Permit CITY OF TIGARD MECHANICAL PERMIT
11 • COMMUNITY DEVELOPMENT Permit#: MEC2014 00464
Date Issued: 08/26/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DD00109
Jurisdiction: Tigard
Site address: 11035 SW SUMMERFIELD DR 6
Project: Summerfield Apartments Subdivision: WILLOW-BROOK-FARM Lot: 15
Project Description: Install dryer vent for new stackable washer/dryer
Contractor: ERIN ISLE CONSTRUCTION INC Owner: SUMMERFIELD ASSOCIATES, LLC
11120 SW INDUSTRIAL WY BLDG 9 BAY 2 BY HSC REAL ESTATE
TUALATIN,OR 97062 1500 SW FIRST AVE STE 1020
PORTLAND,OR 97201
PHONE: 503-691-9096 PHONE:
FAX:
I FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 08/26/2014 $69.06
Class of Work: NEW Type of Const: Plan Review 08/26/2014 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/26/2014 $8.29
Stories:
Project Valuation: $200.00
Fuel Air Handlers
Fuel Types: 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 $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No•� ation -•er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtaih a copy of the rules
or dire questions to OU • b ,-.. ing 503.232.1987 or 1.800.332.2344.
Issued By: 4 11/ ' / ` Permittee Signature:
49,/_4;er
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApnlicRECriucn FOR OFFICE USE ONLY
City of Tigard LI V L.U Received ' ' /7 •" I ./L/�r
Date/By: u' le
II - • 13125 SW Hall Blvd.,Tigard,OR 9722 ,, Plan Review
Phone: 503.718.2439 Fax: 503.598.19441G 2 6 2014 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris Page 2 for
Internet: www.tigard-or.gov CITY OF IIUARD Notified/Method: Supplemental Information
BUILNN',f'rilgIQP
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction id-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition
❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ o7CX:i,
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: //(.9 3 5 �ki. u e J,f i, f L vs,e Furnace 100,000 BTU(ducts/vents) _ 46.75
City/State/ZIP: fiscif,,c.i �/Y, 7-lade Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: C� Project name: �u 6o�ei��,1�r G tat
Duct work 23.32
Cross streetidiredions to job site: 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
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.: -
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 .
_ 'L Flue vent for water heater or gas
.Z hSAG l� Pe Cr fiV v/', jot fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
—
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
8 APPLICANT ❑ CONTACT PERSON Other: 23.32
_ Fuel piping:
Business name: L�r i`0 _2.5 l6 C oli 5Y"14 k C�)O t� 1 it C- $14.15 for first four;$4.03 for each additional
Contact name: Jo(to.4 �ut )4 Furnace,etc.
�U Gas heat pump(ti0o :54„), )ti u....5 ?� y •Wall/suspended/unit heater
City/State/ZIP: u c+/e y":4,,t Qf / ?c760 Water heater _
Phone:(sod)6 y/- d
6 1 Fax::( ) Fireplace
Range
E-mail: )c e, 4 or)&04 ti i 5/6 5;ci)1 5 . c-c=1“t Barbecue ,
CONTRACTOR Clothes dryer(gas) ,
Other:
Business name: �e Pi t�O14�Si'U1 u G.y.lc,(-( 1 14( MECHANICAL PERMIT FEES*
Address: Subtotal lege&
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) r'7.2 7
Phone:( ) Fax:( ) State surcharge(12%of permit fee) , pZq
CCB lic.: (r)79 D TOTAL PERMIT FEE Q41.4 2_
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board
Print name: la,p_c6 ,] 1t Date: $-7 6 _i Y
1:\Building1 Permits UMEC_PermitApp_040113.doc 440-4617r(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11035 SW SUMMERFIELD DR 6, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
August 28, 2014 at 8:24:38
AM
MEC2014-00464
Jeff Grove
Violation Summary:
Inspector Contractor