The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2011 -00537 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2012 Parcel: 2S 101 AB00100 Jurisdiction: TIGARD Site address: 12017 SW 70TH AVE Project: Dr. Sepehri Subdivision: Lot: Project Description: TI Contractor: A- WESTLAKE APPLIANCE HEATING & AIR CONDITIC Owner: RED ROCK BUSINESS ASSOCIATES LLC 11216 SE 60TH AVE 23077 SW NEWLAND RD MILWAUKIE, OR 97222 WILSONVILLE, OR 97070 PHONE: 503 - 880 -3900 PHONE: FAX: 503 - 659 -8407 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/10/2012 $161.16 Class of Work: ALT Type of Const: VB Plan Review 04 /10/2012 $40.29 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 04 /10/2012 $19.34 Stories: 1 Info Process /Archiving - Lg $2.00 (over 04/10/2012 $6.00 11x17) Project Valuation: $3,500.00 Fuel Air Handlers Fuel Types: Units < 10000 cfm: 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: Appliances Vent Fans: 4 Vent Systems: Total $226.79 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas'Outlets: Other Desc: Duct Work: 1 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 direc estions to NC calling 503.232.1987 or 1.800.332.2344. w i Issue By: Permittee Signature: Call 5 50 03..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 ra ce 3 ., foR ()al . 1: [ Si.: ON 1.1 City 1 4�\ Received �' of Tigard 2 9 2 Date/By: _' f �9 I Permit No.: P( 1 �/l 0 7 • 13125 SW Hall Blvd., Tigard, OR 97213 01 Plan Review . , j e (t l 45a Pali!! a�a/t 1 1 Ili Phone: 503.718.2439 Fax: 503.598.1960 � - .�� ; ry;� � t I • f thher Permit: Inspection Line: 503.639.4175 ^ ,'Y Juris: I G n R D 1; S � R : y See Page 2 for Internet: Line: and 63 ov a s + i + � g g i,A r Id . Notified/Method: �� I Supplemental Information Z `"-� L. V r'1 1tk - l- I MMERCIAL FEE' SCHEDULE - USE CHECKLIST TYPE OF WORK ❑ New construction Mechanical permit fees* are based on the value of the work ❑ Addition / alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead, and profit Value: $ __.5-/- / S! CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ❑ 1- and 2- family dwelling [ ' ommercial/industrial ❑ Accessory building For special informa axe diecklLst ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: ' 201 7 51 7 Ave (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City/State/ZIP: 7 G , J. , t9/2- q•'? Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldgJapt no.: I Project name: S.p_pell l'1 D I (requires site plan showing placement) 61.06 Crass street/directions to job site: '''....r.._.11_ - "+ f l S PO -7z- v":1 _ Duct work 23.32 l 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: I 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 /e _ CC-1 a f Gas fireplace 33.39 L��'' / Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 fferPROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32 Other 23.32 Name: `P.yt 5e/el n Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Phone: Single-duct exhaust (bathrooms, ( ) Fax: ( ) toilet compartments, utility moms) 23.32 tEl APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name: C4 M qs - O ge © D1'N Fuel piping: Contact name: fl ejp 1/4. 6 qk._ — 3 $14.15 for first four; $4.03 for each additional Address: &COCO 3 Sw lrerrA✓ /1-i /4 J4 /a ZZV Furnace, etc. Gas heat pump City/State/ZIP: 10 4IJ / 0 12_ 0 722 S Wal /suspended/unit heater Phone: (rp3 ) i/7 7 —?/ 72, ( Fax:: (( $3) 29 - it 7 ? Water heater E -mail: b RIO o et�^'s etS g . )1€-1 Ran eace ', / �), �' CONNmAC FOR , ` d,e //,: e4� ,..t 4 4 Barbecue Business name: A.... N/ Q e J A /� c c ►!', • t 01)1 i ,• er: Clothes dryer (gas) Address //2 / (o �j t E - ( 4 Q H+ A • - MECHANICAL PERMIT FEES* City/State/ZIP: ''�/ //G' ,( . y r , // '� Subtotal Phone: (. ) RR, 3 f'> Fax: � mac � ,� Minimum permit fee permit fee) 7 O (5e8) b /-� t-� Plan review (25% of permit fee) CCB tic.: '73 379 . .1, State surcharge (12% of permit fee) TOTAL PERMIT FEE This p ermit application Authorized signature: L.....4-7 Thi liti expires if a permit is not obtained within 180 �� r days after it has been accepted as complete.