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Permit CITY OF TIGARD MECHANICAL PERMIT ti ' - ° COMMUNITY DEVELOPMENT Permit #: MEC2013 -00084 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/13/2013 Parcel: 1S135BA00102 Jurisdiction: Tigard Site address: 10164 SW WASHINGTON SQUARE RD Project: Spec Space Subdivision: OAKBURG Lot: 27 Project Description: Replace 5 RTU's Contractor: GREY WOLF HVAC INC. Owner: PPR SQUARE TOO LLC 7306 NE 37TH AVE PO BOX 847 VANCOUVER, WA 98665 CARLSBAD, CA 92018 PHONE: 360 - 588 -3207 PHONE: FAX: 360 - 326 -8506 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/13/2013 $982.71 Class of Work: OTR Type of Const: VB Plan Review 02/13/2013 $245.68 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 02/13/2013 $117.93 Stories: 1 Info Process /Archiving - Sm $0.50 (up to 02/13/2013 $3.50 11x17) Project Valuation: $35,000.00 • 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 $1,349.82 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 -0190. Yo may obtain a copy of the rules or direct questions to OUN by calling 503.232.1987 or 1.800.332.2344. 1 Issued By: UO I At14f Permittee Signature: ( A ( Call 503.639.4175 by 7:00 a.m. for the next available inspec on 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 Application FOR OFFICE USE ONLY City of Tigard � ��, DateBy: 3-1 // 3 (�L w/3 t Permit No.: I ° 13125 SW Hall Blvd., Tigard, OR 97223 - Plan Revie 2 I Phone: 503.718.2439 Fax: 503.598.1960 FEB 7 2013 DateB 2 I� t5 i Other Permit: Inspection Line: 503.639.4175 y t T I G A R D p Date Ready y Juris. 0 See Page 2 for Internet: www.tigard- or.gov CITYOFTIGARD Notified/Method: ,J 3f"( / Supplemental Information BUILDING DIVISION op TYPE OF WORK OMMERCIAL 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: $ 35 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / S FEES* ❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total /— JOB SITE INFORMATION AND LOCATION Heating /cooling: ;\ Air conditioning ©` \ Job site address: 10164 SW Washington Square Rd. C p)u3 7') (requires site plan showing placement) 46.75 r City /State /ZIP: Tigard, OR 97223 / Furnace 100,000 BTU (ducts /vents) 46.75 � Furnace 100,000+ BTU (ducts /vents) 54.91 V ^ Suite/bldg. /apt. no.: I Project name: Hen tae.... N)Ae_e 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: 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 e5 RTUs Gas fireplace /insert 33.39 Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 • ❑ PROPERTY OWNER I 0 TENANT Chimney /liner /Flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood /other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ® CONTACT 'PERSON Attic /crawlspace fans 23.32 Business name: Grey Wolf HVAC, Inc. Other: 23.32 Fuel piping: Contact name: Darrell Osborne $14.15 for first four; $4.03 for each additional Address: 7306 NE 37 6 Ave. Furnace, etc. Gas heat pump City /State /ZIP: Vancouver, WA 98665 Wall /suspended/unit heater Phone: (360) 635 -6117 Fax: : (360) 326 -8506 Water heater Fireplace E -mail: dosborne @greywolfhvac.com Range CONTRACTOR Barbecue Business name: Grey Wolf HVAC, Inc. Clothes dryer (gas) Other: Address: 7306 NE 37'" Ave MECHANICAL PERMIT FEES* City /State /ZIP: Vancouver, WA 98665 Subtotal Minimum permit fee ($90.00) Phone: (360) 635 -6117 Fax: (360) 326 -8506 Plan review (25% of permit fee) CCB lie.: 165139 State surcharge (12% of permit fee) /� TOTAL PERMIT FEE ,I � This permit application expires if a permit is not obtained within 180 Authorized signat / 1 days after it has been accepted as complete. Print name: Darrell Osborne ( Date: OZ krizo '3 ' Fee methodology set by Tri- County Building Industry Service Board t. \Building)Permits\MEC PermitApp doc 03/07/12 440- 4617T (02 /COM/WEB)