Permit CITY OF TIGARD
a MECHANICAL PERMIT
�` Permit#: MEC2017-00731
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/27/2017
T[ �"� Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10700 SW CANTERBURY LN 6
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (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: 503-317-7713 PHONE:
FAX:
FEES
Specifics: Description Date Amount
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 $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - �� Permittee Signature: exi /10j04/e�,-70,-‘)(
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard ,, T A' I.
eived _ -4/73
r - Permit No.'
'r 13125 SW Hall Blvd.,Tigard,OR 9722312(1,7rr'Review`
1 ` Phone: 503.718.2439 Fax: 503.598.1960 -,4 ,--1 DateBy: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov ��� Ai � 711A Notified/Method: Supplemental Information
i L+ CO)SIMERCIAL FEE*SCHEDULE - USE CHECKLIST
TYPE Off.WOR ... >
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/Ia>i�r tIN al '1 r performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: 3I �` mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
11, Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION,�A LOCATION, Heating/cooling:
Air conditioning 46.75
Job site address: (3 70Q 5V,/ Ciw8ve_y 1---)4 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
City/State/ZIP: "rt 6:sA12.9t O 82, 1LZ'-ti Heat pump 61.06
Suite/bldg./apt.no.:4.4 Project name: 3406, \ /D i'/45`TALL. Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
109-TM AWE S EE1- 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.: Water heater 23.32
DESCRIPTION,OF:WORK = Gas fireplace/insert 33.39
Flue vent for water heater or gas
. --t1/411-12k.Li— "Z e11Ee. V6-14T
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
R.PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: & c _ ReciLJdp 0 5Ds i<<,C.- Range hood/other kitchen
equipment 33.39
Address: (p( , q5 5 W VN U Q.QciLK sliz e s1-- Clothes dryer exhaust i 33.39 3-514
Single-ductexhaust(bathrooms,City/State/ZIP:- ��.A� t OR 9/ z� J toilet compartments,utility
23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
5 APPLICANT 0 CONTACT PERSON Other: 23.32
i ` Fuel piping:
T
Business name: "\c . .ytC, $14.15 for first four;$4.03 for each additional
Contact name: ez-A...1, 1�-s6eE Furnace,etc.
Gas heat pump
Address: `). 5 13 6K Z L E,"'( Wall/suspended/unit heater
City/State/ZIP: 'T'icwiae 9 t O1 `1 Z g ( Water heater
Fireplace
Phone:(563) 3‘-t -`1-1 9 -3 Fax: :( )
Range
g
E-mail: l(�QS Cl e� r bco4
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: 5 �YI C ' MECHANICAL PERMIT FEES*
Address: Q 'to7C 2:5 VS—( Subtotal 3.3 31
Minimum permit fee($90.00) '0
City/State/ZIP: -Tl G)4 la Q t 12 c,-T Z g
Plan review(25%of permit fee)
Phone:(5-63) 3 is-7-11 1 3 Fax:( ) State surcharge(12%of permit fee) (0 (1 0
CCB lie.: ( 3 3'T g idTOTAL PERMIT FEE (UO fia
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
n Date: Q/Z.t I i
Print na -��
l:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(1 1/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10700 SW CANTERBURY LN 6, TIGARD, OR,
97224
Record Type: Record ID:
Residential - Mechanical MEC2017-00731
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor