Permit •
CITY OF TIGARD MECHANICAL PERMIT
Y :• • COMMUNITY DEVELOPMENT P ermit #: MEC2012 -00437
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012
IIGARD Parcel: 2S101 DCO3703
Jurisdiction: Tigard
Site address: 13500 SW 72ND AVE 250
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Project: Beck Group Subdivision: ROLLING HILLS NO.2 Lot: 44
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Project Description: Replace GP -1, 4 & 5 reuse curbs, ductwork and controls. GP -1 reuse smoke detectors, GP -1 has ecomonizer.
Contractor: ARROW MECHANICAL Owner: BECK FAMILY PROPERTIES LLC
10330 SW TUALATIN RD 16700 S GERBER RD
• TUALATIN, OR 97062 OREGON CITY, OR 97045
PHONE: 503 - 692 -1565 PHONE: 503 - 684 -3406
FAX: 503 - 691 -1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/25/2012 $538.21
Class of Work: ALT Type of Const: Plan Review 09/25/2012 $134.55
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 09/25/2012 $64.59
Stories: Info Process /Archiving - Sm $0.50 (up to 09/25/2012 $6.00
11x17)
Project Valuation: $17,479.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $743.35
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
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Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -009 You may obtain a copy of the rules
or direct questions OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available in ection 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.
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Mechanical Permit Applicatio
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FOR OFFICE US[. ONLY
City of Tigard EIV D Received 8- Ai /� Permit No.: � ""f ,2, s7
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• 13125 SW Hall Blvd., Tigard, OR 97223 y '
C Phone: 503.7182439 Fax: 503.598. Other p
1 g� 2 2 1 Plan Review C' L
1I GA I: D Inspection Line: 503.639
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Date Ready/13y: la See Page 2 for
Internet: www.tigardor.gov C OFTIGARD No.. : 9 f� I Supplemental Information
. . r ti 11. !!/ � /':"� :.
r wegr� n1.
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TYPE : 114 i� ‘ C ungi C , r E" SCHEDULE - USE CHECKLIST
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Mecha.::. permit fees* are based on the value of the work
9 New construction Qa Additi on/alteratio , - placement performed. Indicate the value (rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ 10) Li 7h Jac)
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1- and 2- family dwelling 121 Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Iieating/cooling:
Air conditioning
Job site address: i'35e.0 S> 72/30 Aid& (requires site plan showing placement) 46.75 1
Cit 421' 1 72�3 Furnace 100,000 BTU(duets/vents) 46.75
J Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: ,26 Project name: B:✓C. �iou/0 Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Tax map /pal no.:
map/parcel Other: 23.32
T - -Other- fuel - appliances: --° -_ - -- - - -- -- - --
DESCRIPTION OF WORK - Water heater 23.32
K P1 fbC Gam" ( 9 I > < 5 Gas fireplace 33.39
1 Kt vyE.: t ` �t. -1 tf. Tw aZK Aitb Lev? I? I S Flue vent for water heater or gas
6 l iIf2Ii +w :C As TrTa'�, f l i____ r►1Zb'�2 fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
it PROPERTY OWNER I 0 TENANT Chimney/liner /flue/vent 23.32
.(� G Z Other: I 23.32
V
Name: l� tecvP
Environmental exhaust and ventilation
Address: 136-00 lJ y, / 7z,40 Ave Range hood/other kitchen
equipment 33.39
City/ State/ZIP:
Tin A ',0 0 g7 3 Clothes dryer exhaust 33.39
Phone: (C83) 6 3N�b Fax: ( ) Single•ductexhaust(bathrooms,
toilet compartments, utility rooms) 23.32
• M APPLICANT • DA CONfA(T'PERSON . _ Attic/crawispace fans 23.32
Business name: A kee ,4 . eUA/�L :GA ( Other: 23.32
Contact name: y p Fuel piping:
`74r F f ALE Ail $14.15 for first four, $4.03 for each additional
Address: 1 Sw TuAbcrkt. gel Furnace, etc.
Gas heat pump
City/State/ZIP: TttA �� , 0k 17 062 Wall/suspended/unit heater
Phone: (563) .672_-16--6s- I Fax: : (93) 611,-1877 Water heater
E -mail:
Fireplace
Range
CONTRACTOR ' - Barbecue
Business name: (�yQ�� i� f- l -t�'�w I tali
Clothes dryer (gas)
_ v ^ p pT` Other:
Address: 103 0 3l� _ / D i r MECHANICAL PERMIT FEES:
City/State /ZIP: 1 v A ` A c %rq OK C� 1 7 0 06 2 Subtotal
C1 Minimum permit fee ($90.00)
Phone: (9.3) c Q Z --1 s6 7 Fax: TO 3) 6°I i / s 77 Plan review (25% of permit fee)
CCB lic.: (j) 4 3 State surcharge (12% of permit fee)
e- TOTAL PERMIT FEE ' 3
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
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