Permit (40) CITY OF TIGARD MECHANICAL PERMIT
1114 Ill '7 COMMUNITY DEVELOPMENT Permit#: MEC2016-00228
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/31/2016
Parcel: 1 S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST 1416
Project: Meadow Creek Apartments Subdivision: None Lot: None
Project Description: Unit 1416,install bath exhaust fan&dryer vent.
Contractor: ADVANCED HEATING&AIR CONDITIONING INC Owner: BEL PORTLAND HOLDINGS LLC
5825 SE FOSTER RD BY EATON VANCE MANAGEMENT
PORTLAND, OR 97206 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503-774-0161 PHONE:
FAX: 503-774-4391
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 03/31/2016 $78.27
Class of Work: ALT Type of Const: Plan Review 03/31/2016 $19.57
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/31/2016 $9.39
Stories:
Project Valuation: $787.00
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 $107.23
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notif - . Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire .uestions to • NC • calling 503.232.1987 or 1.800.332.2344.
Issu d By: k , I la, 4 Permittee Signat e: II
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE U51': OyI.v
CI of Ti and Received 1
`J g CEIVED Date/By: o �! AI ✓ Permit No.:M j �1�C --.00.2?c'
'
III13125 SW Hall Blvd.,Tigard, Plan ReviewE3Fd� b
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 MAR 3 1 2016 Date/By:
I I t,-1 I:1) Date Ready/By: _tuns: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
Wara01V15ION t CaMll* t `Er sdcltt _?s>i�illl`
li
' Mechanical permit fees*are based on the value of the work
r
❑New construction ® Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ 7 g 7-el _
... . .ittS131iiw i,EQ j1IPMEisf /SYSTEMS,N1 tE�
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
®Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
' JOB SITE' ORMATION AND LOCATION Heating/cooling:
Job site address: (),Co S s'w A/ D 4-IC Q� Air conditioning, 46.75
0
0., Furnaacece100,000 BTU(ducts/vents) 46.75 _
City/State/ZIP: Q e. O 9 7 Z 3 Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.. y(� CProject name:/ ✓►'�eA et4, i (-C.C k-
Duct work 23.32
Cross street/directions to job site: 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 I
DESCRIPTION OF WORK Gas fireplace/insert 33.39
+ 1 Flue vent for water heater or gas
/._.....L.4-40,11 `� Q't"II h e Y I,A.tn.4
c(1.1 L4 1 f/ cin ti -e-, (1-a Si 1 S fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
SO PROPERTY OWNER 0 TENANT 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/crawlspace fans 23.32
0 APPLICANT ®,CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: 123O SA-e c,-RiE L Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(5'o3 ) 7 q 3 _ c,7 k,7 0 Fax: :( ) Fireplace
(1 0 d e Q[ ,) a-r", tA..,+
1 Range
E-mail:
CI h.Cp cV T, 11 ty l G1 C COI/Y.\
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: A of ( 4.-0.C
1,,,..:...4.
U 4„(t ci t �_'t i',.0, Other: MECHANICAL-PEitMI 'VEKS''
' Address: s g a s- S (-_ r0 s-ft r:? _ Subtotal
c` •Ci City/State/ZIP: PQ�4- 1 0,...,j 0 q ") 0 Minimum permit fee($90.00)
�J V U Plan review(25%of permit fee)
Phone:(5 s ) 77111- 3( S i,
/ Fax:(5' ?) 77 ` - L/3 yro
State surcharge(12/o of permit fee)
CCB lic.: T 6'7 23
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:g/2. ,Z-' * Fee methodology set by Tri-County Building industry Service Board
Print name: A 5A •['. cc 4-4 c ie... Date: 3 -3 /- /(R
Ir Building,Permits MEC_PermitApp 040113.doc 440-4617T(11 02 COM WEB)
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
12505 SW NORTH DAKOTA ST 1416, TIGARD,
OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00228
Chip Barnett
Violation Summary:
Inspector Contractor