Permit CITY OF TIGARD MECHANICAL PERMIT
114 8
Permit#: MEC2017-00732
COMMUNITY DEVELOPMENT Date Issued: 09/27/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 2 Lot: None
Project: Pacific Crest Apartments Subdivision: None
Project Description: Install(1)dryer vent.
Contractor: HPS INC Owner: AUK-REDWOOD PC SPE LLC
PO BOX 23187 10695 SW MURDOCK ST
TIGARD, OR 97281 TIGARD, OR 97224
PHONE
PHONE: 503-317-7713
FAX:
FEES
Description Date Amount
Specifics:
Clothes Dryer Exhaust 09/27/2017 $33.39
Type of Use: MF 12%State Surcharge-Mechanical 09/27/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 09/27/2017 $56.61
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon requires you to follow the ules adopted by the
the Oregon
n
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through
h OAR 952-001-0090. You mayobtain a copy
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 'Ai %-/9/a[>/c'4-77
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
y d
Date/By: /-� Permit No.: (/ i. i 7 A
City of Tigard �. // /�
II " 13125 SW Hall Blvd.,Tigard,OR 97223 '
Phone: 503.718.2439 Fax: 503.598.1960 ,--0,-,v, 1' 1 ,. lIl Other Permit:
Inspection Line: 503.639.4175 toqe" d x Y t`ReadyBy: Juris: 0 See Page 2 for
TIGARD ' s�•—• SupplementalInformation
Internet: www.tigard-or.govIPt} Notified/Method:
TYPE OF WORK ' sEF. 2 5 2,017 COMMERCIAL FEE*,SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction IWAddition/alteration/reale lli 1 1 4:A D performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other 0. �f t - I' mechanical materials,equipment,labor,overhead,and profit.n #n � Value:$
:.,:CATEGORY Of CONST .. r = '/ ,,.J=RESIDENTIAL EQUIPMENT/=SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
WA/Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning 46.75
Job site address: 10 IOC) S*4 CA?J` E "5 L"1 .&I I:iI Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
City/State/ZIP: "c\!a R t O EZ �-7 Z 61.06
Heat pump
Suite/bldg./apt.no.: 1—(0 Z Project name: i-oz Vd/Co .mss ri4 Lt.. Duct work 23.32
Hydronic hot water system 2332
Cross street/directions to job site: Residential boiler(radiator or
(091 M 5T1ZE' 1— 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
Other: 23.32
Subdivision: Lot no.: Other fuel appliances:
Tax map/parcel no.: 23 32
Water heater 23
Gas fireplac insert
.32
ECtIR7�LQN OI WOl1C' Flue vent for water heater or gas
,`Ij 5 - t,t_ m P.T,E1Z \j E-14,T 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
PROPERTY .OWNER ❑`.TENANT Environmental exhaust and ventilation:
Name: p„,0 Le'- get) 1.+3 e)CS 0 -pt;,- 5'E Li--C. Range hood/other kitchen
equipment 33.39
Address: (b 4,41. S stA) 14A I a pOCtL e_EET Clothes dryer exhaust t 33.39 3) 1
,.�Z� i Single-duct exhaust(bathrooms,
City/State/ZIP: '7(6,14 D p -1 toilet compartments,utility rooms) 23.32
Phone:( )
Fax:( ) Attic/crawlspace fans 23.32
fir ; Other: 23.32
APPLICANT ❑. CONTACT EERSON Fuel piping:
Business name: 4�1 -3,..- .- $14.15 for first four;$4.03 for each additional
Contact name: n;p. '-a 1 L�.E le.e Furnace,etc.
`Z Gas heat pump
Address: TO ' t) 2."3 le.,-7 Wall/suspended/unit heater
City/State/ZIP:"T\614 RA t Qi ci—t 29 1 Water heater
Fireplace
Phone:(J(13) 3I'Z-Z 1 3 I Fax::( ) Range
E-mail: %Q) Ct ,o.,( )9 . cc v.", Barbecue
CONTRACTOR:' Clothes dryer(gas)
Other:
Business name: k...\p 5 .irt( MECHANICAL PERMIT FEES*
Address: ?ig � Z3'81Z3 Subtotal 3 3 ,1
g ' Minimum permit fee($90.00) qa
City/State/ZIP: c p �',g. d Plan review(25%of permit fee)
Phone:(5 03 31 Y^TZ ) 3 Fax:( ) State surcharge(12%of permit fee) 10 V°
Q'1 TOTAL PERMIT FEE `v0 Fl
CCB llc.: 3 U"'I This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Authorized signature:
Print name. r E .. I Date:9/fit) 1 7
1.\BuildingU'ermits\MEC_PermitApp_040113.doc
440-4617T(11/02/COM/WEB)