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Permit (209) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00785 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 12/14/2016 TtC3 l:R.O 9 Parcel: 1 S135BC00700 Jurisdiction: Tigard Site address: 10831 SW CASCADE AVE Project: Rose City Futsal Subdivision: None Lot: None Project Description: Type I hood and walk-in cooler. Contractor: BULLDOG MECHANICAL&REMODELING INC Owner: ICON IPC PROPERTY OWNER POOL 2 L 3307 NE 39TH ST BY INDCOR PROPERTIES VANCOUVER,WA 98661 2 NORTH RIVERSIDE PLAZA, STE 235 CHICAGO, IL 60606 PHONE: 360-901-2610 PHONE: FAX: 360-693-1505 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/14/2016 $538.21 Class of Work: ALT Type of Const: VB Plan Review 12/14/2016 $134.55 Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 12/14/2016 $64.59 Stories: 2 Info Process/Archiving-Lg$2.00(over 12/14/2016 $4.00 11x17) Project Valuation: $17,450.00 Info Process/Archiving-Sm$0.50(up to 12/14/2016 $5.00 11x17) 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 $746.35 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: walk in Duct Work: cooler Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to UNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �� ` Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. I�t)K t)Fi I('iSC,SC UALY Mechanical Permit Application , > Received , t Permit No.: /t�l 'cltr "-tp7f15 Iiiii City of Tigard VctliNt;- Date/By: i°/ / / n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev a" j.�^ •therPermit: f(o /y�� Phone: 503.718.2439 Fax: 503.598.1960 cc Date/By: t441--" Jurn ® See Page 2 for Inspection Line: 503.639.4175 fyj 1 2Q\U DateReady/By: Supplemental Information K ll Internet www.tigard-or.gov i - V Notified/Method:/LA3 . , of 1 ^ r� `y:�it... " R FEE• SCHEDULE; - C»[ECKL1 r E OF WOR�yD� i„; I Mechanical permit fees*are based on the value of the work ❑New construction Addition/aiteratitdment performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,acrd rofit. ❑Demolition ❑Other: Value:$ 47, IA so. dd CATEGORY CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑1-and 2-family dwelling ommercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total Heating/cooling: JOB STYE INFORMATION AND LOCATION Air conditioning 46.75 � Furnace 100,000 BTU(ducts/vents) 46.75 Job site address f� ”3/ `'2`' G�‘� ( Furnace 100,000+BTU(duets/vents) 54.91 City/StateiZiP: C,7)..)".? ''� 0 g.— C-i Ty Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: F�-�uC Duct work 23.32 Hydronic hot water system 23.32 Cross streeUdireotions to job site: Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), 46.75 in-wall,in-duct,suspended,etc. Flue/vent for any of above 23.32 Other: 23.32 Subdivision: f Lot no.: Other fuel appliances: Water heater 23.32 Tax map/parcel no.: Gas fireplace/insert 33.39 .•i-y - .�— DESCRIPTION OF WORK Flue vent for water heater or gas fireplace 23.32 14 0 QS Log lighter(gas) 23.32 Wood/pellet stove 33.39 t ,J'/� (( con[� Wood fireplace/insert 23.32 W ^~1 U Chimney/liner/flue/vent 23.32 Other: 23.32 0 PROPERTY OWNER I 0 TENANT Environmental exhaust and ventilation: Range hood/other kitchen 33.39 Name: equipment Address: Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, 23.32 City/State/ZIP: toilet compartments,utility rooms) Attic/crawlspace fans 23.32 Phone:( ) Fax:( ) CONTACT PERSON Other' 23.32 APPVICANT` (- Fuel piping: Business name: �A.`t � - 4 Yi ,z �j Xr�C• $1415 for first four;$4.03 for each additional k./ S Furnace,etc. Contact name: Q ` LiL) /� Gas heat pump (� S , Wall/suspended/unit heater ( �� Address:33(1 1 (,1fi 3—) /,, City/State/ZIP: J pi NJ C ,j Q,et • c U(W ( Water heater Fireplace Phone:(3(p a 90 1 t 9,(1) {,0 , Fax::( ) Range E-mail: b l/t, 1 SO a>M Q rA al ,r,a i C • C-I W Barbecue CONTRACtOR, Clothes dryer(gas) ``�• . ®®��l� A ,, Other: Business name:,`, k4n UI •/ ✓v , MECHANICAL P>ERMIm FEES'; � SubtotalAddrsat ! P ' 1 /L ' Minimum permit fee($90.00) City/StatefZIP 1 Plan review(25%of permit fee) } State surcharge(12%of permit fee) Phone:( ) i Fax:( ) Q a vv t4© ,y od TOTAL PERMIT FEE CCS lic.: 1 S `{ 1 3 #�— This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. IRI f I�i'_ s Fee methodology set by Tri-County Building Industry Service Board Authorized Si afore: .. ! /! '` /! I Print name: ��(40c,t,(1/9..t feeDate: j _/ 440-46tTT(11,1' M/WEB)