Permit CITY OF TIGARD MECHANICAL PERMIT
I • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00292
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2012
Parcel: 1S 135ACO2500
Jurisdiction: Tigard
Site address: 9304 SW MANDAMUS CT
Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25
Project Description: New MF. Building 5 (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: MF Range Hood /Other Kitchen 07/10/2012 $200.34
Class of Work: NEW Type of Const: VB Clothes Dryer Exhaust 07/10/2012 $200.34
Occupancy Grp: R -2 Occupancy Load: Single Duct Exhaust (Bathrooms, Toilet, 07/10/2012 $373.12
Utility Rooms)
Stories: 12% State Surcharge - Mechanical 07/10/2012 $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:
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:
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 questio o 0 C by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signet
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 completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Mechanical Permit Applica lip C3� `r .��eD FOR OFFICE USE ONLY
City of Tigard Received / y permit No �,�
9722MAY 2 Date/By: (p ,, / CoZQ /o (/QoQ9.2
° 13125 SW Hall Blvd., Tigard, OR 97229 2 92
Date/By: Review
� Phone: 503.7 t 8.2439 Fax: 503.598.1960 Other Penn
' DateBy: �uP, i /o? -QQQ y Q
TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: runs: M See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE" 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: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
•
1E1.' t ing ❑ Commercial/industrial ❑ Accessory building For special inforrnauon use checklist
ulti- family ❑ Master builder ❑ Other: Description i Qty. I Ea. 1 Total
JOB SITE 'INFORMATION AND LOCATION Heating/cooling:
• Air conditioning
Job site address: q3 y 'Z g338 9 Z� Q 3 Zo Jw Mai 33 — (requires site plan showing placement) 46.75
/ Furnace 100,000 BTU ( ducts/vents) 46.75
City/Stater P: T,ya� e -f �, q „,... 3 Iry / Furnace 100,000+ BTU (ducts/vents) 54.91
Sui e/bldg./ pt. no.: Project name: 4tevjo Sln /Lo�c4s a / Heat pump
/ (requires site plan showing placement) 61.06
Cross street/directions to job site: 6 AA// % ,_,/, G— Duct work 23.32
'r _ _ zi 7 b� Rot 7_574egidv Reside iti hot we adiato 23.32
�o- o /o Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
/�
k 934 , �7 30 C.q -CU/ 4AM elf Cl. 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
Gas fireplace 33.39
Flue vent for water heater or gas
A/__../1 f� ��)�� . fireplace 23.32
(• r ii Log lighter (gas) 23.32
S Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: 5"-Z5:6- /j/ea.„‘"LkvS ,&d' 5 T6- /r7/ Range hood/other kitchen //
equipment c, 33.39
City/State/ZIP: av,e D / O/C ?/ Q 35 Clothes dryer exhaust l'/ 33.39
Single -duct exhaust (bathrooms,
Phone: CIO) ,25- -76 S Fax: ( ) dYY- Oj QL toilet compartments, utility rooms) 23.32 • ❑ APPLICANT C NTACT PERSON • ' , Attic /crawlspace fans 23.32
� - .. /, - o Other: 23.32
Business name: l 6 Fuel piping:
Contact name: (jnQ 2-k„S __,R) Ct «r $14.15 for rust four; $4.03 for each additional
Address: 52,g5— /d ,, ,€ - Furnace, etc.
Gas heat pump
City/State/ZIP: 1 i OS Gv.e e, / c G / 703 Wall/suspended/unit heater
Phone: ( 3) 7 T 76 /' I Fax: : (5 3') 6gc/-- O a _ Water heater
/� / - rr / // Fireplace
E -mail:
l- 4y YC�l6_y e 1 .../_5/17,* CC , C-04%-1 Range
`J CONTRACTOR Barbecue
Business name: ^ Clothes dryer (gas)
• Other: •
Address:
MECHANICAL PERMIT FEES*
City/State/Z1P: j Subtotal
Phone: ( ) Fax ( r Minimum permit fee ($90.00)
_ Plan review (25% of permit fee)
CCB lic.: I -1 6 if h IS l 'i State surcharge (12% of permit fee)
TOTAL PERMIT FEE P6 A , 6 & Authorized signature: /a
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: rha --e ,'/G/CP.--y I Date: • Fee methodology set by Tn -County Building Industry Service Board
1:\Building\Permits\ EC- PermitApp.doc 09/09/10 440- 4617T(II /02/COM/WEB)