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Permit
CITY OF TIGARD MECHANICAL PERMIT 1111 s COMMUNITY DEVELOPMENT Permit#: MEC2015-00531 T f GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2015 Parcel: 1S 133CC70014 Jurisdiction: Tigard Site address: 14100 SW BARROWS RD 4 Project: Ballard Subdivision:SCHOLLS VILLAGE CONDO STAGE 6 Lot: 1-4 Project Description: Installation of new air conditioner. Placement of a/c unit must comply with manufacturer's clearance requirements. Contractor: HONKE HEATING&AIR CONDITION INC Owner: BALLARD,MICHELLE 840 NE CLEVLAND 14100 SW BARROWS RD#4 GRESHAM, OR 97030 TIGARD, OR 97223 PHONE: 503-666-3725 PHONE: FAX: 503-666-0589 FEES Specifics: Description Date Amount Type of Use: MF Permit Fee 08/05/2015 $145.81 Class of Work: ALT Type of Const: Plan Review 08/05/2015 $36.45 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/05/2015 $17.50 Stories: Project Valuation: $3,000.00 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: 1 Heat Pump: Appliances Vent Fans: Vent Systems: Total $199.76 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: 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 s ions to NC calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signatur Call 503.639.4175 by 7:00 a.m.for the next available inspection te. 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. Aug 04 15 02:33p Honke Heating 503-666-0589 p.1 Mechanical Permit Applica n _I V D FOR OFFICE USE ONLY' City of Tigard 1,1,_._ •E r Permits% ,A 5-z?v53 13125 SW Hall Blvd.,Tigard,OR 9721 G 4 2015 Phone: 503.718.2439 Fax: 503.598.1960 Other Prank: .,I-r) Inspection Line: 503.639.4175 CITY OF T I C AR D Data Ready/By: 1air B See Page 2 far Internet. www.tigard-or.gov BUILDING DIVISION Notified:Method: �© Suppleaw+tal Information _ • TYPE of WORK COMMERCIAL FEE"'SCHEDULE - 175E CBBCCLIST • • 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,a uq ipmenl,labor.ovethead.and prom. Value:f CATEGORY OF CONSTRUCTION RP.SIDENTIALEQUIPMENT/SYSTEMS FEES•. •® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building Far special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 1 46.75 46.75 Job site address:14100 SW BARROWS RD UNIT#4 Furnace 100.000 BTU(ducts/vents) 46.75 City/State/ZIP:TIGARD/OR/97223 Furnace 100,000+BTU(ducts:venta) 54.91 Heat pump 61.06 Suite:bldg./apt.no.:4 Project name: Duct work 23.32 Cross streevdireaions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronie) 23.32 Unit heaters(fuel-type,not electric), in-wail.induct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other 23.32 Subdivision: Lot no.: Other fuel appliances: ( Water heater 23.32 i Tax map parcel no.: DESCRIIYTION OF WORK Gas fireplacelinsert 33.39 • Flue vent for water heater or gas INSTALLATION OF NEW AIR CONDTFIONER fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood Breplace/i sere 23.32 Chimney/liner/flue/vent 23.32 Other 23.32 ® PROPERTY OWNER �.. .-- ❑ TENAAT Environmental exhaust and ventilation: Name:MICHELLE BALLARD Range hood/other kitchen equipment 33.39 Address:14100 SW BARROWS RD/UNIT#4 Clothes dryer exhaust 33.39 City/State/ZIP:TIGARD/OR/97223 Single-duct t cxhaual(bathrooms, toilet oonllmttrnents,utility rooms) 2332 Phone.(503)504-5818 Fax:( ) Attie/crawlsptce fans 23.32 ❑ APPLICANT :0 CONTACT PERSON Other: _ 23.32 Fuel pipinw Business name: 51415 for first four:51.03 for each additional Contact name: Furnace,etc. Gas heat pomp Address: Wall/suspended/wmit heater , City/State/ZIP: Water heater Phone ( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR • Clothes dryer(gas) Business name:HONKE HEATING&AIR CONDITIONING Other. .MECHANICAL PERMITFEES" Address:840 NE CLEVELAND AVE Subtotal — 46.75 City/State/ZIP:GRESHAM/OR/97030 Minimum permit fee(890.00) 90. Njl.8/ Plan review(25%of perm it fee) _ ,'f5 Phone:(503)666 3725 Fax:(503)666 0589 t_ State surcharge(12%of permit fee) 10. 7 TOTAL PERMIT FEE 100.80 ccH u(:.:71762 ��i9 / .� p4aet__ This permit application twines of a ccemit b s c o plate. within 1��� 7�days after has item apermit as wmplai n f�Aut prized signature: • Fee methodology set by TriCotnty Building Industry Service Beard Print name:LISA PRF.BLE f Date:00-04-15 I:1Dwldi enn& EC_PennitApp Ma113.doc 4413-44317r(11/4711CODNWFB) 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 14100 SW BARROWS RD 4, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00531 Chip Barnett Minor label # ELS480045 Violation Summary: Inspector Contractor