Permit (143) CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2018-00100
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/15/2018
Tfi.;AI<.C) 9
Parcel: 2S110AD08701
Jurisdiction: Tigard
Site address: 10665 SW CANTERBURY LN 7
Project: Pacific Crest Apartments Subdivision: None Lot: None
Project Description: (1)clothes dryer exhaust and(1)laundry room exhaust fan.
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 02/15/2018 $33.39
Class of Work: ALT Type of Const: Single Duct Exhaust(Bathrooms,Toilet, 02/15/2018 $23.32
Occupancy Grp: Occupancy Load: Utility Rooms)
12%State Surcharge-Mechanical 02/15/2018 $10.80
Stories: (manual)
Project Valuation: $0.00 Minimum Fee Adjustment-Mechanical 02/15/2018 $33.29
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 Fumaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $100.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ' !J ' % '' 7mittee Signature: j�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application'
City of Tigard �� •� � FOR OFFICE USE ONLY
l . ° 13125 SW Hall Blvd.,Tigard,OR 9722314
Date/By: O i ` Permit No.:
Phone: 503.718.2439 Fax: 503.598.1960 Dan Review ..
TIGARD Inspection Line: 503.639.4175 20181 Date/By: Other Permit:
Internet: www.tigard-or.gov Date Ready By:
i� g Notified/Method: H See Page 2 for
ipp��}}����1 I��/ R�r; Supplemental Information
TYPE OF W;�LP1N( MMViSION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
❑New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
®Demolition ❑Other: performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
,I' CATEGORY OF CONSTIUrCTION Value:$
0 1-and 2-family dwelling RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
¢� ❑ Commercial/industrial 0 Accessory building
® Multi-familyFor special information use checklist.
0 Master builder 0 Other: Description
•• JOB SITE INFOIZ\IATION AMID"'I CAT O]V: Qty. Ea. Total
Q l Heating/cooling:
Job site address: 10665 SW Ca 111011/111".) !,;,ne Apt A07 Air conditioning 46.75
City/State/ZIP:Tigard,OR 87224 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:A07 Projc. nanw:/ayw,D inst^n#ation Heat pump 61.06
w ( 2332
Cross street/directions to job site: 109'''Ate ar
Duct work 23.32
Hydropic hot water system 23.32
Residential boiler(radiator or
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 WOE ., Gas fireplace/insert
Install dryer vent 33.39
Flue vent for water heater or gas
fireplace 23.32
Install laundry room vent — Log lighter(gas)
23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
_ Chimney/liner/flue/vent 23.32
•
N PROPERTY OWNI R Other:
❑ TENANT 23.32
Name:AUK-Redwood PC SPE LLC Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 10695 SW Murdock St equipment 33.39
City/State/ZIP:Tigard,OU 9722-1 Clothes dryer exhaust 1 33.39 33.39
Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32 23.32
Phone:( ) Fax:( )
Attic/crawlspace fans 23 32
® APPLICANT — ` 0 CONTACT PERSON Other:
23.32
Business name:HPS Inc Fuel piping:
Contact name:Jay Bilgcrc $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:PO Box 23187 Gas heat pump
City/State/ZIP:Tigard,OR 972s I Wall/suspended/unit heater
Water heater
Phone:(503)317-7713 Fax: :( ) Fireplace
E-mail:hps@eanby.coni — Range
Barbecue
CC "I'R.ACTOR Clothes dryer(gas)
Business name:HPS Inc Other:
Address:PO Box 23187 MECHANICAL PERMIT FEES*
City/State/ZIP:Tigard,OlZ 972;'1 Subtotal �j--6
Minimum permit fee($90.00) qc) )
Plan review(25%of permit fee)
Phone:(503)317-7713 Fax:( )
CCB lic.: 133784 — State surcharge(12%of permit fee) id.,E
TOTAL PERMIT FEE Ma isif
�,, This permit application expires if a permit is not obtained within 180
Authorized Slgnature� days after it has been accepted as complete.
( * Fee methodology set by Tri-County Building Industry Service Board
Print name:Gerald Bilge re
Date: I..EA.,Ig
I:ABuildingVPermits1MEC_PermitAr; u��. ,,�
_ 440-46171(11/02/COM/WEB)