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Permit 4, • CI TY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2006 -00523 `�' I II 13125 SW Hall Blvd., Tigard, OR 97223 503-6394171 DATE ISSUED: 10/27/2006 PARCEL: 1S136CA-01601 SITE ADDRESS: 11665 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Remove and replace (3) rooftop heat pumps. Project Value: $41,000 CLASS OF WORK: ALT • FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B 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: 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 KEY BANK Description Date Amount 1200 SW 4TH [MECH] Permit Fee 10/27/200 $650.00 [TAX] 8% State Surcha 10/27120( $52.00 Total $702.00 Phone: • 503- 790 -7578 Contractor: FRESH AIR CO INC 8462 SW UMATILLA TUALATIN, OR 97062 -6329 REQUIRED ITEMS AND REPORTS Contact #: FAX 503- 638 -6162 PRI 503- 692 -1234 Reg #: LIC 66155 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. Iss ed By: 041 , Permittee Signature: Al Call 503 - 639 -4175 by 7:00 a.m. for inspections that business d • . This permit card shall be kept in a conspicuous place on the job site until com j = ion of the project. Approved plans are required on the job site at the time of each in %ection. Mechanical Permit Application colt of 1; Ict: t,s i 0.1.E City of Tigard Dat By: �' iM -/Fe ,� _ aoSa3 g Date/By: /D �7 Permit No.: 1 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ltl Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T i G n R v Inspection Line: 503.639 Date ReadyBy: , ® See Page 2 for Internet: www.tigard -or.gov Notified/Method: • Supplemental informat TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work El New construction j'Addition/alteration/ placement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, 9verhead, and jofit CATEGORY OF CONSTRUCTION Value: $ wanQ• RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- 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 JOB SITE INFORMATIO AND LOCATION Heating/cooling Job site address: Air conditioning or heat pump 6� Ill � (requires site plan showing placement) 14.00 City/State/ZIP: y.� r r Furnace 100,000 BTU ( ducts/vents) 14.00 �� ©� Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: fProject name: // J Q / Z ''--/ Gas heat pump 14.00 Cross street/directions to job site:gi �-1 �' Duct work 14.00 /T" / Hydronic hot water system 14.00 Q Residential boiler (radiator or 7 hydronic) _ 14 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. , 10.00 Subdivision: I Lot no.: 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 ' ,U..ii 4' /.[L.■ ,A`�%. . ' `// ' Flue vent for water heater or gas 1 fireplace 10.00 /�/ /i ce / .: M a 1 / .-%11s/ -ei if • Log lighter (gas) 10.00 i Wood/pellet stove 10.00 Wood fireplace/insert 10.00 ❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00 Other: 10.00 Name: /2y Environmental exhaust and ventilation Range hood/other kitchen Address: j ,� / ,~ "Ph equipment 10.00 City/State/ZIP: fi Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (371 - 7 70 757,9 Fax: % -e - I g .t-1 -- p z)-j" toilet compartments, utility rooms) 6.80 ,PPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: / (2, t - L %/, Fuel piping Contact name: g /�`s /7 � � n� _ $5.40 for first four; $1.00 for each additional Address : /1 a , l .a z Furnace, etc. T J Gas heat pump City/State/ZIP: 4 Y - /� �G/ ( 1 2 ` C / 70�v� WalUsuspended/unitheater Phone: ( 503 0a / �, J 9 Fax:: � � ,� /„g� d/� Water heater v Fireplace _ E -mail: Range CONTRACTOR Barbecue Business name: /� Clothes dryer (gas) Other: - Address: ! MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Minimum permit fee ($72.50) rP3 Phone: ( ) Fait: ( ) Plan review (25% of permit fee) CCB lic.: &6 / ,t,I a y Q 5 State surcharge (8% of permit fee) 0.CO Authorized signature: `(/1/1/ TOTAL PERMIT FEE 14 p. DD This permit application expires if a permit is not obtaiaeil within 180 �j days after it has been accepted as complete. I Print name: 592 Zt l � I Date: I 0 _ 14._ 0,4 \ P Fee methodology set by Tri County Building Industry Service Board I:\Buildingermita MEC- PermitApp.doc 04/06 /06 440.4617( (1 /02/CCOM/WEB)