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Permit CITY OF TIGARD MECHANICAL PERMIT 2 ' COMMUNITY DEVELOPMENT Permit #: MEC2012 -00142 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2012 Parcel: 2S110DCO2300 Jurisdiction: Tigard Site address: 11515 SW DURHAM RD E -7 Project: Oregon DHS Subdivision: 1998 -128 PARTITION PLAT Lot: 1 Project Description: Replace existing gas furnace, roof -top condenser and line set. • Contractor: REITMEIER MECHANICAL Owner: HIP WILLOWBROOK LLC 19570 SW 90TH CT BY HARSCH INVESTMENT CORP TUALATIN, OR 97062 PO BOX 2708 PORTLAND, OR 97208 PHONE: 503 - 603 -0205 PHONE: FAX: 503 - 603 -0150 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/16/2012 $269.03 Class of Work: ALT Type of Const: Plan Review 03/16/2012 $67.26 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/16/2012 $32.28 Stories: Info Process /Archiving - Sm $0.50 (up to 03/16/2012 $13.00 11x17) Project Valuation: $7,124.00 Fuel Air Handlers Fuel Types: Units < 10000 cfm: 1 Gas Pressure: Units > 10000 cfm: Q) , Furnaces Boilers &Compressors Furnaces < 100K BTU: 1 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: 1 Appliances Vent Fans: Vent Systems: Total $381.57 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: P�rmittee Signature: e. 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 completio e project. Approved plans are required on the job site at the time of each inspection. • 12. ©9 H /APC.."P w t` (Ica ILJ Iorook, Mechanical Permit Application FOY OFFICE USE ONLY City of Tigard � -+ Received /, Permit No.: ' M/ 1 ' ' CE�L -t Dale /By: lea / �.'/O O � ,�/r • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi • •• ++ //-- �f • Phone: 503.718.2439 Fax: 503.598.1960 Date /By: �� i i I : k . Other Permit: l I G A R D Inspection Line 503.639.4175 MAR 16 201 Date Ready /:y: kris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: / , 49, O. 41., Supplemental Information CITY OF TIGARD l((// _ _ TYPE OF GILDING DIVISION I • n ' • ' * 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. Value: $ 7,124 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total / (5 /5 JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 1 ' '_�- �y Durham Road (requires site plan showing placement) 46.75 City/State /ZIP: Tigard, Or. 97223 Furnace 100,000 BTU (ducts /vents) 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: E -7A Project name: Oregon DHS Heat pump (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 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 Replace existing gas furnace, roof top condenser and line set. Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 f w Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ( El PROPERTY OWNER I 0 TENANT Chimney /liner / Flue/vent 23.32 Other: 23.32 I Name: Harsch Investment Properties Environmental exhaust and ventilation: Range hood/other kitchen Address: 1430 SW Broadway Suite 100 equipment 33.39 in City/State /ZIP: Portland, Or. 97201 Clothes dryer exhaust 33.39 ^ Single -duct exhaust (bathrooms, ^ Phone: ( ) Fax: ( ) `` J toilet compartments, utility rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: Reitmeier Mechancial Other: 23.32 Fuel piping: Contact name: Bob Cleveland ' $t14.15 for first four; $4.03 for each additional Address: 19570 SW 90 Court Furnace, etc. Gas heat pump Z City/State/ZIP: Tualatin, Or. 97062 Wall/suspended/unit heater Phone: (503 -) 603 -0205 Fax: : (503) 603 -0150 Water heater Fireplace E -mail: bob.cleveland@reitmeiermechanical. C OM Range CONTRACTOR • Barbecue Business name: Same as applicant Clothes dryer (gas) Other: Address: MECHANICAL PERMIT ES* City/State /ZIP: Subtotal Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: 153770 State surcharge (12% of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: �„„„4,,...- days after it has been accepted as complete. Print name: eetg l✓ / „ L Date:3 //6 • Fee methodology set by Tri -County Building Industry Service Board 1:\Buitding\Permits \NEC- PermitApp.doc 03/07/12 440-461 7T ( I I /02/COM/WEB)