Permit (51) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00388
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2017
TIGARD" g Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 3
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: Building H,unit 3-Installation of clothes dryer exhaust.washer
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 $100.80
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility . I Ica is enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or di'-ct questions to • NC by callin. 503.232.1987 or 1.800.332.2344.
Iss ed By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application _ FOR OFFICE [SE ONLIINI '
City of Tigard V
+ -V *Received //, -7 Qp`Jgg ) _ + Date/By: 4P /(/ �,l Permit No.: M �1 -CO D D
13125 SW Hall Blvd.,Tigard,OR 97223
' .1 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: PLirO/-—r,Oaog
T l G n R D Inspection Line: 503.639.4175Date Read/B Juris:
Internet: www.tigard-or.gov t !I�1-, Notified/Method:� See Page 2 fnr
Supplemental� Information
TYPE OF WORK TV OV I gg" COMMERCIAL FEE* SCH DULE – USE CHECKLIST
t A �
,1M/ ���Q���r � Mechanical permit fees*are based on the value of the work
❑New construction Itt Addition/alteratio performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
tit Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITE:INFORMATION AND LOCATION Heating/cooling:
Job site address: tO 766 , i,J C N`TZ y r Air conditioning 46.75
�� Furnaacece 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1-ti Skral Q g 5 2 2 4 Furnace 100,000+BTU(ducts/vents) 54.91
7Heat pump 61.06
Suite/bldg./apt.no.: 3Project name: per)D "Zt^9'114 C - H 6 3
1 Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
+ O �� �� 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION�OF W{}RK Gas fireplace/insert 33.39
Flue vent for water heater or gas
ao ) t,1 f tf•/sri ie-iij fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�`PRQEERTY OWNER 0 TENANT Other: 23.32
<.
Environmental exhaust and ventilation:
Name: Av 14-— 'D- ') it., )C S PE j_C. Range hood/other kitchen
eqAddress: t( Cog5- 3 v yv1v,Goc GX T Clothes 33.39
Clothes dryer exhaust f 33.39 33.3/
City/State/ZIP:7–\fet vA_v d 1 OE_ 47 .2_2.c-( Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
A 0 CONTACT PERSON .
.... <. . Other: 23.32
� PPLICANT Fuelm
t
Business name: k p HG p p g:
$14.15 for first four;$4.03 for each additional
Contact name: „.�w,-1 `? „ L .5. Furnace,etc.
Address: 7 6 96 v Z3(Q"i Gas heat pump
U Wall/suspended/unit heater
City/State/ZIP: --r- .).(4,9.. t 6 IR. 9 7 Z g ) Water heater
Phone:( 5213 3 )1_Z"-t ( "3 Fax::( ) Fireplace
Range
E-mail: k-Qs a C 0.1n 12 Vi `o LOW1 Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: SA il&E AS /4 p t/e Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal 33-3 1
City/State/ZIP: Minimum permit fee($90.00) 40
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee) kj ri-
CCB lie.: t 3 3'18 y TOTAL PERMIT FEE too .-----
This
--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: 1=/Z4G.+.� X31 LCA EM t= Date: G/ ( t 0
I:\Build ng\Permits\MEC PermitApp_040113.doc 440-46171(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2