Permit l
•
CITY OF TIGARD MECHANICAL PERMIT
i� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00093
� � 1 1 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2
PARCEL: 2110DC -01000
SITE ADDRESS: 11155 SW MEADOWBROOK DR 2 ZONING: R -25
SUBDIVISION: WILLOW BROOK FARM LOT: 014 JURISDICTION: TIG
Project Description: Unit 2, install dryer vent.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS: 1
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
•
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description . Date Amount
HSC REAL ESTATE [MECH] Permit Fee 2/17/200E $24.25
1500 SW 1ST SUITE 1020 [TAX] 8% State Surchar€ 21171200E $1.94
PORTLAND, OR 97201 •
Phone: 503 - 546 - 5712 Total $26.19
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1625
Reg #: LIC 158289
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: , Arm a1 / Permittee Signature: 4 ? - )1
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da.
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.
'02/10/2006 11:50 FAX 5035981960 CITY OF TIGARD 1] 003
Mechanical Permit Application FOR OFFICE USE ONLY
Received •
City of Tigard
Date/BY .1 ■ „. i i
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �i n:; y _•;n DatrJBy, Od'ape`rni
Inspection Line: 503.639.4175 AO' J,1 �, DateReadyBy: El See Page 2for
Internet www.tigard or,3ov Notified/Method Supplemental Information •
• TYPE OF; WORK - :•:. ..: ; , ;'COMMERCIAL::FEB:4! •SLHt;IIULE - USE: CHECKLIST
[] Now construction. ❑ ition/alteration/replaeement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment. labor, overhead, and profit.
CATEGORY OF CONSTRUCTION : . . • . .. value: $
- .: RESIDENTIALEQUIPMENT'/ SYSTEMS FEES* •
❑ 1 d 2- family dwelling ❑ Commercial /industrial ❑ Accessory building .. For special information use check/(sr,
PWAulti-family ❑ Master builder ❑ Other. Description I Qty, I Ea. I Total
JOB SITE INFORMATION AND LOCATION H. eating/cooling _ •
• Job site address: c /� _-- - D Air conditioning or heat pump
155 )(� DL (restores site plan showing placement) 14.00
City /StatrJZlP: C, � a 72, , A Furnace 100,000 BTU (duets/vents) 14.00
�� Furnace 100.000+ BTU (duets/vcnts) 17.90
Suite/bldgfept no.: 111,3 t-r a- Project name5),t4 }.�--y,..0 Gas heat pump 14.00 i
Cross street/dircctions to job site: 1Dc'1a�1-1, 4M /04Eits.x),,...-Nzz.c)Le.- Duct work 14.00
_ • Hydronic hot water system 14.00
C) G r-- -t n c i We-- t Residential boiler (radiator or
hydroni) 14.00
Unit heaters (fuel -type, not electric), •
in -wall, in -duct, suspended. etc. 10.00 •
Flue/vent for any of above 10.00
Subdivision: Lot no.:
- Other: 10.00
Tax map /parcel no.: Other fuel appliances _
• • DESCRIPTION OP WORK . • ' Water heater 10.00 •
I Gas fm replace . 10.00 •
I1 \5 1 A , - : LO N.I -- J _�111..- Flue vent for water heater or gas •
fireplace 10.00 •
D P---i a ' 5 "- 1. I 't't . Log lighter (gas) 10.00
Wood/. Ilet stove 10.00
Wood fireplace/insert - 10.00
Chimney/liner/flue/vent 10.00
M : • ROPERTY OWNER . • .. : . ...fl !TENANT. • • ;: Other 10.00
Nameallw '� Af - GC-, T Li,,(, t' f 5 126A-__ Environmental exhaust and ventilation
s
E=s-r-^. Range hood /other kitchen
Address: % 5)o 8 Pt z - r Aga:- % ? V u (, l O. � . equipment 10.00
City /State/21P:PVi= 0y t ' op_ q 72.0 t Clothes dryer exhaust L 10.00
Single-duct exhaust (bathrooms,
Phone: (O3 4. - 5 -7 2.- Fax: ( "v)54 6 "'6a C d toilet compartments, utility rooms) 6.80
. ,CtAPI'LICANT . .. : LYCONTACT :PERSON Attic/crawlspace fans _ 10.00
Other. 10.00 •
Business name: qi ,` (.i i t, • CC) ?..4 e • e_ t--,k.a Fuel piping
Contact name: C i $5.40 for first lour, $1.00 for each additional •
Furnace. etc. .
Address: Gas heat pump '
City/State/ZIP: WalUsuspende heater
Phone: CC ) 54Z, -- Fax: : ( )
Water heater
Fireplace
E -mail: Range •
. . 'CONTRACTOR : • : . Barbecue ,
•
0024, Clothes dryer (gas)
Business name :5 � Q,..1. f v-�- r i "-� l 4 - _ Ot
Address: t5j 9-0,9) p cLiii 4 ... 111ECHANICAI,:PERMIT FEES'
City /State/ZIP: Tt DCrEI : L b2 leC14Z"• Subtotal /
Minimum permit (cc (S7230) A .;e,
Phone: ( ,0) 51G. i c . , 2..6 Fax: (34?) -jt 1‘30 Plan review (25% of permit fee)
CCB lie.: ir . t...59 _ Stare surcharge (8% of permit fcc) / .
TOTAL PERMIT FEE I 2 &.
,
ca-4-4-J, /4 a w,4/4.4 This permit application expires If a permit is nut obtainR it in 'so
Authorized sign • 1 nays after it has been accepted as complete
Print name:
ar , Tr/`1La Date: /t • Fee methodology set by Td- County Building industry Service Baanl
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MtC.)006.00093
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/17120 06
Phone: (503) 639-4171 A0lb �l `
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I I.. 1
r
INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:01AM PAGE: 00
SITE ADDRESS: • 11155, s MFADOWf3ROOK DR 2 CLASS OF WORK:
SUBDIVISION: WILL FARM LOT #: 014 TYPE OF USE:
PROJECT NAME:
SUMMERFIELD APARTMENTS
DESCRIPTION: Unit 2, install dryer vent.
OWNER: SUMMERFIELD ASSOCIATES, LLC, PHONE #: 603.6/&6712
CONTRACTOR: SKYWARD CONSTRUCTION PHONE #: 360.646,1626
Inspection Request Scheduled For: Date: 2/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 M rough -in 027690 -02 603.310 -7107 N
Cf
Corrections /Comments /Instructions:
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4 7 (149s
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AOIPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ 37 Date: 2 � v �p Phone #: (503) 718: �
P �� l Y
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