Permit (112) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00004
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 01/03/2018
( A 9 Parcel: 2S110AD08700
Jurisdiction: Tigard
Site address: 10787 SW MURDOCK PL 3
Project: Pacific Crest Apartments Subdivision: None Lot: 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: 503-317-7713 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Clothes Dryer Exhaust 01/03/2018 $33.39
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/03/2018 $56.61
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/03/2018 $10.80
(manual)
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 $100.80
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �' �t�,r Permittee Signature: .....,,e9p.4::::::„\-- -
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By: /� p
y / / Permit Noll C I��� /
- " 13125 SW Hall Blvd.,1'igard,OR 97223
Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 F4tate/B Other Permit: j�� ,/� ✓. y62
TIGARD Inspection Line: 503.639.4175 Date Ready/By: luris H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
JAN 2 207t4
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
krtO7 `T T I /j , Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteratio e dnt performed.Indicate the value rounded to the nearest dollar)of all
❑Demolition ❑Other: 11/aaDI 1;I p1\,#, 1. mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
lik Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
mu ya e ,Iiia G= Air conditioning 46.75
Job site address: rt) j g l � l ` Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1lt pg p r O)c 9-i n q Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: DQ 3 Project name: J/I) 1/455-41-{, Pc3 Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
109'1' A(1>E 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
..I�ST-W� iR,./>�rt IDt/tr- 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
Pli PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: A J K - Re 0 wuoil 'PL SPE LLL Range hood/other kitchen
equipment 33.39
Address: tO 4,9 S 514) tLt1-PO S-ig Clothes dryer exhaust i 33.39 3 3 71
City/State/ZIP:(^ Cyd oz. ZZ Single-duct exhaust(bathrooms,
l� i 7 '1 toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
F APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: N p?) . {� $14.15 for first four;$4.03 for each additional
Contact name: _'v4-ij a(L.( 6 Furnace,etc.
Gas heat pump
Address:
Po J34 X 23 Wall/suspended/unit heater
City/State/ZIP: —1-16/4/(Di QR ."7 Z,..'/ Water heater
Phone:(r 4 3) 3 i 7- -r?7 7 Fax: :( ) 1 Fireplace
Range
E-mail: ryp 5 �. Cgyl i).t,7 e CO kr? Barbecue
���°/ CONTRACTOR Clothes dryer(gas)
Other:
Business name: 1......t F5 . -ei c MECHANICAL PERMIT FEES*
Address: Po -fix Z31 A i Subtotal
City/State/ZIP: /lie( Minimum permit fee($90.00) l a,
y t( ��3) d Plan review(25%of permit fee)
Phone:(5-0 3) -5(i_-7-7( 3 Fax:( -)-._. State surcharge(12%of permit fee) Itf`.,j)
CCB lic.: L{ TOTAL PERMIT FEE /a),,IJ
( ✓2, 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: 6:1E e cu ) 1.3,1 LG,61Z Date: / /23/ l 7--
1\Building\Permits\MEC_PermitApP
--I:\Building\Permits\MEC_PermitApp 040113.doe 440-4617T(1 I/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10787 SW MURDOCK PL 3, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00004
Inspection Type: Inspector:
615 Mechanical rough-in Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10787 SW MURDOCK PL 3, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00004
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor