Permit (23) CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2018-00334
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2018
T[ ''`�pl'� g Parcel: 1 S136CA90632
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL 63
Project: Hiller Subdivision:GARD WOODS,A CONDO COMMUNI1 Lot: 63
Project Description: Add NC to existing central heating system.
Contractor: PRECISION SHEET METAL&HEATING INC Owner: HILLER FAMILY TRUST
1212 SE 181ST AVE BY HILLER, RON D&LETTY S TRS
VANCOUVER,WA 98683 16121 PARELIUS CIR
LAKE OSWEGO, OR 97034
PHONE: 503-939-8600 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Air Conditioning 05/07/2018 $46.75
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 05/07/2018 $43.25
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/07/2018 $10.80
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $100.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: I Permittee Signature: ON ,/�/(s -7(7�
YY Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatR€CEED
IY
1.01a()H11( 1,, t St 0\1,1City of Tigard Received o1".781111
��(�J
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review; �� �I Permit NSF/t C L)���� y
a Phone: 503.718.2439 Fax: 503.598.196(M M l1114
7 2018 Pian
T l,;A iz D Inspection Line: 503.639.4175
DateBy: Other Permit:
Internet: www.tigard-or.gov CITY
�T T`!O Yg(�� D Date edMo Ready/By: kris: la See Supplemental for
S.I l VT 1913 Notified/Method: Information
'a ? ' k �� � '��"�� a i ,„„.„,,,,,,..„,„,„,„,,,,,„4„,,..,,,,,,,,.",...,,,,,,,„,,,,,
, ,;, f� «, ''F £ q,.„rt ,,v; „:,;, ..w.. y: ? ,M,6"+F,+1 , ,
o New construction 15 Addition/alteration/replacement
Mechanical permit fees;are based on the value othhe f
❑Demolition Other: performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
Value:$� t 4 l ;,* ROyy cz 4 ?
`rs
►� 1—and 2—familydwelling • '�'��� �'tt~�� #S'i'1�;�� �� ', ,��'
g 0 Commercial/industrial 0 Accessory building
For special information use checklist
u thy)a rally 0 Master builder
i �� Other: 1 E Description I Qty. a. I Total
s' fit � v. ,; Heating/cooling:
Job site address:10900 SW 76*PIS Air conditioning 1 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.:63 I Project name: Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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 ma Other fuel appliances:
P/parcel no.:
Water heater 23.32
ESC ��. ' ,: Gas fireplace/insertentfo
. . :.� .:.. ' _ ..a�633.39
Add Air Conditioning to the exisitng central beating system
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
.� ..� a ��:4���� '�� ”�;� , ��" ��" ��
Chimney/liner/flue/vent 23.32
23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( ) toilet compartments,utility rooms) 23.32
Fax ( )
Attic/crawlspace��tP " ' or e 23.32
awlspac fans
_:.` . `_ {, ' �.t►l+tl ' Other 2332
Business name:Precision Sheetmetal and Heating,Inc. Fuel pipitq;;
Contact name:Braden Hurt $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:1212 SE 181 Ave. Gas heat pump
City/State/ZIP:Vancouver,WA 98683 Wall/suspended/unithcater
Water heater
Phone:(503)655-4774 I Fax::( ) Fireplace
E-mail:Braden@heatmyhorne.com Range
'41
Barbecue" G 1 k�` Clothes dryer(gas): e, ;A ,
Business name:Precision Sheetmetal and Heating,Inc. Other:
Address:1212SE 181 Ave. a�'uA`Subtotal Y4 e 7T
jl
City/State/ZIP:Vancouver,WA 98683
Minimum permit fee($90.00) 90,o--4)
Phone:(503)655-4774 I Fax:( ) Plan review(25%of permit fee)
CCB lir.:166912 State surcharge(12%of permit fee) tiU �''
TOTAL PERMIT FEE /07) ,,f-
...,�/ liard, «e This permit application expires if a permit is not obtained within 180
Authorized signature :- yiie ' days after it has been accepted as complete.
4 Fee methodology set by Tri-County Building Industry Service Board
I Print 'name fj / I
� t� ..., � � I Date:4-30-18
I3BuildingV ermits\AtEC PetmitApp 0401 I3:doe
440-4617T(11/02/COM/WEB)