Permit �� CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00170
TIGARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/21/2016
Parcel: 1S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST
Project: Meadow Creek Apartments Subdivision: None Lot: None
Project Description: Replace existing spa heater and gas line upgrade. Located in the club house.
Contractor: ANDERSON POOLWORKS Owner: BEL PORTLAND HOLDINGS LLC
9500 SW BOECKMAN RD BY EATON VANCE MANAGEMENT
WILSONVILLE, OR 97070 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503-625-5628 PHONE:
FAX: 503-625-3488
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/21/2016 $277.46
Class of Work: ALT Type of Const: Plan Review 03/21/2016 $69.37
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/21/2016 $33.30
Stories: Info Process/Archiving-Sm$0.50(up to 03/21/2016 $6.00
11x17)
Project Valuation: $7,485.00
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 $386.13
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 Other Desc: Spa Heater
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of 'JR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if ork is1 not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fellow le rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 091. Y.pemay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFF ICE FSI:O\I.\
Received H L QO/�+
City of Tigard Y/V.1 Date/By: ,' Permit No. C� CO'70
11 . 13125 SW Hall Blvd.,Tigard,OR ' + Plan Review
Phone: 503.718.2439 Fax: 503.59.:<.' / Date/By: Other Permit:
i I C,A!:I Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.govM n R 1 A �01C Notified/Method: Supplemental Information
t .: x ,,; H LY Ut t t'7 s « t * lz:" , 'i;• t iia t
❑ ki V I ,, Mechanical permit fees*are based on the value of the work
New construction Addition/a � (()1� performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition Other: t ) mechanical materials,equipment,labor,overhead,andJ3fit.
1 , � ri i i tea; � �A
Value:$ 71(8S�
❑ 1-and 2-family dwelling Commercial/industrial ❑ Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
rr M� ,„i' k , Heating/cooling:
fid; w �,,` ? ��'
1 ((���__ Air conditioning 46.75
Job site address: RSDS S<U Nor'tt Da kok S+ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: TIOa rCL Ori 3 Furnace 100,000+BTU(ducts'vents) 54.91
q 7 2-2�f //'' Heat pump 61.06
Suite/bldg./apt.no.: i Project name: tM/�'F'C(U G'cJ (/!^iz(c_ At'4 ' Duct work 23.32
Cross street/directions to job site: 77 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
pr`pr j1 To Flue/vent for any of above 23.32
p Other: 23.32
Subdivision: Lot no.: t ..7133`0�
1 S 13� B C-00103 Other fuelappliances:
Tax map/parcel no.: Water heater 23.32
,
IDESaRIP'1Yio 0 WolfK Gas fireplace/insert 33.39
' Flue vent for water heater or gas
V p1�QI1I elkt t 0((1 5 hrOdek- fireplace 23.32
Til1 •_"'” � Log lighter(gas) 23.32
> �' rlQt,) SPC / /`JQS /hP- 1/ : Wood/pellet stove 33.39
nix}rG,r. e tees \l Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
.' PERTY OWNER 1. ❑ '[ EAI!
Environmental exhaust and ventilation:
Name: nc,Q/1o,, Prec Range hood/other kitchen
equipment 33.39
Address: Wi i25 0c .S(t) AIOrf� a kofk_ Clothes dryer exhaust 33.39
City/State/ZIP:61i�IV . eij Or. g712_3 Single-duct t(bathrooms,
V / toilet compartments,utility rooms) 23.32
Phone:(�3) s50, pogoFax:( ) Attic/crawlspace fans 23.32
1 A'PL1( T 0 CONTACT PERSON Other: 23.32
b� Fuel piping:
Business name: Sdii ` kS
[ � $14.1$for first four;$4.03 for each additional
Contact name: f)civxc Ayders \ Furnace,etc.
Gas heat pump
Address: qct S L. 5 0-e, ejrY)ClI F fC es` Wall/suspended/unit heater
City/State/ZIP: �i top- Jr(Le ore q i 07 0 Water heater
Phone:(s 3 ) 6 _ 50 I Fax: :(S03) G zS- 3q5 Fireplace
Range
E-mail:
Barbecue
k1 rR4 IOR Clothes dryer(gas)
,^
Other
-�,Q
Business name: !, - 4,40-soh 64)(40 x
CO-00 th. W.. s_ A� tot. d�. r.. �
Address: �j� � Po( _ Subtotal
City/State/ZIP: t;(. 1r°t U;jJ, axe 5i 7070 Minimum permit fee($90.00)
( _ (Sd3 ) &ZS- 3"t$� Plan review(25%of permit fee)
(
Phone: Fax: State surcharge(12%of permit fee)
CCB lie.: v2 'No /4614/7 TOTAL PERMIT FEE 3S6J3
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 namail'YLCULIOLX Date: a-(L(-I6
i.Building Permits MEC_PermitApp_040113.dor 440-4617T(I 102 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit, re .
$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.
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1: Building`,Permits`.MEC_PennitApp_040113.doc 2