Permit v CITY OF TIGARD MECHANICAL PERMIT
o • COMMUNITY DEVELOPMENT • Permit #: MEC2012 -00274
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/27/2012
Parcel: 1S 135ACO2500
Jurisdiction: Tigard
Site address: 9346 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 4 (6 units).
Contractor: JT SMITH COMPANIES Owner: J.T. SMITH CO
5285 MEADOWS RD, STE 171 5285 MEADOWS RD SUITE 171
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035
PHONE: 503 - 975 -7639 PHONE: 503 - 975 -7639
FAX: 503 - 684 -0102
FEES
Specifics: Description Date Amount
Type of Use: Range Hood /Other Kitchen 06/27/2012 $200.34
Class of Work: Type of Const: Clothes Dryer Exhaust 06/27/2012 $200.34
Occupancy Grp: Occupancy Load: Single Duct Exhaust (Bathrooms, Toilet, 06/27/2012 $373.12
Utility Rooms)
Stories: 12% State Surcharge - Mechanical 06/27/2012 $92.86
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Fumaces >= 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:
Appliances
Vent Fans: Vent Systems: Total $866.66
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 qu to OUNC b calling 503.232.1987 or 1.800.332.2344.
Issued B � �� Permittee Signature: CG .
Call 503. 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 Application FOR OFFICE USE ONLY
City of Tigard , �� � Ri c° ; e d Permit No.:N , , �7
q
NI 13125 SW Hall Blvd., Tigard, OR 97223 � ooa ,
C Plan Review
Ph one: 50 3 . 718 .2439 Fax: • 503.598.1960 MAY ff Other P e rmit: QQ��
2 � 1 � Date/By: ttOtL( • / Q
T I G A Rll Inspection Line: 503.639 per. Date Ready/By: curia: ® See Page 2 for
Internet: www.tigard- or.gov CITY Irtm, Notified/Method:{r//
/ ..2.r 1 %) . 7 Supplemental Information
BUILDING DIVISrnN
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
ew 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: $ In Oo
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
- amt thitotliffrO Commercial/industrial ❑ Accessory building For spedal Information use checklist.
'ulti- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 93 7(, era , 2, is&8 g3sy sp.. /V4ari da.a1 VS Cr (requires site plan showing placement) 46.75
I - p Furnace 100,000 BTU (ducts/vents) 46.75
,.�
City/State/ZIP: Ti ej4Q 7 �pt ' ZZ 3 � � / 3 y�D Furnace 100,000+ BTU ( ducts/vents )
"w"" // 54.91
_
Sui - apt. no.: y N Project name: cell i1 S 2�� /2O, 54. Heat pump
(requires site plan showing placement) 61.06
Cross s et/directions to job site: 6 Z.CN / T / L6 CT Duct work 23.32
Hydronic hot water system 23.32
2 / 7 9 /eeneug 7t`] N i.n . Residential boiler (radiator or
hydr
7k 4 So q3�(a, 5e ' Imam eta.* e s �I
Unit h ic) 23.32
/ Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: l 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
- Gas fireplace 33.39 • lue vent for water heater or gas
- [replace 23.32
I , v "'" Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent
Other. 23.32 _
Name: ,p � Environmental exhaust and ventilation:
Address: 5 � /� Js-! equip entother kitchen !„ 33.39
City/State /ZIP: G � t�Smi O p� Clothes dryer exhaust (a 33.39
33.39
`G Single -duct exhaust (bathrooms, i � 4 .
Phone: (SO) '25 - -76 9 Fax: ( 4 p ) V - o; de_ toilet compartments, utility rooms) 1 fr, 23.32
■ APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
� - s �,) Q /� , Othe 23.32
Business name: l'l� C IJ Fuel piping:
p
Contact name:
��jfQiy � �y! Cfl�r $14.15 for first four; $4.03 for each additional
Address: 5245- P464 /2 Furnace, etc.
Gas heat pump
City /State /ZIP: L ,_ Os U , J o f '3 703 WalUsuspended/unitheater .
Phone: ( ) V, '75 -7 f- Fax: : (j 3) 6g`/._ 0 a , Water heater
�J // Fireplace
E -mail: W, / � c % - sin /4 C0 , �L�I Range
J 'CONTRACTOR Barbecue
Business name: .A ^ Clothes dryer (gas)
Other:
Address: / MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal 7 13, 2p
Phone: ( ) I F ( Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: l L f -0 State surcharge (12% of permit fee) 9 eft., /
/ Isil-rni- TOTAL PERMIT FEE 4' , , 6 4, y
Authorized signature: ' / This permit applicatio expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: < ,644�1 - >✓� / i ._ ea. I Date: • Fee methodology set by Tri -County Building Industry Service Board %;j1
I:\ Building \PermitAMEC- PermitApp.doc 09/09/10 440-4617T (I I /02/COM/WEB)