Permit (149) CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: MEC2018-00047
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2018
TIGARD g Parcel: 1S133DB07400
Jurisdiction: Tigard
Site address: 13456 SW HAWKS BEARD ST
Project: Summer Creek Apartments Subdivision: 1996-059 PARTITION PLAT Lot: 2
Project Description: Replacing(1)gas furnace located on 36"high base can in exercise room closet. Installing a clear plastic locking
cover for existing thermostat.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: COMMERCE SUMMER CREEK LLC
4474 SE MILWAUKIE BY COMMERCE INVESTMENT INC
PORTLAND, OR 97202 1000 SW VISTA AVE SUITE 114
PORTLAND, OR 97205
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 01/31/2018 $130.46
Class of Work: ALT Type of Const: VB Plan Review 01/31/2018 $32.62
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 01/31/2018 $15.66
Stories: Info Process/Archiving-Sm$0.50(up to 01/31/2018 $8.50
11x17)
Project Valuation: $2,500.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 0-3 HP:
Fumaces>=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 $187.24
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i
Issued By: 1101r .-, -- . ignature: L-. /'
Call 513.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicat e�1 .-4 t I- FOR OFFICE USE ONLY
City of Tigard Received
13125 S W Hall Blvd.,Tigard,OR 97223 Date/By: / �" �)'y// Permit No. C)/ `_ />O G/7
IN Ill Phone: 503.718.2439 Fax: 503.598.1960)A N 1 8 8 �� ��C �J tf
Plan Revie
Inspection Line: 503.639.4175 Date/By: ^'a1 Other Permit:
TIGARD p e l t,�6< � Jr,' pr;? DateRead /B
Internet www.tigard-or.gov
1 t Ready/By: Juris: I ® See Page 2 for
Notified Method: l' t///I j/,
v J '¢ �� l/y C/� V! l 77//ir Supplemental Information
:` TYPE OF WORK ''C(1)w4MIIRCIrAAL RE ,S DULE -1.FSE CHECK1 t '. ~.
❑New construction Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CAGORY`OF Cain
TRCG°TIOII Value. 2,5 .
00
,,. , ,,;` .. RESIDE1141 EQUW N'I/$VST lfg FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building For special information use checklist.
❑Multi family 0 Master builder
0 Other: Description
Qty. Ea. Total
30R SSP`INFORMATION AND`EOCATION Heating/cooling:
Job site address:13456 SW Hawks Beard Street Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:Summer Creek Apts Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic 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: I Lot no.: Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
IdESCRtPTION OF WQRK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install new Carrier Gas Furnace in closet of the exercise room.Remove&dispose fireplace p 23.32
of old unit.Unit will set on a 36"high base can.Install a clear plastic Log lighter(gas) 23.32
locking cover for existing thermostat Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PRf3PER TI O� ]YER= Other: 23.32
0."t'".ENANT.
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: — equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( )
Attic/crawlspace fans 23.32
t: ►®® APPI;ICANT .,.:" ❑ CONTACT PERSON .. Other: 23.32
Business name:Jacobs Heating&Air Conditioning Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:ANDREA BOWLDS
Furnace,etc.
Address:4474 SE Milwaukie Ave Gas heat pump
City/State/ZIP:Portland,OR 97202 Wall/suspended/unit heater
Water heater
Phone:(503)234-7331 Fax::(503)296-5351 Fireplace
E-mail:andreab@jacobsheating.com Range
Barbecue
'ICON RACTOR? „ Clothes dryer(gas)
Business name:Jacobs Heating&Air Conditioning Other:
Address:4474 SE Milwaukie Ave ME 1»ICAL 115E git.0.ES* ,
Subtotal
City/State/ZIP:Portland,OR 97202 Minimum permit fee($90.00)
Phone:(503)234-7331 I Fax:(503)296-5351 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:1441
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: A..gDizI Date: 1/4/2018
I:\Building\Permits\MEC_PermitApp_040113.doc 130-to(Q5 440-4617T(11/02/COM/WEB)