Permit (52) CITY OF TIGARD MECHANICAL PERMIT
1111COMMUNITY DEVELOPMENT Permit#: MEC2017-00582
T IC,A t D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2017
Parcel: 2S110DD00109
Jurisdiction: Tigard
Site address: 11033 SW SUMMERFIELD DR 2
Project: Summerfield Appartments Subdivision: WILLOW-BROOK-FARM Lot: 15
Project Description: Clothes dryer exhaust.
Contractor: SAGE GENERAL CONTRACTING LLC Owner: SUMMERFIELD ASSOCIATES, LLC
8190 SW DURHAM RD BY HSC REAL ESTATE
TIGARD, OR 97224 1500 SW FIRST AVE STE 1020
PORTLAND, OR 97201
PHONE: 503-430-8572 PHONE: 503-819-5181
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Mechanical Permit-COM 08/15/2017 $90.00
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/15/2017 $10.80
Occupancy Grp: Occupancy Load:
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:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
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 questions to OUNC by calling 503.232.198 or 1.800.332.2344.
Issued By: 4" Permittee Signature:
/4/
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 ISE:oyi_v
City of Tigard -;.) _e By 717 /7 4 Permit No.:AR,C I7 ^'!J`
111 Ili" 13125 SW Hall Blvd.,Tigard,OR 97223 LLL /vt
I Phone: 503.718.2439 Fax: 503.598.1960 Pian Review
Date/By: Other Permita620//663/F
T t G A R U Inspection Line: 503.639.4175 1( Date Ready/By: Jug: la See Page 2 for
Internet: www.tigard-or.gov U Notified/Method: Supplemental Information
TYPE OF WORK � cif COMME(CIAL'FEE* SCHEDULE DULE -;,USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition alteration/` { performed.Indicate the value(rounded to the nearest dollar)of all
Ye! V Q, J mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ]Other: burl i.� 'r V
CATEGORY OF COPtSTRUC Ir N RESIDENTIAL EQUIPMENT(SYSTEMS FEES
❑ 1-and 2-family dwelling g Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE;INFORMATION AND LOCATION; Heating/cooling:
Air conditioning 46.75
Job site address: l/0 �� L�(.,_) 5,),,fie g c )4 Dr Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: • f 4..1....c::d 0a( c' r2-2 ` Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 4 I Project name: ct J`.x.f to I� Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydropic hot water system 23.32
6 � � r°0, Residential boiler(radiator or
thydropic) 23.32
I 1 r`6-7 ,5 m b ro Lf- Unit heaters(fuel-type,not electric),
- in-wall,in-duct,suspended,etc. 46.75
$1.74-a CY` q 7 2 Z Y Flue/vent for any of above 23.32
Subdivision: I Lot no.: er' 23.32
Oth
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
., t ON OFI ,' ; tr if4 '&,,"; Gasfireplace/insert 3339
>'` 't '37-'::°4';''''';'-' , `' '` -"` ' '''''4- `' . " . Flue vent for water heater or gas
(,0,,0tf‘ai CCAlt'15'° fireplace 23.32
Ci o'er .1 N LAxt1'ttr i ROO Log lighter(gas) 23.32
Wood/pellet stove 33.39
Mac,kr.k.kriGJi Pi 0&Abt ei- e_leC,i_64 Wood fireplace/insert 23.32
Pi
J Chimney/liner/flue/vent 23.32
.."-..-7 :� Other: 23.32� - 1kb * 1.z
' . € *
- 2- - - Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 1 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
' Other: 23.32
Axis ,.- .,`z'"sx > �,..,,-.a`, ,41 #. . .., „.k .. Wit„ 'g*,'_i', -''.:at°a. k;
Business name: _ ke Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: 14`Lk W tela. Furnace,etc.
Address: 3116 54) D Jf � p Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: a!I t C Oe_ 91 a2 Z Water heater
Phone:(,-c ) 2,t4 C( I Fax::( ) Fireplace
0tt �Sa cr Range
E-mail. �� Barbecue
GT'OR-t-
Clothes dryer(gas)
Business name: Q
Other•
Salw� as f 1 f MECHANICAL I'ERMTFFEEs*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) _ State surcharge(12%of permit fee)
CCB lic.: 168‘11, _ TOTAL PERMIT FEE IOC'. $d
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
-.,I Print name: '', It J
v CCS. Date: 5-6—/7
\Buildings Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)