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Permit (50) CITY OF TIGARD MECHANICAL PERMIT ,, Permit#: MEC2019-00346 COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2019 TIGARD Parcel: 2S 115AA00100 Jurisdiction: Tigard Site address: 16100 SW 108TH AVE Project: Brightwaters at Redhawk Subdivision: WILLOW-BROOK-FARM Lot: 36 Project Description: Replacing existing heat pump,air handler,and t-stat. Contractor: ALBATROSS HVAC Owner: DHP BRIGHTWATERS LLC PO BOX 2947 32 MEADOW HILL DR BATTLE GROUND,WA 98604 TIBURON, CA 94920 PHONE: 360-687-8660 PHONE: 503-684-8000 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/06/2019 $313.99 Class of Work: ALT Type of Const: VB Plan Review 06/06/2019 $78.50 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/06/2019 $37.68 Stories: Info Process/Archiving-Sm$0.50(up to 06/06/2019 $12.50 11x17) Project Valuation: $8,705.00 Fuel Air Handlers Fuel Types: Electricity Units<10000 cfm: 1 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: 1 Appliances Vent Fans: Vent Systems: Total $442.67 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: .......Ni. Permittee Signature: $ iio / Call 503.639.4175 by 7:00 a.m.for the next available inspec'* date. This permit card shall be kept in a conspicuous place on the job site until ompletion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application F012 OFFICE 1;SE O Lr Cityof Tigard .13125 SW Hall Blvd.,Tigard,OR 97223 Received' ` ` eray: w ---/771/y ,liaD/c ( 3�l Review f/ a` Phone: 503.718.2439 Fax: 503.598.1960 Date/By: "3' ) Other Permit: Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for T E G A 1t.D Internet: www.tigard-or.gov MAY ���� Notifi d/Method:��� �� I Supplemental Information 1,.1! YOf- liGAR i: E OF WORSl11LiY1NG rWigiON _ 0 ® R FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work Q New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all E Demolition E Other: mechanical materials,equipment,labor,overhead and profit. Value:$ $� EQUIPMEN7 0 CATEGORY OF CONSTRUCTION RESIDENTIALT/SYSTEMS FEES* E 1-and 2-family dwelling ❑ Commercial/industrial El Accessory building For special information use checklist. Multi-family Li Master builder « Description Qty. Ea. TotalOther: JOB SITE INFORMATION AND LOCATION Heating/cooling: v. Air conditioning 46.75 Job site address: rtl9Rd 61 O0 'S 4) I O i 7..- A 0-e, Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: ( ,,pp p 7aay Furnace 100,000+BTU(ducts/vents) 54.91 / 4th 1Heat pump I 61.06 Suite/bldg./apt.no.: Project name 4 ri;5,1..,/,-,L,,,,,*,,,, / Duct work 23.32 Cross street/directions to job site: Rrdbin(,f/k 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 Other: 23.32 Subdivision: I Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 in Flue vent for water heater or gas RC !Ace e .e Xisl,'hl He c:r. t p4, F};* /ijt in vf le( fireplace 23.32 '�—STp- P I / Log lighter(gas) 23.32 `I Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 0 PROPERTY OWNER I /TENANT Environmental exhaust and ventilation: Name: C, hi(-i S Q Q.r r e It tri 1}h 14 -e tr Range hood/other kitchen k equipment 33.39 Address: /ti/0O .:SCJ f O t f Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, City/State/ZIP: r,T Ctg� p, ?� aa toilet compartments,utility rooms) 23.32 Phone: ( ) t 'L�g /J r O O Fax:( ) Attic/crawlspace fans . . 23.32 APPLICANT '"CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional i" Contact name: /Z/if-Ai (4-/. f j t4..,& Furnace,etc. IJ // Gas heat pump Address: co� Q�� t Wall/suspended/unit heater City/State/ZIP: 1219#k 5r'c(y s 4 c )L4- �7d©4 Water_ heater Phone:gnag)a 60- ua r7 Fax::( ) I Fireplace Range E-mail: Barbecue _ CONTRACTOR� Clothes dryer(gas) Business name: /f3t4"frOS.S r'T 0i+ri Other: MECHANICAL PERMIT FEES* Address: p, Q, a OX a 9.47 Subtotal r Subtotal City/State/ZIP: r3 4-#/{ t;-road (,r7 A ?11 6 07 _ Minimum permit fee($90.00) / Plan review( 25 Ya of permit fee) Phone: ,,3 ) a6,.- La.77 Fax:( ) State surcharge(12%of permit fee) CCB lic.: / O ff')y C7 / he.//p�,O TOTAL PERMIT FEE 6 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:/� Rye*" • Fee methodology set by Tri-County Building Industry Service Board n Pi int w51e..(c y4.,,i Dale r TR.S, Data' 6.•-DSI /9 I1Building\Permits\MEC_PennitApp_040I13.doc 440-4617T(11/02/COM/WEB) City of Tigard IIIII w COMMUNITY DEVELOPMENT DEPARTMENT 1 T1cARD Building Permit Review — Commercial - No Land Use Building Permit #: "4 ,C,(710/ ,''603 11;e Site Address: 1E400 f;,j log t Ave Suite/Bldg#: Project Name: (3n tl- f<14111-14. k. (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review `` Proposal: Zkf v j 1 /)..KO A,r" (U',j-S\--A, Existing Business Activity: G lC �\i1 ed Business Activity: G { Lv y Prop/erify site address/suite# exists and active in permit system. 1254-ver Terrace Neighborhood: ❑ Yes II4o LL ening: R 1,c �� Ly' ermitted Use: LJ 1�es ❑ No ❑ Spec Space Confirm no land use required. 1171/Business License:/ Exists: L9'Yes ❑ No,applicant notified to obtain business license Notes: tf t1M I-vy&r r tt,k- S'Grtarkrn) (S-1 it, .N 2) Approved by Planning: LDate: c-- 12v"i I Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: Planning ❑ P o tnatorBuilding plan Workflow Sign-off: Sign-off for Planning(include notes from ning review) Route Application Documents: Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: .w� keiDate: 3 () By Permit Technician: ,L �� / .1 ,� I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submi• only) Revision Notice 1: D ate Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Ent- ed: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to ssue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoIandUse 070915.docx