Permit (63) CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2018-00454
COMMUNITY DEVELOPMENT Date Issued: 06/13/2018
TIG,y .T 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DC01000
Jurisdiction: Tigard
Site address: 11055 SW MEADOWBROOK DR 1
Project: Summerfield Apartments Subdivision: WILLOW-BROOK-FARM Lot: 17
Project Description: Dryer vent installation.
Contractor: KENNEDY RESTORATION Owner: SUMMERFIELD ASSOCIATES, LLC
315 SE 7TH AVE BY HSC REAL ESTATE
PORTLAND, OR 97214 1500 SW FIRST AVE STE 1020
PORTLAND, OR 97201
PHONE: 503-234-0509 PHONE:
FAX: 503-234-4479
FEES
Specifics: Description Date Amount
Clothes Dryer Exhaust 06/13/2018 $33.39
Type of Use: MF
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/13/2018 $10.80
(manual)
Occupancy Grp: Occupancy Load: Minimum Fee Adjustment-Mechanical 06/13/2018 $56.61
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $100.80
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law require ou to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA: •52-001-u90. You may obtain copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �' Permittee Signat e:
Call 503.639. 175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application REC.'SFOR OFFICE USE ONLI.
City of Tigard 'DateBedy. /p i) C( 1:� Permit No.: _
11 . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ' "
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639.4175 t``N A s %Ulu Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov ,IiJ otified/Method: iiiMSupplemental Information
deir4Ao i t t t t,!, :.n °t' ►
et-rt.
-, t Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteratioi 1p - ent performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$i9uy F 1 ;??Pn tr a.
,,
, 4',s, Vit,. , _ ? It t
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
..0"Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
- ." '•' , Heating/cooling:
,ir ., ,,,x« 1° ,, P at
` Air conditioning 46.75
Job site address: I ( 015' SW IMeA1 01,0 131bK. 1)2 4 Q( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: i 1Cr sz. , (y(-2_. 9-ay Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: urY►min`F IC 11-9-1Heat pump 61.06
11-9-1 S 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
1° h`jq .` y 1 g . Gas fireplace/insert 33.39' '`
aZgaladi' Flue vent for water heater or gas
lMf fit1L 111)11.4C-1I VE4-1-r ply fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name: 5 Li m rt'l'E((L t1✓Lb -PrS Range hood/other kitchen
(1 equipment 33.39
Address: 5°1..,) MrR®trA)V3bt. Clothes dryer exhaust I 33.39 33,31
City/State/ZIP: 1"-t(hA-tt r� a')xa Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(56 ) tot LI -I1s1 I Fax:( ) Attic/crawlspace fans 23.32
y
.: s t a Other: 23.32
Fuel piping:
Business name: (LE j VE p y rZarraAeri o1.1
$14.15 for first four;$4.03 for each additional
Contact name: Dee 1 w>J tJe([S Furnace,etc.
Address: 'j ii- 5'6 ^-j � Gas heat pump
p Wall/suspended/unit heater
City/State/ZIP: 4 d�-T Li:,n,l t 02 c 7 21 ti Water heater
Phone:(sr,) 512.2,L1 yo I Fax::( ) Fireplace
E-mail: ellJ�l W Range
K,tnntd �-(S ,Ct►►''l Barbecue
;, i Clothes dryer(gas)e
Business name: ) Other:
Address: t `'
Subtotal
City/State/ZIP: Minimum permit fee($90.00) /(f C`)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) /61,,
CCB lie.: 300'2._ TOTAL PERMIT FEE `t))- rd-L3
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: C--- ,--,___ottAitt -------- * Fee methodology set by Tri-County Building Industry Service Board
Print name: 1) tit)til IN 1c [t' Date: 4/fI II Y
1:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)