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Permit (19) CITY OF TIGARD MECHANICAL PERMIT " 2 COMMUNITY DEVELOPMENT Permit#: MEC2017-00245 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 Parcel: 2S112ACO2300 Site address: 14795 SW 72ND AVE Jurisdiction: Tigard Project: Delta Fire Subdivision: FANNO CREEK ACRE TRACTS Lot: 48 Project Description: Remove&replace(7)RTU's(like for like). Contractor: ANCTIL HEATING&COOLING 2150 N LEWIS AVENUE Owner: C &C DEVELOPMENT PORTLAND, OR 97227 BY DELTA FIRE INC 14795 SW 72ND AVE PORTLAND, OR 97224 PHONE: 503-281-0752 PHONE: 503-620-4020 FAX: 503-282-5722 Specifics: FEES Description Date Amount Type of Use: COM Permit Fee 04/24/2017 Class of Work: ALT TypePlan Review $1,309.18 of Const: VB 04/24/2017 $309.18 12%State Surcharge-Mechanical 04/24/2017 Stories: Info Process/Archiving-Sm$0.50(up to 04/24/2017 $148.41 Occupancy Grp: B Occupancy Load: Project Valuation: $45,000.00 11x17) $10.00 Fuel Air Handlers Fuel Types: Natural Gas 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: Hoods: Comm Incinerators: Total $1,704.30 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 rules adopted by the Oregon Utility Notificatio enter. 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 q ions to O b C by c. ing 503.232.1987 or 1.800.332.2344. Issuer By: cAil /�I _� �i� / Permittee Signature: 46..110...-.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 Tigard I 2 CEIVED Received 6 /� , N 13125 SW Hall Blvd.,Tigard,OR 9722 Date/By: Permit No..��i C�17��� 5 Phone: 503.718.2439 Fax. 503.598.19 1111 Plan R:.. . - ,i,�, �6 20176 Date/By Other Permit: TIGARD Inspection Line: 503.639.4175 H�R �� �� Internet: www.tigard-or.gov Date Ready/B _l //�//7 „/I4 loris See Page 2 for CITY IGARf1 Notified/Method �/(�i� I Supplemental Information ' '6' CITY ,,OF_ i14af1�t TIGARD p )r' ' �it�i�iT TYPE Q .71.w . COMMERCIAL FEE* SCHEDULE.'— USE C ECI<LT T . ❑New construction Mechanical permit fees*are based on the value of the work ®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 C©NSTRUCTION Value:$41000 RESIDENTIAL EQUIPMENT/SYS,'EMS FEES* ❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder E Other: Description 1 Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 14795 SW 72"d Ave Air conditioning (requires site plan showing placement) 46.75 City/State/ZIP:Portland,OR 97062 Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: ! Project name: Delta Fire Inc Heat pump (requires site plan showing placement) 61.06 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 Flue/vent for any of above 23.32 Subdivision: I Lot no.: 1 ax map/parcel no.: Other: 23.32 Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Push-Pull replacement(like for like)of 7 gaspack RTUs. Gas fireplace 33.39 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 PROPERTY OWNER ❑ ,ENT Chimney/liner/flue/vent 23.32 Name: Delta Fire Inc Other: 23.32 Environmental exhaust and ventilation: Address:14795 SW'7nd Ave Range hood/other kitchen equipment 33.39 City/State/ZIP:Tigard,OR 97062 Clothes dryer exhaust 33.39 Phone:(503)620-4020 x115 Fax:( ) Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 I4 APPLICANT ❑;CONTACT PERSON Attic/crawlspace fans 23.32 Business name:Anctil Heating and Cooling Other: 23.32 Fuel Contact name:Brian P Murphy piping: $14.15 for first four;$4.03 for each additional Address:2150 N Lewis Ave Furnace,etc. City/State/ZIP: Portland,OR 97227 Gas heat pump Wall/suspended/unit heater Phone:(503)281-0752 I Fax: :(503)282-5722 Water heater E-mail: brian anctilhvac.com Fireplace a Range CONTRACTOR Barbecue Business name:Same as Above Clothes dryer(gas) Address: Other: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee($90.00) CCB lic.:8897 Plan review(25%of permit fee) State surcharge(12%of permit fee) 0 p� TOTAL PERMIT FEE Authorized signature: 4- /4 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Brian P Murphy Date:3/27/2017 * Fee methodology set by Tri-County Building Industry Service Board 1:ABuildingVPermits\MEC-Permit App.doc 09/09/10 440-4617f(I 1/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 14795 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Mechanical MEC2017-00245 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor