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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015-00797 Date Issued: 11/24/2015 TIGARb 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AB00200 Jurisdiction: Tigard • Site address: 14411 SW PACIFIC HWY Project: Oregon Beverage Recycling Center Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: Venting and gas piping connection for water heater. Contractor: JUDSONS INC Owner: BULL MOUNTAIN INVESTMENTS LLC 1390 13TH ST SE ATTN JERRY KOLVE SALEM, OR 97301 14389 SW PACIFIC HWY TIGARD, OR 97224 PHONE: 503-576-0936 PHONE: FAX: 503-399-8760 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/24/2015 $81.34 Class of Work: ALT Type of Const: Plan Review 11/24/2015 $20.34 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/24/2015 $9.76 Stories: Project Valuation: $875.00 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: 1 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $111.44 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: 1 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 questions to ` NC b .fling 503.232.1987 or 1.800.332.2344. I sued By: k Permittee Signa 0.10) Call 503.639.4175 by 7:00 a.m.for the next available ins ection 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. 11/23/2015 09:04 5033998760 JUDSONS INC PAGE 01/02 Mechanical Permit Application FOI OFFICE t.151C ONI..I RECEIVED Received i I Permit No.: Fl ed,�Q,S',679 14 City of Tigard Dntc/By, `I __�� "t 13125 SW 1-Tall Blvd.,Tigard.OR 97223' Plan Review Other Perini': /1 l cp.6/S'-ce A'7 3 Ill: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: inspection Line: 503,639.4175 NO V 2 3 2015 Date Ready/By: brit, 9J See rage 2 for T1G111tn Internet: www.tigard-or,gov Nnlrncd/Meihod: Supplenentallnfnrmatlon CITY OF I#t3ARD �r��� ��qq��n +q ,dI rix ,� ,,t yt r *r?IS.t,,t.44,,,0 ,4 �A,i, `d',1 ,, s,, , 4M7 1h r t,_'..:'r' 4"4' Tia n „° ...'''''' ar ,�a x" n Avg, .�'i'�'tii'U.li41:rte`4.444'.!tftblu`r.1'IYkk°44,t°"f,�F37."rd'FMk447[i1P./ta : .<a,7"u,�.,t a . r k,i, t'. A..,• n J1.1' , .. i,l,H i .-1 r�tey, Mechanical permit fees*arc based on the value of the work ❑Ncw construction ,C]1 Addition/alteratio t/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanicalmaterials,equipment,fabs,overhead,and d profit, ©Demolition ❑Other: Value $ -1 5 . ill- -. { yyn� i. mn It r n rP a� " ..''q 4 d qitif'a1 � A''kay ', -0y, . f ";YN�c--, . r ✓ t•I'Jh ? T3',ii.,,+ .` • t13 .r� ,0 I .447a.4 4..'".44 L .. .4%.444 "1 a... ^_ t , .''.• i ..,. �a -4,.,pa 114earGgtL�-h1r / ..! t14S . ❑ 1-and 2-family dwelling lig Commercial/indu,trial 0 Accessory building For.rpecial information use checklist ❑Multi-family A D Master builder ❑Other: tt 1on I Qty. I Ea. I Total ulldeDescription u.. "�'7v �., t .�xr.s ,ft a ;y, v Yr .N "b 1-Ica'np/COn11t1£. C�,i .y xi 4 t I'�;lig fir V"1� !'n 1"+SEP m I +t t7P�1(17;'4, ,n; 'P ni.t E ct.cdl+� ` r {°�.4 +.�;,:,^'Art '9 46.75 :"Li..40,-.2,;AWitaelt '1v° "_••':J'r.'` A94�A 9 n�Sq RfAi,A , ," °44•. r +. ^nv 1t'44° Air conditioning Job site address: I q 41 5 vi ?41.1.14,4. 1-Ira y Furnace 100.000 BTU(dons/vents) 46.75 _ w City/State/ZIP: -1,, era Q ' 1 "-L4 Furnace 100,000+BTU(ducts/yenta) 54.91 _ Hcatzump 61.06 Suite/bldg./apt.no.: Project name. C feAJJpn 41' aq"� L�Clrnq _Ductwork 23.32 Cross strcet/directions to job site: �1 JJ ldydrunic 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 P t APA- t a . ) a 4 ,, mv,„, ,r Gas fireplace/insert 33.39 . +y' L �4"vrY,l ,t1.'' . , fit:+ ' "' tl �,° +/� ' ' *h'yy .a f ' ee l s' '', "0'"' Flue vent For water heater or gag vers+(M &v'cl 3 q f f's Ca3lnntc.-fla,r, --c! AA 4L( LES► 4 C� fireplace 23.32 J J Log lighter(gas) 23.32 Wood/pellet stove ,r 33.39 4QWood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 t xv. ,s t tw Other: 23.32 tv w- mfr Fa.- + 14i�1-- �, .r�� i�Kt. �,.. �rr.� ,% n. ._ ,.�,. " 1.m k RC1+a; 1f n n� n3:+.- tea I ••• -..ic."„4, . . Environmental exhaust and ventilation. r � � ,.c'��i..�.f�,r, �:���.,�- �M�/j�� �� � LL• Range hood/otbcrkitchen Name: 0(Q9J n Ii2.,(�r,ia koic' .1 Coo()e,fAT-+ dt equipment 33.39 Address: 3 0 Q NW (tOr..% Pc JR Clothes dryer exhaust 3339 G('1 P- 1 0 Single-duct exhaust(bathrooms, CitylState/ZNP: p�,�l i7 toilet compartments,utility rooms) 23.32 Phone:(503 ) 5(O. -r1 2.. Fa :( ) • Attic/crawl space font 23.32 I g�. r9ln.,' '.963 ;k.,PWIlata ;+riEll " 'tw *WI':"%11,13 Other: 23.32 '.4.... Fuel piping: Business name: -3-`als '- $14.15 for first four;$4.03 for each additional Contact name: Kclsli .S k,,r.9 LiSFurn�ee,etc. h �. Gas heat pump Address: VIS CI D13 f Wallkuspended/unit heater City/State/ZIP: 5cAt L r7 Q el ,:',0 1 Water heater ii Phone:5,.,- ) 51 co' 041 3(0 Fa_::(,fa 3 ) 3 let D i (o Fireplace Range p'.h E-mail;°. 1t q p � 1Ln " Barbecue ue L ' "Ji Sri�RugIV] 9rt';. gel p1 T Business name: 5M C CS A;'aa'1-'2 tClothes d er • S Other: tr w5tgPI + N rsi 'Ftu1 i :,r , laiWi 5, 3 . .7 Address: �����.. ' Subtotal �. r r Minimum permit fcc($90.00) 'S'�` ft City/State/7.1P; Plan review(25%of permit fcc) ,------- "-Z.:- - ' Phone:(5( )3 to b t_' I LI I Fe::(5 ) 31'1 i31(9 0 State surcharge(12%of permit fee) N -L7 CCR lie.: 3 (4(o C r4 _ TOTAL PERMIT 1IEE 1 a • i y - Thin permit nppliention expires If a permit is not obtained within 130- days after it has bee.accepted as complete. Authorized signature:. i -_ • Fcc methodology set by Tri-County Building Industry Service Board Print name: M q 11' S‘l Le - Date: oil S/i.- ('sr�,K i l it.9q q PL4.1"StA) aZv 1.1n,,s,I/nuWermItn\MPc PermilAnn 040113 440.461TT(I /O7JCO1,/WEA) yea l.* , Q�.1 e,