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Permit (28) CITY OF TIGARD MECHANICAL PERMIT Permit#: MEC2016-00777 COMMUNITY DEVELOPMENT Date Issued: 11/10/2016 -r[C k R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DC01400 Jurisdiction: Tigard Site address: 15865 SW 74TH AVE 105 Project: Cognex Conference Room TI Subdivision: FANNO CREEK ACRE TRACTS Lot: 4 Project Description: Duct modifications for TI Contractor: HVAC INC Owner: JDS LLC 5188 SE INTERNATIONAL WAY CRITERION CREEKVIEW LLC MILWAUKIE, OR 97222 BY SPECTRUM REAL ESTATE ADVISORS 1125 SE DIVISION ST#209 PORTLAND, OR 97202 PHONE: 503-462-4822 PHONE: FAX: 503-462-6555 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/10/2016 $93.62 Class of Work: ALT Type of Const: IIB Plan Review 11/10/2016 $23.41 12%State Surcharge-Mechanical 11/10/2016 $11.23 Occupancy Grp: B Occupancy Load: Info Process/Archiving-Sm$0.50(up to 11/10/2016 $1.00 Stories: 11x17) Project Valuation: $1,300.00 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 $129.26 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ru-s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You mayl •btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. t Issued By: 19.1 Permittee Signature: :Vf Call 503.639.4175 by 7:00 a.m.for the next available inspection d-te. This permit card shall be kept in a conspicuous place on the job site until complet •n of he project. Approved plans are required on the job site at the time of each inspectio . Mechanical Permit Annhilli:HEINEFOR OFH( F I SI_ otil.ti Cityof Tigard Received/ Permit No ` Date/By: / /V /, 1 I /� "a1/6.-00'7 ,7 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie _ II Phone: 503.718.2439 Fax: 503.598.1 Date/By. ///p / Other Pe • i- �.n it l> Inspection Line: 503.639.4175 v 1 2016 Date Ready/By: ` runs: ® See age 2 f©o Internet: www.tigard-or.gov Notified/Method//: r Supplemental Information CITY OF TIGARD /0 it Su pp TYPE ita� V G DIVISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST Mechanical permit fees*are based on the value of the work o New construction E Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ ") , CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling }Commercial/industrial 0 Accessory building For special information use checklist. o Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: IS Ck t0,9 -- SV.) -1444, (\ (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: --41_(t�cC� �� ,- Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: ! D' Project name:C r\V,—Z . � ' t."–, ��`+tf l,/'y j Heat pump /" (requires site plan showing placement) 6I.06 Cross street/directions to job site: Duct work 23.32 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 Subdivision: Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESC ION O WORK Water heater 23.32 g�, D it S Gas fireplace/insert 33.39 h t (�/��17 u V 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 0 PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Phone:( ) Fax: Single-duct exhaust(bathrooms, ( ) toilet compartments,utility rooms) 23.32 0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32 Business name:HVAC,Inc. Other: 23.32 Fuel piping: Contact name:Jody DePew $14.15 for first four;$4.03 for each additional Address:5188 SE Internaitonal Way Furnace,etc. Gas heat pump City/State/ZIP:Milwaukie,OR 97222 Wall/suspended/unit heater Phone:(503)462-4822 Fax::(503)462-6555 Water heater Fireplace E-mail:jodyd @hvacincorp.com Range CONTRACTOR Barbecue Business name:HVAC,Inc. Clothes dryer(gas) Other: Address: r ArM MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee($90.00) Plan review(25%of permit fee) CCB lic.:50897 State surcharge(12%of permit fee) )4\,,,, TOTAL PERMIT FEE /,.??,i24, This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. f Print name:Jody DePew Date: 1 ` / t u 1'\ * Fee methodology set by Tri-County Building Industry Service Board I:1BuiidingWennits\MEC-PermitApp.doc 03/07/12 440-4617T(11 02/COM/WEB)