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Permit ,l CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015-00260 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2015 Parcel: 1 S135CA02600 Jurisdiction: Tigard Site address: 11130 SW GREENBURG RD Project: Good Neighbor Center Subdivision::HERS ADDITION TO GREENBURG HE Lot: 3 Project Description: Replacing existing RTU. Contractor: COLUMBIA HEATING&COOLING INC Owner: EAST WASHINGTON COUNTY SHELTER PO BOX 230397 PARTNERSHIP COUNCIL TIGARD, OR 97281 DBA GOOD NEIGHBOR CENTER 11130 SW GREENBURG RD TIGARD, OR 97223 PHONE: 503-624-2704 PHONE: FAX: 503-598-0270 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/11/2015 $398.51 Class of Work: ALT Type of Const: Plan Review 05/11/2015 $99.63 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/11/2015 $47.82 Stories: Info Process/Archiving-Sm$0.50(up to 05/11/2015 $4.50 11x17) Project Valuation: $12,000.00 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 $550.46 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or Ron 332.2344. Issued By: Permittee Signature: 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 Application FOR OFFICE USE()NIA III City of Tigard E�vEp ��© i•, ) 13125 SW flail Blvd.,Tigard,( 9 fil3 J�_ Plan Revic" Phone: 503 718.2439 Fax: 50 . Date/By: � ' Other Fannie: 1 I G n It U Inspection Line: 503.639.4175 Date Read;B Internet: www.ti d-or. ov y o See Page 2 for MA\( 5 2015 Notified/Method: �� Supplemental Information �MM�� a `t A-440,147.0,',83."`"` .` 1f"chamcal permit tees*are based on the value of the work ❑New construction Ulf dditi .. r .,ta'F. �•. a meat performed.indicate the value(rounded,to the nearest dollar)of all ❑Demolition ❑Other: tnechatucal materials,equipment,tabors,overhead,and profit. Value.$ /)i V ') ,:. ;• .C4T' G( 0$ TR k11 , R I t)te is S. � .:,; r: v •ao � �.,.. TS�81'� 1�t1tA Q,.. �%1';� X6CsjSi FEES" ❑ I-and 2-family dwelling Pg.-Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I'!,Qty. I Ea. I Total ! scwsl'it 141 Ft1RMAtiosp 130C"hi'Lgibl'1i, r ,,,- — Heating/cooling: Air conditioning , Job site address: ill 3O SW er- l bar (requires ate plan showing placement) 16.75 City/State/ZIP: / `r 1`�/�� (,/`/j furnace 100,000 BTU(dacts7vems) 46.75 1� _ �� Furnace 100,000+BTU(duets/vents) . 54.91 Suiteibld- Project name: Cock_, . Ce Ar beat pump (1 t (requires site plan showing placement) 61.06 1; ens to job site: _'' ■ Duct work 23.32 •A. _ , dronic hot water system � 23.32 ∎.._ A ••esidential boiler(radiator or wane ,, / ,' 1 a,/ hydronic) 23.32 Unit heaters(fuel-type,not electric), ,i :7lSl�I�� eM in-Wall,nn duct,suspended,etc. 46.75 Su 'vision: ir Lot no,: Flue/vent for any of above 23.32 Other - 23.32 Other fuel appliances: .: '. •'' •' • ' Water heater 23.32 / y/J p �f �+� (ins fireplace 33.39 � ` "w !t/t yr C - 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 QPROPERTY� i ;x. . t e r'`• a ; �� �= �. 4 i; Chimney/liner/flue/vent 23.32 : 23.32 l A1P f/ini r �� -/Jm Environmental exhaust and ventilation: Address: / af = ' ` eM Range hood/other kitchen■ equipment ! 33.39 City:/States/ZIP: / (�r-,,, g`7/. Clothes dryer exhaust 33.39 Phone: Single-duct exhaust(bathrooms, ( ) Fax:( ) toilet compartments,utility rooms) 23.32 al APPLZ A YF y .t sd. ' 3,»t , A '.P RKy)Nss, Attic/crawlspace fans 2332 Business name:Columbia Heating and Cooling,inc. Other. 23.32 — --- ---— ._ ._- Fuel piping: Contact name:Marlena Meedom _ 514.15 for first four;$4.03 for each additional Address:PO Box 230397 Furnace,etc. Gas heat pump City/Saate/Z.IP:97281 Wall/suspended/unit heater Phone:(503)624-2704 Fax::(503)598-0270 Water heater Fireplace E-mail:colts mbhc(a7teleport.com Range .. .;'"4,','''."1, h 4■11-0 " ,: ,4,.,;_i'-',4,,-':, Barbecue Business name:Columbia Heating and cooling,inc. Clothes dryer(gas) — Other Addles* PO Box 230397 ,,�}, �€ �r t4II tit R �`!.'"'TrE .-- City/State/ZIP:Tigard,OR 97281 Subtotal Minimum permit fee(590.00) Phone:(503)624-2704 Fax:(503)598-0270 Plan review(25%of permit fee) CCB lic.:76359 State surcharge(12%of permit fee) TOTAL PERMIT FEE 'ir5 .'V ' Authorized signature: This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name:Marlena R Meedom pate: • fee methodology set by Tri-County Building industry Service Board i.o......+o...«e.•n.cr.v..,.tm..e n..`numn:in 44n-4677T(11Mrir`ALWFR■ 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 11130 SW GREENBURG RD, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00260 George Heimos Smoke tested Violation Summary: Inspector Contractor