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Permit
C ITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00143 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/16/2007 //NS PARCEL: 2S110DC - 01000 SITE ADDRESS: 1A SW MEADOWBROOK DR 5 ZONING: R - SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG PROJECT: SUMMERFIELD APTS Project Description: Dryer vent. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: 1 STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES SUMMERFIELD ASSOCIATES, LLC Description Date Amount BY SUMMET REAL ESTATE MANAGEME 5320 SW MACADAM AVE [MECH] Permit Fee 3/16/200i $72.50 PORTLAND, OR 97201 [TAX] 8% State Surcha 3/16/2007 $5.80 Total $78.30 Phone: Contractor: SKY HEATING & AIR CONDITIONING 1635 SE NEHALEM PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 235 -9083 FAX 503- 235 -0454 Reg #: LIC 50244 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: 6414 4 Permittee Signature: - ,j /_ _ , Call 503.639.4175 by 7:00 a.m. for inspections that business day. 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. r echanical Permit Application - FOR OFFICE USE ONLY ve City of Tigard Received De /� (//,^ / 86 Permit No.: r oo7- OO /s') _ R IN • 13125 SW Hall Blvd., Tigard, OR 97223 p Plan Revie Phone: 503.639.4171 Fax: 503.598.190 Date/By: Other Permit: T I G A K D Inspection Line: 503.639 1 ` _ 200 Date Ready /By: luris: 0 See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information „� • PIP: g • '� rT 'F! ". ' a COMMERCFAL FEE SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction Addition /alteration replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS FEES* 0 Multi- family ❑ Master builder For special information use checklist. ❑ Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling ` ,/{ /� Air conditioning or heat pump Job site address: / i o /5" s LA) ph a o'tA i 6,11,0% t . 1 (requires site plan showing placement) 14.00 City/State/ZIP: 7' . Aid o(Q. 9 ?a a 3 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg./apt. no. : Project name: ��1'1 S U t,n � t . Te'P II Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 /� Hydronic hot water system 14.00 I/ t 0 M.. Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: w : ( laf"oc� f Lot Flue/vent for any of above 10.00 �� Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 / Gas fireplace 10.00 j iV S f . // [n/ 4. h t A Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00 Other: 10.00 Name: S u in t' -e r Pee e (1 a s. Environmental exhaust and ventilation , /� d a Range hood/other kitchen Address: 53 2 0 sit ! ' l 4 to._ A/i-A ill 't equipment 10.00 City /State/ZIP: p„,,41 © , Q q 7,3 0 Clothes dryer exhaust / 10.00 • Phone: ( ) ► ` Fax: Single -duct exhaust (bathrooms, ( ) toilet compartments, utility rooms) 6.80 71 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: A + gy W 0,i. j n re") S i Fuel piping name: �r /�4 (AN $5.40 for first four; $1.00 for each additional • Address: / V J /V Gas 1 /0 a t � a Gas h ea t etc. heat pump City /State /ZIP: Q. c e A. 0 U w 9/6 . 1 Wall/suspended/unit heater Phone: (3 Co) 5 41 j 6 a 5 I Fax: : ( ) Water heater E -mail: Fireplace Range CONTRACTOR Barbecue Business name: t J. Clothes dryer (gas) S Ky 1 cc . �S 7 G .R t!'n„t rL bc.,./, ti/5 Other Address: /b . S „ 1 L a f e i 1 MECHANICAL PERMIT FEES* City/State /ZIP: 1001 fr. iti A oe, 7e. t) Subtotal Phone: ( 503) . . 3 S - o �3 lR F ax: Minimum permit fee ($72.50) 9 ( ) Plan review (25% of permit fee) CCB lic.: co Ll L, State surcharge (8% of permit fee) 7 TOTAL PERMIT FEE N, This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. I Print name: eR t S B Q U,a Date: 3 _ s --.._ 0 - • Fee methodology set by Tri-County Building Industry Service Board I :\ Building \Permits\MEC- PermitApp.doe 04 /06/06 440 -4617T (II /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1 ,396.50 for the first $1 00,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\ Building \Perrnits\MEC- PermitApp.doc 12/30/05 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007- 00143 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2007 Phone: (503) 639 -4171 �mm Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 92 SITE ADDRESS: 11015 SW MEADOWBROOK DR 5 CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMERFIELD APTS DESCRIPTION: Dryer vent. (3/22107 address corrected) OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 503235.9083 Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 046134 -01 503-310-7187 Y . Corrections /Comments /Instructions: et - LA 9A,- XI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr Vt- --- Date: Oh / Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00143 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/16/2007 .... : Phone: (503) 639 -4171 :V� Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 3/23/2007 TIME: 7:03AM PAGE: 4B SITE ADDRESS: 11015 SW MEADOWBROOK DR 5 CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 014 TYPE OF USE: PROJECT NAME: SUMMERFIELD APTS DESCRIPTION: Dryer vent. (3/22/07 address corrected) OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: CONTRACTOR: SKY HEATING & AIR CONDITIONING PHONE #: 503.235 -9033 Inspection Request Scheduled For: Date: 3/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 . Mechanical rough -in 045293-01 503. 310 -7187 Y Corrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: ( L/ Date: 9. 6 Phone #: (503) 718-