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Permit 7 ,1 CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00026 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10567 SW TIGARD ST 45 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: Install (4) ductless heat pumps in units 45, 46, 47 & 48. 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 - 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 Project Valuation: 11x17) Pro J $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: urnaces 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: Ore/Smoke Dampers: • Thi0 permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other api Iicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issjjance, 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 OUN by calling 503.232.1987 or 1.800.332.2344. Issued By: ./ Permittee Signature: / 9 'Ai �i°� /�'� / �dN 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 Applicati uECEIV i FOR.OFFICE USE ONLY • City of Tigard Received q Date/By: ( Permit No.: /` edheN �'�a` O 13125 SW Hall Blvd., Tigard, OR 97223 JAN 1 3 2012 Plan Revie j.► u a ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: S y � � Other Permit: Td GA RD Inspection Line:. 503.639.4175 CITY OF TIGARD Date Ready/By: El See Page 2 for r, 'h, • Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: r /� Supplemental Information - • - - ;aCOMMERCIAL'';FEE *: v = ,USE`CHECKLIST= q • ' •� TYPE WOR " • - - K- . :� =, - «-.. �.- ....,�, ❑ New construction Addition/alteration/re lacement Mechanical permit the are based do to value of the work P performed. Indicate the value rounded to the nearest dollar) of all ❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and profit. Value: $ / 0J C� 7 a 015 ; • CATEGORY ;OF; CONSTRUCTION h' , `i „ RESHiEN'1L,EQ IAULPMEN'1 / SYS'I`EMS;FEES' ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use check list. (Multi- famil ❑ Master builder ❑ Other: Description Qty. Ea. Total ' A _ 7 Heating/cooling: ' ;JOB : SITE •INFORMATIQN 1 „AND = LO , _ - Air conditioning Job site address: 1 0 9- 5 mil/ T amil.. / (i 1J1� 1/ �4/ 4/7+ it, (requires site plan showing placement) 46.75 ! nn �/ Furnace 100,000 BTU (ducts /vents) 46.75 City /State /ZIP: C i G t42 D (") h L f 3 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: W /ND MILL A fI4AMMENrr Heat pump (requires site plan showing placement) L 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 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: . DESCRIPTIONSOF WORK . Water heater 23.32 yl ��" Gas fireplace 33.39 �'►S l ( s/ e I4 - 70m �,/C � // At 5 S Afe ® 1" Flue vent for water heater or gas ke t_ t:.e -V1 / 9 Old-5 `l ) . fireplace 23.32 / r (Jr1 7 Q / Jt4 Log lighter (gas) 23.32 `WI? S ? • © iv6 i F q t(c / i s'�/` /6 Sh-v " -Q Wood/pellet stove 33.39 ii t15 / , v /•zt cA ,, ,•2 , -- -- el/fray-el dift z4 , Wood fireplace /insert 23.32 PRERTY OWNER " _ ®TENANT•,'. Chimney /liner /flue /vent 23.32 ii__� � Other: 23.32 Name: 11 M ,56"�t K 9 S Environmental exhaust and ventilation: Address: i05 9 si.i) - 7 S ganpehood /other kitchen J equipment ment 33.39 City /State /ZIP: 7/ . o2 ! / JA 3 Clothes dryer exhaust 33.39 u � Single -duct exhaust (bathrooms, Phone: ( y - C 3) La r .- 7q5-6 Fax: ( ) toilet compartments, utility rooms) 23.32 - A R. ,ICANT_ . i ❑., CONTACT PERSONS ; Attic /crawlspace fans 23.32 . __. PPL Business name: ( (� �/ /�, L (� , Other: 23.32 I� t�vyr /l ..c.' CGsU�E j Gt �+F/- Pic lTe,fI kite ilf Fuel piping: 1 l � Contact name: ONCE 7/41,1 / Lq $14.15 for first four; $4.03 for each additional Address: 1 f /J c , MJ1 / k • S -r Furnace, etc. _ 2 C Gas heat pump _ City /State /ZIP: -1--k t, N 1 - /lJ(,L { 'i '1�1>t Wall/suspended/unit heater Phone: ( 5(;) b OG 11 1 Fax: : ('r ) 631-- Lc 7 Water heater t Fireplace E -mail: �.1 OA q .ctv� C •" kzst \pd M �i 54, • Co 'v Range _ CONTRACTOR= �; . Barbecue Business name: '� jj ��^ Clothes dryer (gas) lFlG �TIV?'/ �VM� JVC'�` Other: Address: ? f 5 /V M/17Af S'7 '' a `1VIECH AN 1CAL PE RMIT FEES * - • E ' +.. � 1111 .. .. " ... City/State/ZIP: j /V I' D e n ©(N6 D � C1 1 7) Subtotal r Minimum permit fee ($90.00) Phone: ( 5o3 604 — 711) j Fax: ( 5 cg 05 7 plan review (25% of permit fee) CCB lie.: ti7 9 -' d- State surcharge (12% of permit fee) TOTAL PERMIT FEE 502,.. 0 Authorized signature: ' -t �� / , This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: V CNA ' , -N MO ct ll ‘="t t, t, Date: I / /'3 /2 p / �• * Fee methodology set by Tri- County Building Industry Service Board \Permits ' M I:\BuildingEC- PermitApp.doc 09/09/10 / 440 -4617T (11 /02 /COM/WEB)