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Permit
CITY OF TIGARD MECHANICAL PERMIT 11/ . s COMMUNITY DEVELOPMENT • Permit #: MEC2013 -00167 t D Issued: 03/26/2013 T E G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.243• �v 4 a" parce 1S135DC00200 Jurisdiction: TIGARD Site address: 11845 SW GREENBURG RD 210 Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8 Project Description: Installation of (1) forced air furnace and a/c unit with venting. Per Planning, placement of a/c unit must be screened from view from public right -of -way. 4/3/13, reprinted to correct suite from 120 to 210, per owner. 4/8/13, reprinted to clarify this HVAC services suite 210, 200 & 220. Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC 18395 WOOD THRUSH ST 18395 WOOD THRUSH ST LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 684 -0550 PHONE: 503 - 684 -0550 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/26/2013 $145.81 Class of Work: ALT Type of Const: Plan Review 03/26/2013 $36.45 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/26/2013 $17.50 Stories: Project Valuation: $3,000.00 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 1 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: 1 Heat Pump: Appliances Vent Fans: Vent Systems: Total $199.76 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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 -0090. You may obtain a copy of the rules or direct ions to r NC by ' g 503.232.1987 or 1.800.332.2344. Issue By: / / / / Permittee Signat \ Call 503.639.4175 by 7:00 a.m. for the next available inspection 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. CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT © , Permit #: MEC201300167 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 ® Date Issued: 03/26/2013 Parcel: 1 S 135DC00200 Jurisdiction: TIGARD Site address: 11845 SW GREENBURG RD 210 Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8 Project Description: Installation of (1) forced air furnace and a/c unit with venting. Per Planning, placement of a/c unit must be screened from view from public right -of -way. 4/3/13, reprinted to correct suite from 120 to 210, per owner. Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC 18395 WOOD THRUSH ST 18395 WOOD THRUSH ST LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 684 -0550 PHONE: 503 - 684 -0550 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/26/2013 $145.81 Class of Work: ALT Type of Const: Plan Review 03/26/2013 $36.45 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/26/2013 $17.50 Stories: Project Valuation: $3,000.00 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 1 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: 1 Heat Pump: Appliances Vent Fans: Vent Systems: Total $199.76 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units. Gas Outlets: Other Desc: Duct Work: 1 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 Notifica I_ Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -QQ90. You may obtain a copy of the rules or direct stions to OUNC • calli• :.03.232.1987 or 1.800.332.2344. Issued , y: / / Permittee • Signature: yf � Call 503.639.4175 by 7:00 a.m. for the next available inspection 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. ' u CITY OF TIGARD MECHANICAL PERMIT ip . g COMMUNITY DEVELOPMENT Permit #: MEC2013 00167 TIGARb 13125 SW Hall Blvd., Tigard OR 97223-503.718.2439 Date Issued: 03/26/2013 Parcel: 1 S135DC00200 • Jurisdiction: TIGARD Site address: 11845 SW GREENBURG RD 120 Project: Spec Space Subdivision: TIGARDVILLE PARK Lot: 8 Project Description: Installation of (1) forced air furnace and a/c unit with venting. Per Planning, placement of a/c unit must be screened from view from public right -of -way. Contractor: GENERAL CONSTRUCTION SERVICES Owner: TWO G'S REAL ESTATE LLC 18395 WOOD THRUSH ST 18395 WOOD THRUSH ST LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 684 -0550 PHONE: 503 - 684 -0550 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/26/2013 $145.81 Class of Work: ALT Type of Const: Plan Review 03/26/2013 $36.45 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/26/2013 $17.50 Stories: Project Valuation: $3,000.00 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressure: • Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 1 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: 1 Heat Pump: Appliances Vent Fans: Vent Systems: Total ' $199.76 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) • Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire /Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. S. %ialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work .t started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to foil. ' - rules ado. - . . the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. , may ob .' a co.: of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 1(i . :_) ..__,:i d .4r Permittee Signature: / / /� j i Call 503.639.4175 by 7:00 a.m. for the next available inspe ion 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. Mechanical Permit A • .licat' • ] FOR OFFICE USE ONLY City of Tigard I 1' s_ - cir �/ '� '110 Received g Date/B -- Re / l /� w Permit No.: / , 6f 5 _„ I /6 IIIIII II 13125 SW Hall Blvd., Tigard, OR 97 r 3 • . Phone: 503.718.2439 Fax: 503.598.1960 mm A B tlY r Plan Review Other Permit: E�F Date/By: Inspection Line: 503.639.4175 R Q Date ReadyBy: Juris ® See Page 2 for Internet: www.tigard or.gov A Notified/Method: Supplemental Information r ` Y 1 TYPE OF r "'4:1; 4 t / 1 I + COMMERCIAL 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 0 Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ YJZj c. CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling IR Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: \� Q,_-, c.�� C \--\;) / 7 (requires site plan showing ng placement) 46.75 Furnace 100,000 BTU (ducts /vents) I 46.75 City /State /ZIP: ) \ e .,. Q 7-a---2- Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.. /X0 Project name: 5'1"£C /4-L.,£.._ Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: ,,.;, y t■, 0 \\_-,, (, - .' 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 I 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 — L\ S i1�,Lt '\-\ -4 Q `� •'� Svc A Flue vent for water heater or gas <.17C 1. �\ � , — fireplace 23.32 d Log lighter (gas) 23.32 Wood/pellet stove 33.39 1C)12,0 L.„\ k-tdu_ r.) - r (-A_ 0 1 Wood fireplace /insert 23.32 :V PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: T I A 7 RvQ�L c_, \ ' ti...... C____ Environmental exhaust and ventilation: Address: �1 Range hood/other kitchen C7 ("a 9 ) �Y \Std S equipment 33.39 City /State /ZIP:'Lp Q. GcSW . ._ Co a � 0 CZ. Ck C - Clothes dryer exhaust 33.39 ( �U _ S S (5d �� Single -duct exhaust (bathrooms, Phone: Fax: J toilet compartments, utility rooms) 23.32 1 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: ' fj Fuel i m P p g: Contact name: ` - _tis �..s, . 514.15 for first four; S4.03 for each additional Address: lS3 - 1� �� 00,E �� S Furnace, etc. Gas heat pump City/State /ZIP: \ \� � Lo / sC 4 9 - 703_5 Wall/suspended/unit heater Phone:�3 )7 . Li --3 Fax: : j Vex, --ST Water heater p� Fireplace E -mail: �\/. (bL� D� l �H) CO'(` Range CONTRACTOR Barbecue Business name: C� Other: Clothes dryer (gas) " �/ (� Address: \(2,c )G W0 i 1-N u\ S \ MECHANICAL PERMIT FEES* City/State /ZIP` Subtotal Minimum permit fee ($90.00) Phone: ) 7J9 Li 3 i Fax: � s� '� Plan review (25% of permit fee) CCB lic.: \ Ce GE" /7 State surcharge (12 %ofpermit fee) TOTAL PERMIT FEE ft/c9 .7P This permit application expires if a permit is not obtained within 180 Authorized signtare: days after it has been accepted as complete. Print name: 1/x: v�� Date: " — alp' f M * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermiWpp dot 03/07/12 440 -4617T (11 /07JCOM/WEB) . \ \ \ • \ \ \ ULIk I � I I D I 4 . ___________---------_______ el EXIST ' BLDG D I 41.------ -- /77 --- (*) -- i ,, I I r I U,e, V( r 'v3Ur, Row O I 9 EXIST ')i BLDG 0 CR - .,1 06.■ ----- i o c) 0 ' ------ I 4- - - _ _ _ _ 0 I I