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Permit (18) CITY OF TIGARD MECHANICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MEC2017-00475 TTG RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2017 Parcel: 2S112DB00200 Jurisdiction: Tigard Site address: 15255 SW 72ND AVE Project: Pittman&Br000ks Subdivision: FANNO CREEK ACRE TRACTS Lot: 45 Project Description: Installation of ductless split system for conference room. Contractor: JET INDUSTRIES INC Owner: BROOKS&PITTMAN RENTALS 1935 SILVERTON RD NE 15255 SW 72ND AVE SALEM, OR 97303 PORTLAND, OR 97224 PHONE: 503-363-2334 PHONE: FAX: 503-363-2622 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/29/2017 $246.55 Class of Work: ALT Type of Const: Plan Review 06/29/2017 $61.64 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/29/2017 $29.59 Stories: Info Process/Archiving-Sm$0.50(up to 06/29/2017 $3.00 11x17) Project Valuation: $6,320.00 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 $340.78 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) 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 th- Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy o he rules or direct gions to aUNC by calling 503.232.1987 or 1.800.332.2344. Issued Permittee Signature: /t Call 503.639.4175 by 7:00 a.m.for the next available inspe . on 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 ppCity of Tigard RECEIVE Received 13125 SW Hall Blvd.,Tigard,OR fi Date/By: ,(Q� Permit No.:M1 /�pji 7(�01/7� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review �/" Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 JUN 9 201 Internet: www.tigat'd-or.gov 2 Date Ready/By: loris: ® Sce Page 2 for Q�Gflt �,R�� nn Notified'Method: Supplemental Information TYPE`AMMIkNG DIVISION COMMERCIAL FEE* SCHEDULE'- USE CHECKLIST ❑ 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 CONSTRUCTION Value:$6320.00 RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling ® Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 15255 Southwest 72nd Ave Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:Pittman and Brooks 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: Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 �y.� � Flue vent for water heater or gas S�.�L .GGee'T2-€SS �/�,7— �f-p•-- -j17 fireplace 23.32 �ie �At��jC� � � Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER I ElTENANT 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 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: -6� Vl Cj,,_,,ft, S $14.15 for first four;$4.03 for each additional Contact name: 111_61, / /f(� � 4,1inC2 "t Furnace,etc. Address: /l Gas heat pump Cf 3s- r7% /V.( ,- iev, / /2 City/State/ZIP: ce n Wall/suspended/unit heater ,vvi o • q 0 6 Water heater Phone:(5- y) 36 3Fax: :( ) Fireplace E-mail: YI © ^/ /J1 ],n/�r C`, Range it , N` J C 7 -IV`IJIO[ +V itS , hi Barbecue CON'pf2ACTOR Clothes dryer(gas) Business name:Jet Industries Other: Address: 1935 Sivlerton Rd NE MECHANICAL PERMIT FEES* Subtotal 243.74 City/State/ZIP:Salem,OR 97301 Minimum permit fee($90.00) Phone:(503)798-4430 Plan review(25%of permit fee) 60.94 Fax:( ) State surcharge(12%of permit fee) 29.25 CCB lie.:3944 TOTAL PERMIT FEE -mss'-- This permit application expires if a permit is not obtained within 180 �/�,/J /► days after it has been accepted as complete. Authorized signature: �1�/'" //'L " Fee methodology set by Tri-County Buildin Industry Service Board Print name: Hannah Hand I Date:6/22/2017 iY(;S' I tilicu, Permits MEC_PermitApp_040113.dac 440-4617T(I Ir02/COM'WEB) 3(Z/0 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15255 SW 72ND AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Mechanical MEC2017-00475 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor