Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT MECHANICAL
MEC2016-00704
Tft,AR_D 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2017
Parcel: 1S 133AC 14500
Jurisdiction: Tigard
Site address: 13465 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: HAWK'S BEARD TOWNHOMES Lot: 63
Project Description: Building 1 -mechanical for 24 units
Contractor: JET INDUSTRIES INC Owner: GRABHORN, BURTON E ESTATE OF
1935 SILVERTON RD NE 14577 SE ANDERSON RD
SALEM, OR 97303 CLACKAMAS, OR 97011
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 01/18/2017 $703.31
Class of Work: NEW Type of Const: VB Plan Review 01/18/2017 $175.83
12%State Surcharge-Mechanical 01/18/2017 $84.40
Occupancy Grp: R-2 Occupancy Load:
Stories: 3 Info Process/Archiving-Lg$2.00(over 01/18/2017 $8.00
Project Valuation: $24,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 01/18/2017 $2.50
11x17)
Fuel Air Handlers Additional Plan Review
01/18/2017 $90.00Fuel Types: Units<10000 cfm:
1
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Fumaces>= 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: 1
Heat Pump:
Appliances
Vent Fans: 14 Vent Systems: Total
Hoods: $1,064.04
Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 14
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 qu-- '. • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu>. By: 0 ill... I 3 Permittee Signature: 41/44(f—Y
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 USE ONLY
City of Tlgard � Received XX / �s
At-d../,,r Date/By: /I /06 ���/' Permit NE`C,2p/4",_�Q 7�/
13125 SW Hall Blvd.,Tigard,OR 97223
Pril
Phone: 503.718.2439 Fax: 503.598.1960 Plan Re ' c'7
Date/By / I ( Other Permiegie6 V/1C''� iv 3/4a i
TIGARD Inspection Line: 503.639.4175 OCT 5 2016 ff//
Internet: www.tigar'd-o1'.gov Date Rea y: Juris: ® See Page 2 for
otified/Method: j f/�7
.- fil s, / 1f/r7 Supplemental Information
k & N JJ
TYPE O'I]rAWI . 1IAsg�tr ��''t��it/7_1(
CUMMERCIAL FEE* SCHEDULE - USE CHECKLIST
41 t Mechanical permit fees*are based on the value of the work
®New construction ❑ Addition/alteration/replacement
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY''OF CONSTRUCTION Value:$$24,000.00
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ®Commercial/industrial
0 Accessory building For special information use checklist.
®Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITEINFORMATION AND LOCATION Heating/cooling:
Job site address: 13465 SW Hawk's Beard St. Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97008 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 1 1 Project name:Scholls Ferry Apts Heat pump 61.06
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: I Lot no.: Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Venting of: 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
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:
Range hood/other kitchen
Address: equipment 33.39
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
APPLICANT ® CONTACT PERSON Other:
23.32
Business name:Jet Industries,Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tina Torres
Furnace,etc.
Address: 1935 Silverton Rd.NE Gas heat pump
City/State/ZIP:Salem,OR 97301 Wall/suspended/unit heater
Water heater
Phone:(503)363-2334 Fax::(503)363-2622 Fireplace
E-mail:Tina.t@jetindustries.net Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Jet Industries,Inc Other:
Address: 1935 Silverton Rd.NE MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Salem,OR 97301 Minimum permit fee($90.00)
Phone:(503)363-2334 Fax:(503-)363-2622 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:3944
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within HO
Authorized signature. ////��
days after it has been accepted as complete.
JAL. Fee methodology set by Tri-County Building Industry Service Board
Print name:Tina Torres I Date. 10/4/16
I:Buildin,4,Permi,s MEC_Penni:App_0401!;.doe 440-4617T(I 1/02/COM,'WEB)
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FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III _ 44 Transmittal Letter
1 (_ n ii 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: <( _G<---1."---- DATA
DEPT: BUILDING DIVISION r
= 1 uk;, 272016
FROM: 0/44 Ale04,
COMPANY: Nrell'.�,US S� Z'4 CITY Of'T1GA RD
BUILDING IM�� i
P ONE: vrO�? 3�d2 ^ 2 73 Cce/O y: la
RE:
r( it'a Address) /CPth
� ( `N er)-co 70 T
Qah4 1 /g/ff.(Project name or subdivision m tome and lot num
ATTACHED ARE THE FOLLOWING ITEMS:
1 Copies: 1 Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: t) ��-d-_i�1 , .
FOR QF '10E USE ONLY
Routed to Perini Technician: Date: ( k7 Initi. gm,
Fees Due: s ®No Fee Description: Amount sue:
A- -c P-- id k((re:.t ' $ ' ?t)t
$
$
Special
$ gga!0�►
Instructions:
Reprint Permit(per PE): ❑Yes E No [ Done
Applicant Notified: _ Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc