Permit 111 sli .
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CIT OF TIGARD MECHANICAL PERMIT
- DEVELOPMENT SERVICES PERMIT #: MEC2006 -00058
s.� II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S 110DD -00109
SITE ADDRESS: 11025 SW SUMMERFIELD DR 6 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Unit 6, install dryer vent
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
HSC REAL ESTATE [HRMEC] Hourly Mecha 11311200€ $14.38
1500 SW 1ST SUITE 1020 [HRTAX] Hourly 8% Sta 1131/200€ $1.25
PORTLAND, OR 97201
Phone: 503 - 546 - 5712 Total $15.63
Contractor:
SKYWARD CONSTRUCTION •
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1629
Reg #: LIC 158289
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.
Issued By:
‘
Permittee Signature: may) GLdA .0 _7 rvi
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
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 P.: I'Illlt A !::1. s;g + . FOR OFFICE USE ONLY Received rifflim • City of Tigard - ,�� , 1i I Permit No.' ib
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 U �. $ . r Other Permit:
Inspection Line: 503.639.4175 1 JAAN K 6 2 _ ",:���`�` DateReadyBy: MI ®SuSeePage2pplemental for Information
Internet: www.ci.tigard.or.us Notified/Method
CITY OF TIGARD
BU J JIV1SON COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ❑ Addition /alteraatii Mechanical permit fees' are based on the value of the work
/ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ErOther:l c Ast c2 - /9 - ., /Ey 1„- --- mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
dwelling RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
❑ 1 - and 2-family g ❑ Commercial/industrial ❑ Accessory building
El ❑ Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
c � / Air conditioning or heat pump
Job site address:
/k) a NNf�if � -b S.K . l�7 (requires site plan showing placement) 14.00
City /State /ZIP iC' �� c*.., Furnace 100,000 BTU (ducts/vents) 14.00
, A0. Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: Project nameo ate, Gas heat pump 14.00
Cross street /directions to job site: WRl _lAM . 3712 Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: 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
Vr✓'t - 2n16 np. 17( -5 Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
PR OWNER • - • ❑ TENANT
Chimney/liner /flue/vent 10.00
Name: c7U / � wtF t �) d\ C( G-' P''T , �. u L Environmental Other: 10.00
�, A` C-� , .. Rg exhaust and ventilation
hood/other .t 5'JoO J. Pz-r -A /t 1 t «t (O Rang hood/other kitchen
equipment 10.00
City /State /ZIP! , -trap b(Z C 72o Clothes dryer exhaust , 10.00
Phone: t Single -duct exhaust (bathrooms,
hone:
) - i5'7 y Fax: ) 54-6,-9'
4-(, -' ' 3C? ( toilet compartments, utility rooms) 6.80
( PLICANT . ' ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: S14 /1 4 co ,,f T r.N i J C_ _
tC Fuel piping
Contact name: W. Lfr -tr1---' $5.40 for first four; $1.00 for each additional
v Furnace, etc.
Address:
0' 9 } N.t� 10 -AV
Gas heat pump
City /State/ZIP: 121 DG' .6.Fi 624) W -Pr 986 Wall /suspended/unit heater
Phone: ( ) 54&' --(4'2 5 Fax: : (3bo) 546 . -- 16 • � U Water heater
E-mail: / �- }
J Fireplace
�x / e., c i rU COnS / rt Cr o .7 - (PlM Range
CONTRACTOR Barbecue
Business name: Clothes dr e _• as
C�l� /Ul� �� /'V L T 3 :^/ Other: ' Y a
Address: /? B at_ 1ti A/ MECHANICAL PERMIT FEES*
City/State/ZIP: 17 .&: EP ,. 624, /, � G J o6 j f 2- Subtotal
•
,/ / � / _ Mia m permit fee ($-73504 / 5 S
Phone: (3&) 046 /C 2-9'
• I Fax: � b ) 54.6 / /_- b i vie
J� ° Plan review (25% of permit fee)
CCB lic.: 1 53 2 E39 State surcharge (8% of permit fee) 1 aS
TOTAL PERMIT FEE ) 5. (D3
Authorized signature: ( - / O`li 1 This p ermit application expires if a permit is not obtained within 180
` j ' days after it has been accepted as complete.
Print name: �`ritJ' A • (4-1A ei� I Date: // 14/ 6, ; Fee methodology set by �o n 3 ilding Selvice Board
ry a. 412.5 OF .� 74611Q
is\ Building 'PennitsV� �. � I�OlJ I�J
C- PermitApp.doc 12/03 s^� t{ / n � r 51 0- 461TT(Il tC'/ 02/CO r, - ,.. W - r�
( � A G M r'T". ] = IJ�' filth,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MLA *
I 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1131 / 006
Phone: (503) 639 -4171 l I
Inspection Requests (24 Hrs.): (503) 639 -4175 P 'I ..
INSPECTION WORKSHEET FOR DATE: 2114/2006 TIME: 2:22F>M PAGE: 67
SITE ADDRESS: 110' }r, SW III JIVIMERFIELD DID 6 CLASS OF WORK:
SUBDIVISION: SUMMFRI'ILLD APARTMENT + LOT #: 013 TYPE OF USE:
PROJECT NAME: SUMMFRFIFLD APAR TMFNTS
DESCRIPTION: Unit Ei, ins1t711 dryer vent
OWNER: SUMMERFIEI_D ASSOCIATES, LL,C, PHONE #: 6039- :;46-ST i2
CONTRACTOR: SKYWARD CONSTnI,ICTION PHONE #: 360 - fA 6 1e,29
Inspection Request Scheduled For: Date: 2/14/2606 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6Th Mechanical rough -in 026827 -07 603-31041117 N
Corrections /Comments /Instructions:
N
A winiiiiiim■
I
A -P-Ass--- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i
Inspector: `' " ` D ate: 2 l -O ( d (o Phone #: (503) 718 - G