Permit Ilk, A
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A , CITY OF TIGARD MECHANICAL PERMIT
i � DEVELOPMENT SERVICES PERMIT #: MEC2006 -00057
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11023 SW SUMMERFIELD DR 4 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Units 4 and 5, install dryer vents.
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:
CLO DRYERS: 2
FURN < 100K BTU: AIR HANDLING UNITS
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 1/31/200€ $14.38
1500 SW 1ST SUITE 1020 [HRTAX] Hourly 8% Sta 1/31/200€ $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: (f}'L d 2 /Z 1. T)4 ,
,, ,,er e Z zd. _____
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.
Mechann al'iermit A t ,.4 r • .... . FOR OFFICE USE ONLY
•
City Tigard L iJ Receives b
}�, f ' , DateBy. / i Permit No.: L C , / tf Ac iv 57
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.598.1960 / �, I Date/By. Other Permit:
Inspection Line: 503.639.4175 1 JAIY 26 2 /ors ^� l'II <:.
_ __� Date Ready/By: 10 See Page 2 for
Internet: www.ci.tigard.or.us CITY �^ya Notified/Method F Supplemental Information
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ITN 11 np l ttp R �.i�
BUTEDI N UNVIS COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction El Addition /alltteration/replacemen 1� Mechanical permit fees* are based on the value of the work
J performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Erb ther:t mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi - family 0 Master builder
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: no R3 sm.) sat- iHtQA L> ->
€ k e•t/, 4,5- Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: — • . 6g. Furnace 100,000 BTU (ducts/vents) 14.00
, 5 Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name8 P a p Gas heat pump 14.00
Cross street /directions to job site: W.RHA _ j 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
Vet- np Dcas+ i 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 _
Q4 OPERTY •OWNER ❑ TENANT.
Chimney/liner/flue/vent 10.00
�tJ Pl 7 b \. <.1 Z.-1�9 i C Other: 10.00
Name: (/� !', �G �� +� Environmental exhaust and ventilation
Address: tl Range hood/other kitchen
k5 5,.. �`J� .sski6 1 cc_, t'•�v t (D C equipment 10.00
City /State /ZIP:W� / t-la ciZ q7 2o i Clothes dryer exhaust a 10.00
Phone: Single duct exhaust (bathrooms,
) ; ` <5'7 Fax: ) 54- , -� 3 50 ( toilet compartments, utility rooms) 6.80 _
PLICANT - ❑ CONTACT PERSON Attidcrawlspace fans 10.00
Business name:r5'yk'�4a Co .� .,N i�L r
Other: 10.00
7 � `".� tG Fuel piping
Contact name: G tr $5.40 for first four; $1.00 for each additional
�' ' `✓ Furnace, etc.
Address: i 90 v ` s 1 O _Av, Gas heat pump
City /State /ZIP: 124 D� ,ept �� L 9B6 4- 2- Wall/suspended/unit heater
Phone: (56 ) 5 ,16, --t, G Fax: : (3bo) 546 `1630 Water heater
l / ,Y o Fireplace
E -mail: ch/ a r '✓ - U on5r, - c i:/ e., .. X Range
CJ ' Gli4l CONTRACTOR Barbecue
•
, �,, / �'^ Clothes dr e :as
Business name:
C�lK� T/ ✓ �l / U( t�fJ�� !' 41_7'1 � :
Other: .L . Ai- ii ty�� Pr
Address: /< --,- /o0 / �' / 1 MECHANICAL PERMIT FEES* .
City /State /ZIP: A- G Subtotal'
�DG�� -•��1a r.
Phone: c ) 546 /( Fax: � b' ) 54-‘_,--- / /_ 7O an r e v iew permit fee (tea) . �$
j� ° Plan re (25% of permit fee)
CCB lic.: 1 5 - e , 2 B State surcharge (8% of permit fee) . r
/� , " TOTAL PERMIT FEE , (,3
( 7fj / , 14 ` This permit application expires if a permit is not obtain e d within 180 Authorized signature: days after it has been accepted as complete.
�P'•i'� Al .. Print name: A (-Pell- Date: (/�j06. • Fee methodology nt
set by Trri- o nty Buwding Indu Sefvice Board
A 6 /4,2., , io fr.
1: \Building\PennitaMEC- PennitApp.doc 12/07 4617 01 OZ/5yE�1 — f1
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CITY OF TI D •
C O GAR
BUILDING DIVISION • PERMIT #: MCC2(106.00 57
13125 SW Hall Blvd., Tigard, OR 97223
1(._., DATE ISSUED: 1/3I /2006
Phone: (503) 639 -4171 +1„�I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 ' P:
INSPECTION WORKSHEET FOR DATE: 2/14/21)06 TIME: 2:22PM PAGE: 68
SITE ADDRESS: 11023 SW SUMMERFIELI) DR 4 CLASS OF WORK:
SUBDIVISION: SUMMERFIELO APARTMENTS LOT #: 013 TYPE OF USE:
PROJECT NAME: SUMMER FIELD APAR FME•NTS
DESCRIPTION: Units 4 and 5, install dryer vents.
OWNER: SUMMERFIF.LU ASSOCIATES, LI C, PHONE #: 503-546,5/12
CONTRACTOR: SKYWARD CONSTRUCTION PHONE #: 360 546-1629
Inspection Request Scheduled For: Date: 2/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 026827 -06 503 - 3104187 N
Corrections /Comments /Instructions:
1 (Illi' / .
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4 - Date: �� (d6 Phone #: (503) 718 - 2 V Y