Permit (177) CITY OF TIGARD MECHANICAL PERMIT
II COMMUNITY DEVELOPMENT Permit#: MEC2018-00102
TI13125 SW HaII Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2018
Parcel: 2S110AD08701
Site address: 10665 SW CANTERBURY LN 8 Jurisdiction: Tigard
Project: Pacific Crest Apartments Subdivision: None
Project Description: (1)clothes dryer exhaust and(1)laundry room exhaust fan. Lot: None
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)
Stories: 12%State Surcharge-Mechanical 02/15/2018 $10.80
Project Valuation: Minimum Fee Adjustment-Mechanical 02/15/2018 $33.29
$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: 1 Vent Systems:
Hoods: Total $100.80
Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:
Permittee Signature:
p
,/,. i
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
FOR OFFICE USE ONLY
• .• City of TigardRECEIVE
eceived
'?
13125 SW Hall Blvd.,Tigard,OR 97223 +ate/B � Permit No.:
Y.
i►� ►
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
T I GARD Inspection Line: 503.639.4175 FEBi 2 2 0 j Q Date/By: Other Permit:
Internet: www.tigard-or.gov L C1 Date Read/B
y y. Juris: S See Page 2 for
Notified/Method
.,, , 'T Supplemental
(„ITY Q TIGAR
IPE OF W 1 ' r ?COMMERCIAL FEE*,SCHEDULE'.— USE CHECKLIST
ILDIt�G DIVISION
El New construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
®Demolition performed.Indicate the value(rounded to the nearest dollar)of all
❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$
❑ 1-and 2-family dwelling Commercial/industrial❑ RESIDENTLALEQUIPMENT/SYSTEMSFEES*.
❑Accessory building For s information in ormalton use checklist.
® Multi-family
❑Master builder ❑Other: Description
JOB SITE INFORMATION AND.:LOCATION Qty. I Ea. I Total
Heating/cooling:
Job site address:10665 SW Canterbury Lane Apt A08 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.:A08 Project name:.p.0 .W. uslanaLu Heat pump
v- —- ......... 61.06
t {1C G t'S Duct work 23.32
Cross street/directions to oh site: 109th Ave
,tr Hydron i c 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: Other: 23.32
I Lot no.:
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK." Gas fireplace/insert
33.39
Install dryer vent 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
PROPERTY OWNER I ❑'TENANT; Other: 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,OR 97224 Clothes dryer exhaust 1 33.39 33.39
Single-duct exhaust(bathrooms,
Phone:( ) toilet compartments,utility rooms) 1 23.32 23.32
Fax:( ) Attic/crawlspace fans
El APPLICANT` 23.32
°❑:CONTACT PERSON Other: 23.32
Business name:HPS Inc Fuel piping:
Contact name:Jay Bilgere $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:PO Box 23187 Gas heat pump
City/State/ZIP:Tigard,OR 97281 Wall/suspended/unit heater
Water heater
Phone:(503)317-7713 Fax: :( ) Fireplace
E-mail:hps@canby.eom Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:HPS Inc Other:
Address:PO Box 23187 MECHANICAL PERMIT FEES'
City/State/ZIP:Tigard,OR 97281 Subtotal
Minimum permit fee($90.00)
Plan review(25%of permit fee) ----
Phone:(503)317-7713 Fax:( )
CCB l ic.: 133784 State surcharge(12%of permit fee)
TOTAL PERMIT FEE, !00
This permit application expires if a permit is not obtained within
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Gerald Bilgere I Date: .,f a
1:ABuildingVPermits\MEC_Penn i r A 1p_0401 13.d oc
440-4617T(l l/02/COM/WEB)