 6 i
CITY OF TI(' .
fiwy or mom 0 ..4■mie . . _
. . • . .. _ . .: .
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Mechanic. ■ ermit fees* are based on the value of the work
El New construction p Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit
Value: $ /0 9:6;2_ o 5
-'''''-' :- 'L:-. • '-: ; ; - CATtODuiT, . . -::.-::-, .,-- .. :1 •T - - - ..----.•,,, -, .--,- • , - t - - -
r . • - ' . .,,,, : , ., _. , „ . , , , , .,., . , • . ,• ., ---.`,:- RESIDENTIAL EQUIPMEN't: / S l' STEMSITES* -
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
gMulti-famil 0 Master builder 0 Other: Description I Qty. I Ea. I Total
. • •
• - . .. . 3011 SITE 'INFORMATION tANW Heating/cooling
•- ' - - - -
Air conditioning
Job site address: j5 • s -7 0 5- a ,,, ,..- 13, ,,,,/ /s-,, /4, (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: 1 1 614-11-1? 0 R. 77 iRa 3
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: 1 Project name: i I I
vv /ND ititt.t.- Api-ameNrs Heat pump
(requires site plan showing placement) i f 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: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF:'W.OR1( , ‘ , Water heater 23.32
. .,.. . .. ..
Gas fireplace 33.39
:CAS 1( S' , rt‘ Li - 70,tx ›,/c Ith. c 5 A'S ohrwt.tp Flue vent for water heater or gas
A i c' 4 ( 7 1 an (13 Ci )-- 74-4115 fireplace 23.32
y e. Act
Log lighter (gas) 23.32
q 5- ' 0 114,C ii F defeW It s iyvc.iso Wood/pellet stove 33.39
tiSii it ( I 1 R cli--e a/fray-eel eikelz it , Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
-i1411PERTI''_ OWNER ' o - -fESNANi'
• " • - • - Other: 23.32
Name: / / 4 SharcA) Zic-4-64e 5' Environmental exhaust and ventilation:
Range hood/other kitchen
Address: i 0 5,9 ,,,) -74741z12 Si equipment 33.39
City/State/ZIP: 7, 012. 79 JA 3 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( 5,13) c331- - 7q5-6 Fax: ( ) toilet compartments, utility rooms) 23.32
.• ' .,.-, -... i APPLICANT -- , . :• , .., -. -Lvelo*AC'ei.OSON, : : • Attic/crawlspace fans 23.32
Other: 23.32
Business name: ONE /lent •••■ . e ;kr I ' • k"?
f- ' '-‘' Fuel piping:
1 - -
Contact name: , 7/411 / 1._ 61 $14.15 for first four; $4.03 for each additional
Address: 7 5 dr ./1441(3. Fumace, etc.
5 -c
Gas heat pump
City/State/ZIP: -- c-1,) k.)(. e)R-- ` 1 ,5i
t--• fi b■-i Wall/suspended/unit heater
Phone: ( 5'j) 60G • 1 i L F ax: Fax: : (5?) •31 ... 0 c 7 a._ Water heater
Fireplace
E-mail: 's/OleC T tli'k- (“Adt f ,) 5
ttip .(pe A--- Range
. . ..,, .. ,.,• ,... ..
CONTRACTOR • . .7 ,,..,.:;%.:,:.,, . , • ..• Barbecue
Business name: - 7/4.0 . /1 1 chrr'Q Clothes dryer (gas)
Other:
Address: n.5 Ai. M4/A) 5'i
City/State/ZIP: 579-pwc)rNti 0 12 ci 9 51 Subtotal
Minimum permit fee ($90.00) -
Phone: ( &433) 6 0A - 71b I Fax: ( 5 5 ) q317 - 0 5 7 )__ Plan review (25% of permit fee)
CCB lie.: i 9 '7- • State surcharge (12% of permit fee)
1-4,
TOTAL PERMIT FEE
10/ ,
0, c02% 3CP
expires if a permit is not obtained within 180
,
Authorized signature: This permit application e days after it has been accepted as complete.
Print name: ci civAli /l4 griA, 0 Date: V j 3 /'2 0 le- * Fee methodology set by Tri-County Building Industry Service Board
1 \BuildingTermits\MEC-PermitApp.doc 09/09/10 440-4617T (11/02/COM/WEB)