Permit CITY OF TIGARD MECHANICAL PERMIT
'' COMMUNITY DEVELOPMENT Permit #: MEC2012 -00027
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
Parcel: 1S 134DD00100
Jurisdiction: Tigard
Site address: 10571 SW TIGARD ST 41
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Install (4) ductless heat pumps in units 41, 42, 43 & 44.
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 Fee 01/20/2012 $360.41
Class of Work: ALT Type of Const: VB Plan Review 01/20/2012 $90.10
Occupancy Grp: R-2 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:
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
F'..
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: (4 411 h4 i Permittee Signature: et/V-- 974/2 /e-(51-7-7d
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 , , 'ED . FOR OFFICE N ii LY ,2/./42...4,0001
City SIHTalilgBardd., Received
. .i .: I ,: : Phone: 503.718.2439
4 T F i a gar : d 5 , 0 0 3 R 59 9 8 2 1 2 9 r j 63 : L I\I E 1 2.clIz Date/B ./ifffix OPR■
Plan Review WI
Date/By: WWI IA Other Permit:
..: Inspection Line. T,1 (JA RD - gate Ready :7 0 See Page 2 for
, Internet: ww.tigard-or.gov
GAD Notified/Method: Supplemental Information
-' w
CM/ oV 'VI DINSIO N /;- 11111
. Net I
...,..-, . . •,, ,. -., , , . ,. ..: .., .., • - • F-- . .. - ,.-- etaiiiifeiml;fitektikiiii;a:Yi§i-cifeei450,.`;
Mechanical permit fees* are based on the value of the work
0 New construction II Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ / 0 9 i ai5
,- -
, • •:. - ‘ , - • , -,
CATEGORY OF'.:, CONSTRUCTION - .-,,,'-, • ,,-; .- ' - . -;." '.' --- , - , -.-- ,,,, ,. , '-., '. ,, ., - 't ,. •
,• --.' • - r - - ' : ' - . - - - - - -f - • -- ---- ' - - - .- , - ,- - , - --- , ' - '-', - " - - '',-. - - '.- -,- ' 4 - -- ' - -RESIDENTIAELQUll'MEN I. / S SI EMSILLS*':
El 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
rgf Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
;.1013, AN! ,,,
;. • --"'''.'' '-/ -, '' Air conditioning
e•
Job site address: (5) ri
5 IV 1;4\-PL ST 1,1,J ,,-5,q/ ,// #3 (requires site plan showing placement) 46.75
.„-- tiV Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: it &ALI) 0 77 LRA 3 Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump
I f
Suite/bldg/apt. no.: Project name: kl) /AM + A f Al TM liVrf (requires site plan showing placement) 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:
DES(10TION/EIFW.01* ' Water heater 23.32
Gas fireplace 33.39
:1-A5 11 Si y 14 '2'o,11 ›,./c at sr 5 /44) i fiivtip Flue vent for water heater or gas
i e_ Act 01 1 - 6-2- 4 i tin e 1 ci °, 1,5 fireplace 23.32
Log lighter (gas) 23.32
eld If • 0 1141 F q Lida 1.6 S //w' Wood/pellet stove 33.39
tiSib flAil4 (1 &I CA'A-e Tfrood 6,e 4' , Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
filloPER'fli OWNER - " , . . ICTENANf . ' -
. ,•,: , • • Other: 23.32
Name: 4 - ,Charcv P 5' Environmental exhaust and ventilation:
Range hood/other kitchen
Address: I 0 09 5 t4 ) - si-
equipment , 33.39
City/State/ZIP: --i 1 0 02 79 ja 3 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( 5 3 ) A3y_ ,- 7 456 Fax: ( ) toilet compartments, utility rooms) 23.32
prpikoLicANT. - .'• - , . ,,.,.. ,EICONTAeff0.soiN, j i , • • Attic/crawlspace fans 23.32
23.32
Business name: R oole c. , 10 , 71 -, y ,.. S'e, o h ff - Pit tf (14411/ sit Other:
Fuel piping:
----,
Contact name: I ) t:ifric 7(•44-A) / 0 $14.15 for first four; $4.03 for each additional
Address: c'S 04 / 5 -r Furnace, etc.
Gas heat pump
City/State/ZIP: .- t.--- l)iki(. OR- 19 . &5 i Wall/suspended/unit heater
Phone: ( 5 t) , 0 G .._ 1 a 5 Fax: : (5t1-)) s31_ 0,5 7 Water heater
Fireplace
E-mail: \j dA s e t.k_ (it-e4.k f (- Al p 50 -co 4- Range
,,- . ;,:.. . !,,,. ;,‘,...:::.:. , ,---, , ,• ,. '._.,i CONTRACTOR .,.. .. I _.,' '' ' '',.7 , , r .. y . ,..■ 7 . • . .: ..,. Barbecue
Business name:
Clothes dryer (gas)
"7-1/4_, •917).'Q Other:
Address: ? r.5 Ai M4-111/4) / 5'- :,- ,..-:;,, ' --, -4ileritANiaCiikiilvArriitg
City/State/ZIP: ( 1 Y nv Dr NC ki 0 9r).p Subtotal
- 71. ‘ ' Minimum permit fee ($90.00)
Phone: ( .c09 60 k _ Fax: ( $ ) c357,... 6 57)
Plan review (25% of permit fee)
CCB lie.: (7 I '•;(3- State surcharge (12% of permit fee)
TOTAL PERMIT FEE 50gA
Authorized signature: 0 i 4411110 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ( .1 wil /V10 5 t A_ rc ..... t 1 _ 0 Date: V /3 * Fee methodology set by Tri-County Building Industry Service Board
1: \Buildineermits \MEC-PermitApp.doc 09/09/10 440-4617T (11/02/COM/WEB)