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Permit
p CITY OF TIGARD MECHANICAL PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: MEC2016 00100 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/11/2016 Parcel: 1 S 126CA00300 Jurisdiction: Tigard Site address: 9385 SW GREENBURG RD 100 Project: Rose City Barbell Subdivision: FAIRVIEW PLACE CONDO Lot: 20 Project Description: Adding(2)exhaust fans. Contractor: COLLECTIVE CONSTRUCTION LLC Owner: SFP-F LLC 5543 NE GOING ST ATTN: PROPERTY TAX ACCOUNTING PORTLAND, OR 97218 PO BOX 5350 BEND, OR 97708 PHONE: 616-422-5837 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/11/2016 $69.06 Class of Work: ALT Type of Const: Plan Review 02/11/2016 $17.27 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/11/2016 $8.29 Stories: Project Valuation: $325.00 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: 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 952-001-00.9.0. 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: 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. Mechanical Permit Application FOR OFFICE ( SF.OyI.v City of Tigard Received Date/By: /r �+ • / ti/ G`\i� 'F� Permit No.: L V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _ II Phone: 503.718.2439 Fax: 503.598.1��11111 1 Other Permit: Sit/a. I S / r VV11.41'\C3 6 Date/By: I I G:�I:I) Inspection Line: 503.639.4175 1 Date Read /B Internet: www.tigard-or.gov c L Ready/By: See Pagel for `� 8. P� �.tified/Method:l‘WSupplemental Information a PIN a m g- 3^ A., ,r4,1-71, ,,..%. 11'.-17141;:. a 8� m� �.. {k s "r, v„ .,r k ,E": ,...4..;77:-,en-t-:.--TT t tr '4 t ; ,t ur' ; !iki Mechanical permit tees*are based on the value of the work ❑New construction Addition/alterati s „ _I .cement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$323' , P! ;-,A � 71, .y� x - "r �r< .� i'' ,r+,. . �t `�'fls.-f. 5s�4tu .,, sAr'==?_ ,; 1 ), >x, 4:7ll M1 , ❑ I-and 2-family dwellingCommercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total rt t ,,ftit„ at (r �t` t, z,`. .fin ;". Heating/cooling: "i � :..,., . ...:. Air conditioning 46.75 Job site address: el 3g� Sl,./ 6-ree jj ,...((/04 0-Zt'e f � Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 74.16e-et ©X 9�2 e c"J Furnace 100,000+BTU(ducts/vents) 54.91 / Heat pump 61.06 Suite/bldg./apt.no.: AQ 0 I Project name:®se (/(4, , ^ // Duct work 23.32 Cross street/directions to job site: ��0 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 Subdivision: 1 Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 A, 2 e✓ 5 Flue vent for water heater or gas lCAm vs �� n fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPER I fl T'ENAN1' 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) Z. 23.32 Phone:( ) Fax ( ) Attic/crawlspace fans 23.32 � 3 • ,£ d c a - ` ' Other: 23.32` V!� � _,.-.4.:., A`N -.�.:asa= ., ;' H, _ , . K•� i� Vi. Business name: (O it e L i/ //Q co h� w icr) LCC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: ,/j ‘as Furnace,etc. Address: C sj I-/- /vg- 6-v)'j 51 Gas heat pump p Wall/suspended/unit heater �Q City/State/ZIP: V O r- /LI iv(/ ©a. GI/ t7 f b Water heater Phone:((04) (/ 2 2...- ggt) I Fax: :( ) Fireplace Range E-mail: /ce . Ce//ecb't2C0/75' et%egP4'. 9,'7 Barbecue s.fi r` , � "-`: pt it -riw.4 `#t a -;. 4,, ,' "� _ _ Clothes dryer(gas) Business name: S Other:rAtii,4 Address: Subtotal 41. v City/State/ZIP: Phone:( ) Fax: Plan review(25%of permit fee) /70).7 ( ) State surcharge(12%of permit fee) CCB lie.: . .7 TOTAL PERMIT FEE -till, (q) This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature• �L� * Fee methodology set by Tri-County Building Industry Service Board Print name: iDaV J r e5 Date: '// i//6- 1:Building\Permits,MEC_Permit App 040113 doc 440-4617T(I I,02 COM WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Famil Fee Schedule: 4744,i.14,t4,,1-_";;44"-ti'i, .i€,1#..,._; $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`,M EC_PennitApp_040113.doc 2