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Permit CITY OF TIGARD MECHANICAL PERMIT INI ',° COMMUNITY DEVELOPMENT Permit#: MEC2016 00743 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/25/2016 T t ''i� 9 Parcel: 2S104AD04500 Jurisdiction: Tigard Site address: 12617 SW WALNUT ST Project: TUALATIN VALLEY FIRE&RESCUE Subdivision: None Lot: None Project Description: Indoor head installation for an existing ductless mini split system. Contractor: ARJAE SHEET METAL CO, INC. Owner: TUALATIN VALLEY FIRE& RESCUE 8545 SE MCLOUGHLIN BLVD. 20665 SW BLANTON ST PORTLAND, OR 97222 ALOHA, OR 97007 PHONE: 503-231-7717 PHONE: FAX: 503-230-4888 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/25/2016 $249.36 Class of Work: ALT Type of Const: Plan Review 10/25/2016 $62.34 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/25/2016 $29.92 Stories: Project Valuation: $6,500.00 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 $341.62 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Mini Split Duct Work: System Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 • '1.8011,332.2344. Issued By: f_ '\ Permittee Signature: Liy Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE I SE ON 1,1 City of Tigard Received g date/B PermitNo.: n 13125 SW HaII Blvd.,Tigard,OR 97223 ti 1 i r h': Y r" �� I I/%. "; , lan Review Phone: 503.718.2439 Fax: 503.598.1960 Ylllll 1 4 Date/By: Other Permit: T 16 AR I) Inspection Line: 503.639.4175 Date Ready/By: ® Ia See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information OCT 2 5 2016 ,: of - vi „sem _. z� riT e F W" nin, C011 RtCIAL * SCHiEl , E .USE C1 ECKLIST Mechanical permit fees*are based on the value of the work ❑New construction ©Addition/alteration e .,I' performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: t7�I , N',,'k.- !',1 VISION mechanical materials,equipment,labor,overhead,and profit. Value:$.65 CATEGORY OF COAIStUCTION ,>; 'RESIDENTIAL EQUIPMENT l SYSTEMS FEES* ❑ 1-and 2-family dwelling 11 Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total ' Jo*TE tttfRMATION A ,.LOCATION x° /i,49,:;',. Heating/cooling: " Air conditioning 46.75 Job site address: 12.6/7 6i4 w eJfR4 Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tl 3arcl i 0g, q 7 Z2-3 Fumace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: -ry P ,;Ljioi Sv 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: Other: 23.32 Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 'W DESCRIPTION OF WORK Gas fireplace/insert 33.39 I_^_a n j Flue vent for water heater or gas 4n,640,11Ir r 'liar eXf' ,/A 6u. ieSS 114\rni fireplace 23.32 •�J Log lighter(gas) 23.32 Sell k Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 - li Other: 23.32 0 PRORTY'OWNER 0 TENANT '":,f, _ • : 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 APPL14 NT 0 CONTACT PERSON= « Other: _ 23.32 Fuel piping: Business name: Ac`y t e p�. M i AA $14.15 for first four;$4.03 for each additional Contact name: iv;`;Ke C n rre4 A Fumace,etc. Address: C' -' Gas heat pump �S� S� /•l,�^Ll "n MA' Wall/suspended/unit heater City/State/ZIP: p ,` p �,I�InfgtJule/ o "1^ 72Z Water heater Phone:(9))23 _1-v Fax::( ) Fireplace Range E-mail: en i`i.e4 ear f�� Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: 60 F3S-- TOTAL PERMIT FEE 31-0, 62 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: Mri Ke („(el,,,,,L, Date: 16 f zO/i 6 I:\Building\Permits\MEC_PernstApp_040113.doc 440-4617T(11/02/COM/WEB)