Permit .
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00059
�I�� DEVELOPMENT H Hall SERVICES C -639 -4171 DATE ISSUED: 1/31/2006
PARCEL: 2S110DD -00109
SITE ADDRESS: 11043 SW SUMMERFIELD DR 2 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Unit 2, 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: , < =10000 cfm: OTHER UNITS:
> GAS OUTLETS:
10000 cfm:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
HSC REAL ESTATE [HRMEC] Hourly Mecha 1/31/200E $14.38
1500 SW 1ST SUITE 1020 [HRTAX] Hourly 8% Sta 1/31/200E $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: 24, Permittee Signature: Cf42.�GLet
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.
Med . 1 Permit A 1: y' :. FO O FFICE USE ONLY
City of Tigard LL.: _ _ 1 =i ' " Received I a4 0 A � ,
Daze/BY Permit No.: }� j 7 yt ,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review • r 'w
Phone: 503.639.4171 Fax: 503.598.1960 JAN /i, `\ Daze/B Other Permit:
a
Inspection Line: 503.639.4175 I JAN _
2 6 2 i)� c' l Date Ready/By: S See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method rial
Supplemental Information
CITY OF TJQ
N
B v MIDI IS COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction El Addition /altterati0n/rep 1N Mechanical permit fees' are based on the value of the work
/ performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 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
For special information use checklist.
❑ Multi- family 0 Master builder
❑ O ther: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
/ , S �� �/� /` A f C . y � }}- Air conditioning or heat pump
Job site address:
�0 3 Cµ-+ • // r fd C z (�,� �2. (requires site plan showing placement) 14.00
City /State /ZIP t O Furnace 100,000 BTU (ducts/vents) 14.00
v 4, Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name c Di- Gas heat pump 14.00
Cross street /directions to job site: 1 jp HAM t attA j.g e. 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
VE -c Jc, l'I DRI 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
L94tOPERTY OWNER • I _ ❑ TENANT Chimney/liner/flue/vent 10.00
Name: c7v/ p 1 .i I LD ��C7C� 5 LA' C"
Other: 10.00
4 c.- p C , Environmental n e hood/other exhaust and ventilation
` r r
Address: .l1 JOO ,rJ. • Range hood/other kitchen
�P�� - I � � t� (c'?' equipment 10.00
City /State/ZIP!T� �p b(Z 6 772o 1 Clothes dryer exhaust ( 10.00
t Single -duct exhaust (bathrooms,
Phone: „) ,-,. Fax: 6:5:) ) 546,-5 30 ( toilet compartments, utility rooms) 6.80
PLICANT • ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: 5'y 9 Co r v( r ,N I
77 / fr Fuel piping
Contact name: G( Wr €` � $5.40 for first four; $1.00 for each additional
Address: ' ci ' `� Furnace, etc.
(5 C 0 t , 14 l oT� A te. Gas heat pump
City /State/Z1P: I DC4,Fi W p- ge,b �Z. Wall /suspended/unit heater
Phone: (56 ) 54& -«Z 5 Fax: : (3 &o) 46 '-1630 Water heater
E -mail: Chav/ - Range
l�i �s��. C/ CD/'l S�I� t:��o.? .. �!M Range e
CONTRACTOR Barbecue
c ,�,/ C.42,-)57--r Clothes dr e as
Business name:
C)g- U1/o/ �( L & c-.T,. t --/ Other: L . AL i � �_ ���i ' •
Address: /{) Al:. /617 7 t 1 6 MECHANICAL PERMIT FEES*
City /State /ZIP: , &EP e 624, l� , ,S1-� Subtotal
-Minimum permit fee ($3-5O PI S
Phone: , ) t j4C / c Z l ) - F ax: b ) 51,1'. & - ?,70 Plan review (25% of permit fee)
CCB tic.: I i. `2 9 l � State surcharge (8% of permit fee) („ AS"
TOTAL PERMIT FEE 1 , (
Authorized signature: ( /4 . /�`� ,�+ , 7Lis permit application expires if a permit is not obtained within 180
` f days after it has been accepted as complete.
Print name: � �',,t'-p A *— A N Date: / / '�jf (J6. ' Fee.methodology set by Tri- ounry Buildin Indu Se ce Board
l I A � 1425 of /- Ome
i:\ Building \Pennitu\MEC- PennitApp.doc 12/03 5 0- 461TT CO Ey
.....9. 5 Rev (a7 /� � - 1l rC�l � ,,. 04nM tT.S = ii, 15• up 3, SAC4
CITY OF TIGARD -
', BUILDING DIVISION PERMIT #: MF: �:3.(If3�;I1fitlf,g
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ii31 /2t) I6
Phone: (503) 639- 4171m�" �',�'lII
Inspection Requests (24 Hrs.): (503) 639 -4175 ' P -..
INSPECTION WORKSHEET FOR DATE: 2!14/2006 TIME: 2:`3213M PAGE: G0
SITE ADDRESS: i iO43 SW SUMMER4 iLlt) DR 2 CLASS OF WORK:
SUBDIVISION: SUMMERFIL1-D APAkTtiO_N I;) LOT #: 013 TYPE OF USE:
PROJECT NAME: ,UMMERFIF:LD APAR Mit'N fS
DESCRIPTION: Unit 2, instail dryer vent
OWNER: SUMMFRFIELD ASSOCIATES, Lt 0, PHONE #: 603,616,6712
CONTRACTOR: SKYWARD CONSTRUCTION PHONE #: 3G0- 546-109
Inspection Request Scheduled For: Date: 2/1412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Moch:inic:al rough -in 02€i827 -08 503-310 /111/ N
Corrections /Comments /Instructions:
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illiBliffAirter
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PASS 111 PARTIAL APPROVAL ❑ CANCEL II] NO ACCESS
❑ FA L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �/ L� Date: ` ' 74)k Phone #: (503) 71 S 1—