Permit (160) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00044
Date Issued: 01/18/2018
tGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S 18/201 8700
Jurisdiction: Tigard
Site address: 10765 SW MURDOCK LN 7
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (1)clothes dryer exhaust and(1)exhaust fan for laundry closet.
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 01/18/2018 $33.39
Type of Use: MF Single Duct Exhaust(Bathrooms,Toilet, 01/18/2018 $23.32
Class of Work: ALT Type of Const: Utility Rooms)
Occupancy Grp: 12%State Surcharge-Mechanical 01/18/2018 $10.80
Stories: Minimum Fee Adjustment-Mechanical 01/18/2018 $33.29
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: } -
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
�� g a �, Date/By: PermitNo.:
III13125 SW Hall Blvd.,Tigard,OR 972�t � f� ` V !i t i
k Plan Review
Phone: 503.718.2439 Fax: 503.598.16',1, a,„a/•- ' '°"'` Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 1 ,�Q Date Ready/By: El See Page 2 for
Internet: www.tigard-or.gov i AN Y Notified/Method: Supplemental Information
-1 P.M
m� '3� 8:ti ARO
TYPE OF W i p Qto1{ l COMMERCIAL FEE* SCHEDULE — USE CHECKLIST`
3 .,:r� s Mechanical permit fees*are based on the value of the work
❑New construction 416 Addition/alteration replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
E Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: (Q 74,5- ✓A'.)ROO�'K Lid Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:-1-16,:‘,21>r O g. GI-T a L.45. Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: U 0-1 Project name: p'7 J l0 NOB Kul Duct work 23.32
Cross street/directions to job site: CX-41'CCr(J't ,[h eA5 Hydronic hot water system 23.32
'��^ Residential boiler(radiator or
t4C3 ÷IN 14 V ‘ 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
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
XSTA t_t, Dry En_ 1rn hi— * e)0414VS'3' fireplace 23.32
A' Pil.2
Log lighter(gas) 23.32
I/ I--1A V�q rl L10$ET Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
in PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: AL)K_ RED WOOD ?c 5 Pe LLL Range hood/other kitchen
Address: C(j(,Ci equipment 33.39
`J INS U 1'Z DOUG '`rt' Clothes dryer exhaust I 33.397
City/State/ZIP: "'T 1�A�� Q Z Z[� Single-duct exhaust(bathrooms, 1 � 3/r I toilet compartments,utility rooms) 23.32 .„...41.3.11
Phone:( ) Fax:( ) Attic/crawlspace fans _ 23.32
1114 APPLICANT- El CONTACT PERSON Other: 23.32
Business name: k..'Ps ;y1C, Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: 14.0 51L ieC Furnace,etc.
Address: )ci 7( z.31 g-7 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: i6A.Kj) i OK 97. &J Water heater
Phone:(503) 3i/ -7-j j 3 Fax: :( ) Fireplace
Range
E-mail: ke-‘?5 a_ ca.vt '1 .C0ri Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: �P5 ..14 c. MECHANICAL PERMIT FEES*
Address: -"pd c 2:3 1 si Subtotal ,5.4.7 1
City/State/ZIP: ''t'1 Gott 01 CS e a[-rz-8 J Minimum permit fee($90.00) d�Lri-,,O
Phone:(543) 1 _'7 7 Fax:( ) Plan review(25%of permit fee) -
�3 3I3 State surcharge(12%ofpermit fee) /0,0,
CCB lie.: 133`78 Id TOTAL PERMIT FEE f t IV,is
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: r� Fee methodology set by Tri-County Building Industry Service Board
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Print name: ,tqi -?;ol(L .E... Date: t „ I 1 t
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)