Permit CITY OF TIGARD MECHANICAL PERMIT
F " COMMUNITY DEVELOPMENT Permit#: MEC2017-00386
T t C n,R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2017
Parcel: 2S 110AD08700
Jurisdiction: Tigard
Site address: 10755 SW MURDOCK LN 10
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Building G,unit 10-Installation of clothes dryer exhaust.
Contractor: HPS INC Owner: AUK-REDWOOD PC SPE LLC
PO BOX 23187 10695 SW MURDOCK ST
TIGARD, OR 97281 TIGARD, OR 97224
PHONE: 503-317-7713 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Clothes Dryer Exhaust 06/01/2017 $33.39
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/01/2017 $10.80
Occupancy Grp: Occupancy Load: Minimum Fee Adjustment-Mechanical 06/01/2017 $56.61
Stories:
Project Valuation: $0.00
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 $100.80
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 1 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 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 questi.• o OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B - 6-- 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.
Mechanical Permit Application rolz orrlcr t i.ON v
Received
City of TigardtiliVIV, nate/By: / 7 BQ`Tr Permit No.:
I • 13125 SW Hall Blvd.,Tigard,OR 9722 1 YJ a 1 i_
11111
Phone: 503.718.2439 Fax: 503.598.19 . Date/By:an Review Other Permit:
7 .4,..,1-
_
T 1 t;nun Inspection Line: 503.639.4175 Date Ready/By: ;, See Page 2 for
Internet: www.tigard-or.gov , 2V-1 Notified/Method: EllSupplemental Information
EGA" 1t `SEE* c
TYPE f 'O " ), CO; CI :1<., --- °7 E i --
Mechanical permit fees*are based on the value of the work
❑New construction IK Addition/alt
���RtUft performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CI.TEGORY OF C $ST tI�.JG IQ1v Value $
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
pit Multi family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB'sti R14I:A1 iii-wo D A N Heating/cooling:
� + Air conditioning 46.75
Job site address: /07�5 5c:„0 P)64,3164 4401) id _ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1 It 14r.). 414 97 2 2 G f Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: L l 0 Project name: ,....,/D 'tytr,
9 .. H' 6.3
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
+ g� CaT Residential boiler(radiator or
l -14k 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: Lot no.: Other: 23.32 -
Other fuel appliances: __
Tax map/parcel no.: Water heater 23.32
', > i. a ,„.
'" ,QR'{ Gas fireplace/insert 33.39
.. ...,.3 ._ .: .' . x._ ._. ..k''''I'- Flue vent for water heater or gas
C 3 i 1�i/�i`7) Off+ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
' Other: 23.32
-. m RQ;P-R�'-,,-".� . � - �. ,
Environmental exhaust and ventilation:
Name: AV tt - { tov•-10 . • VC g PE LLC. Range hood/other kitchen
equipment 33.39
Address: to co 55- 5v,-) w V D4�X 41- Clothes dryer exhaust ( 33.39 33.39
City/State/ZIP: vvv'd O g_ q7 2 Z Li Single-duct exhaust(bathrooms,
1 toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
.A'P1L1C 1CQ1,4* •- Other: 23.32
�� Fuel piping:
Business name: 14 p5 HC $14.15 for first four;$4.03 for each additional
Contact name: .,_�,ior,i 7:2kt_G,wyets Furnace,etc.
Address: 7 6 t3a' 2 318.-- Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: ^"r'{eytkR, t Z$ 2 9''7 Z9 1 Water heater __
Phone:(5a 3 3 1i_7/ ( 3 Fax::( ) Fireplace
Range
E-mail: *W5 Cl.. e..00,-,19,1 , t.0 N1 Barbecue _-_
CONTRACTOR Clothes dryer(gas)
Other:
Business name: .�AWI(c AS /A Fj0 t/ MECHANICAL PERMIT FEES*
Address: Subtotal 371'1
'1
City/State/ZIP: Minimum permit fee($90.00) 'it)
Plan review(25%of permit fee) -
Phone:( ) Fax:( ) State surcharge(12%of permit fee) W -
CCB lic.: (3 3'7844 TOTAL PERMIT FEE /,a,,:�
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: j/Zi4( ) 13 Lc,BIZ t Date: Cf../ ( ( )i
i-\Buildine\Pernits\MEC PermitAnn 040113.doe 440-617T!11/02/COM/WEBI
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10755 SW MURDOCK LN 10, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00386
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor