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Permit a CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: MEC2015-00783 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2016 Parcel: 2S102AD02900 Jurisdiction: Tigard Site address: 12790 SW ASH AVE Project: Burnham&Ash Apartments Subdivision: BURNHAM TRACT Lot: 5 Project Description: Building 2-gas piping only. Contractor: WOLCOTT PLUMBING Owner: TIGARD, CITY OF 1075 W HISTORIC COLUMBIA RIVER HWY 13125 SW HALL BLVD TROUTDALE, OR 97060 TIGARD, OR 97223 PHONE: 503-667-1781 PHONE: FAX: 503-667-9891 FEES Specifics: Description Date Amount Type of Use: MF Permit Fee 01/26/2016 $130.46 Class of Work: NEW Type of Const: VA Plan Review 01/26/2016 $32.62 Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 01/26/2016 $15.66 Stories: 3 Info Process/Archiving-Lg$2.00(over 01/26/2016 $8.00 Project Valuation: $2,453.00 11x17) Fuel Air Handlers Fuel Types: Natural Gas 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 $186.74 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: G� _ Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1dechaaical Permit Appli es FREP City of Tigard Received it 5 Permit No.: �y 13125 SW Hall Blvd.,Tigard,OR 97KV r) Plan Review O Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: S Date/By: Inspection Line: 503.639.4175 1� r� Date Read / s: Internet: www.ti ard-or. ov CII y S See age l for t; g v� 11 Y�i'y��� Notified/Meth / Supplemental Information Mechanical permit fees*are based on the value of the work New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ a 1-1 -S OFOCN ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checillst. Multi-family ❑ Master builder ❑Other: Description Qty. FEa. Total JOE 1#f)RM[ T" AN°CATION Heating/cooling: Air conditioning 46.75 Job site address`� S ASS PweFurnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ` ��� ��, ^\22'� Furnace 100,000+BTU(ducts/vents) 54.91 Heat um 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: H dronic hot waters stem 23.32 Residential boiler(radiator or h dronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 ' Flue/ventfor any of above 23.32 ��iC' Lot no.: Subdivision: -i Other: 23.32 AAJ;Z C' Other fuel appliances: Tax map/parcel no.: I � ; Water heater 23.32 DESCIM ON OF WORK Gas fireplace/insert 33.39 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 Chimney/liner/flue/vent 23.32 ❑,PRt 'IkRTY OWNER © 'IINANT 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/crawls ace fans 23.32 APPLI CONTACT PERSON Other: 23.32 Business name: �o`LCD� Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: \" � � Furnace,etc. Gas heat pump Address:\p�s t�, �� ��� �`�yy��� �� ` Wall/suspended/unit heater City/State/ZIP:\.<<X�-��.q„� � ��� Water heater Phone:6:;s)U�_`7 O` X-10:i7Fax::(�p3)(���8�` Fireplace Range E-mail: ;+ - 3? J� j �`�+� �y� Barbecue CONTRACTOR Clothes d er(gas) Business name: U�Com- C Other: MECHANICAL PERM[ff FFX$* Address: Subtotal Q. City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB Iic.: 0 TOTAL PERMIT FEE \-1 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:�e>4`Z� �ti \ DateAk%—( 1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02WOM/WEB)