Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00019
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
TIGARD 13125 1 S134DD00100
Jurisdiction: Tigard
Site address: 10539 SW TIGARD ST 73
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Install (4) ductless heat pumps in units 73, 74, 75 & 76.
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 Misc Administration Fee 01/20/2012 $4.50
Info Process /Archiving - Sm $0.50 (up to 01/20/2012 $4.50
Project Valuation: $10,452.00 11x17)
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 Fumaces: 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
a pplicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
i 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
qr direct questions to OU• calling 503.232.1987 or 1.800.332.2344.
Issued By: (4 F . f Permittee Signature: a � � P /C'177 77'/V
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 OFFICE USE ONLY
City of Tigard RECEIVED ,
Received Per
,
Date/By: (41YANAR
mit No,:il a
lech_ete ..
" 13125 SW Hall Blvd Tigard OR 97223
Phone: 503.718.2439 Fax: 5
1 3
111 AN 202. -'
Plan Rev -
Date/By:
Inspection Line. 503.639.4175
TJGARD Date Ready .1. Jux is. lid See Page 2 for
'3: - . .,..'.. Internet: www.tigard-or.gov
CITY OF TIGARD Notified/Method: I g i l al Supplemental Information
AO
1 ni NG DIVISION
TYPE OF '' • - : .- ' ' '''' . - '0 E. 404
Mechanical permit fees* are based on the value of the work
El New construction ( 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
CATEGORY OF "-- -. '' 1 ' • . ' - ' ' ---" '. --- ''''''-' ' - - "" '' ''- ''' " ' '' ---. ' '-• -.' ''''''''' '''' - '. I*1
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
gif Multi-family 0 Master builder 0 Other: Description I Qty. Ea. Total
.JOB SITE `,IVORMATION'ASR:LOCATION ' .2 , •:,, -,,, I.::: ,„., . • H ea t ing/coo l ing *
Job site address: / tcyt 5 (4) 7- - /67Aft. 0 5.-T 3 75 74 / .,5-7 (requires site plan showing placement) 46.75
..--- Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: It 6/412-V (9 g■ 77 ga 3 74 Furnace 100,000+ BTU (ducts/vents) 54.91
1 1 ,• Heat pump
if Suite/bldg./apt. no.: Project name: WiND MILL A fifIZTAF/Vrc (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:
. DESCATTION;Of wow, : ' = , ; , z .. •, Water heater 23.32
Gas fireplace 33.39
rASizt l( cirt))4 - 7 .›
0.1-t ,JG MI 5 Afej g,,f,tp gas
Flue vent for water heater or g
6 e ( - 1 1 - a 9' tin /4 CO 14 5 firepla 23.32
Log lighter (gas) 23.32
q44-ff e • Of-%" i mik q ,A71 lo 51,„1,,,,k Wood/pellet stove 33.39
VSi bl " cl frt Civ'-e' a//id eietell If ■ Wood fireplace/insert 23.32
PROE101:". OWNER • • "' ' ' ' LI „ ' Chimney/liner/flue/vent 23.32
- Other: 23.32
Name: (J,1,1 4 - 5114 ail) g IGWAQ s 5' Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 0 i fl 5 j.) "T:d a ? 5 equipment 33.39
City/State/ZIP: 7/0,449 02_ ?9Jek 3 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ce 3 ) 4.3t - 7 q,C6 Fax: ( ) toilet compartments, utility rooms) 23.32
MTWANT ' • :,.: :. -:': :: 11: CONTACT PERSON . ., ,.. Attic/crawlspace fans 23.32
( -1 Other: 23.32
Business name: R oAfe . F 4entv, .. r,
Ii
Ciktl65 Mir 1* 11 gay .449 Fuel piping:
----,
Contact name: 1 ) co , 7/ / L._ 0 $14.15 for first four; $4.03 for each additional
Address: 7 S Of / N • T Furnace, etc.
Gas heat pump
City/State/ZIP: I
R- 1 ,5 t Wall/suspended/unit heater
Phone: ( 5r ) ) 6 OG .._ lik,5 Fax: : ($-C2-,) 31- O' 7 )_._ Water heater
Fireplace
5jule - co 4-- Range
CO I: /: . • ' ,,.' .:".,1':: '.::' . : . Barbecue
Business name: -- i i. F /loll A,et Zrrs-k Clothes dryer (gas)
Other:
Address: ? C) iti. MAl1.j .5 , ,.' .; ..-: 4 '7MX2Cii8NLCTAI FE0i',:
pCity/State/ZIP: Ilv n vt. -- -- /- 4- --- rA/6irj: 0Q 6 1 1 5 I Subtotal
Minimum permit fee ($90.00)
Phone: ( '() 604 - 7/b .5 Fax: ( ) , 5 ) eg-57... 65 7)._
Plan review (25% of permit fee)
CCB lie.: 1 '-,L)-- State surcharge (12% of permit fee)
TOTAL PERMIT FEE $V,...cap •
Authorized signature: 0 I 11 470 • This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 1 WA-TH.9-N MO 5tift ,---, I, (... 0 Date: V / / ?"--- . Fee methodology set by Tri-County Building Industry Service Board
1. \Building \Permits \MEC-PermitApp.doe 09/09/10 440-46I7T (I 1/02/COM/WEB)