Permit (119) CITY OF TIGARD MECHANICAL PERMIT
7,1
.' Permit#: MEC2019 00633
. . It ., COMMUNITY DEVELOPMENT Date Issued: 09/12/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1S135AA03800
Jurisdiction: Tigard
Site address: 8879 SW ELENA LN
Project: Oak Street Condominiums Subdivision: OAK STREET CONDOMINIUMS Lot:
Project Description: Mini split system for the model home garage conversion to a sales office.
Contractor: HEATGUY LLC Owner: LENNAR NORTHWEST INC
PO BOX 821571 11807 NE 99TH ST STE 1170
VANCOUVER,WA 98607 VANCOUVER,WA 98682
PHONE: 360-253-4822 PHONE:
FAX: 360-883-2969
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/10/2019 $176.51
yp Plan Review 09/10/2019 $44.13
Class of Work: ALT Type of Const: VB
12%State Surcharge-Mechanical 09/10/2019 $21.18
Occupancy Grp: B Occupancy Load:
Info Process/Archiving-Sm$0.50(up to 09/10/2019 $1.00
Stories: 3 11x17)
Project Valuation: $4,000.00
Fuel Air Handlers
Fuel Types: Electricity 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: 1
Appliances
Vent Fans: Vent Systems: Total $242.82
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: --
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o. _. -a.\copy of the rules
or direct questions to OUNC by calling 503.232.1987 . .-"9 32.2344.
Issued By: �s Permittee Signature: `‘
dall 503.639.4175 by 7:00 a.m.for the next available in pection(Ste.
This permit card shall be kept in a conspicuous place on the job site uktil completion of the project.
Approved plans are required on the job site at the time of aeh-itt"spection.
Mechanical Permit Application FOR OFFICE USE ONLY
iliCity Of Tigard ,a !t Received -,�aS J/q �� 7 y
? tj�SJLfYj7 / 3 Permit No.:�y }
Lc,,,,r,..) DateBy: ...,,,,y7,---
/'rf�`��(Jj
q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
1 3, Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 AUG Date/By: �—1Q ^ f 9 r- 814��,'i �l�
Inspection Line: 503.639.4175 U 2 2 2019
D Ready/By: Juds: See Page 2 for
TIGARD y y'
Internet: www.tigard-or.gov tified/Me d 1( /q 71-_6, Supplemental Information
fir[[!
TYPE OF WORK .! / COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$L.J i. ii- �`
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENIT/SYSTEMS FEES*
® 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 8879 SW Elena Lane Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump / 61.06
Suite/bldg./apt.no.: Project nameCt/414 S..7-72_r -7 "-"-/Wr-t°lV;"et-$just 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
Other: mini split i 1 2132 -23.32
Subdivision:Cornerstone Condominiums Lot no.:22
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
sales office in garage 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
® PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:Lennar NW Inc. Range hood/other kitchen
equipment 33.39
Address:11807 NE 99th St. #1170 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver, WA 98682 Single-duct exhaust(bathrooms,
y toilet compartments,utility rooms) 23.32
Phone:(360 )258-7900 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Same as above $14.15 for first four;$4.03 for each additional
Contact name:Juls Call Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Fireplace
Phone:(360)258_7906 Fax: :( ) Range
E-mail: juls.callAlennar.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:HeatGUy, LIC. MECHANICAL PERMIT FEES*
Address:5215 NE 282nd Ave Subtotal
City/State/ZIP:Camas, WA 98607 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360 253 4822 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:187461 2 404,2,) TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Corinna Frit Date:04/15/2019
I:ABnilding\Pernits\MEC PermitApp_040113.doc 440-4617T(i1/02/COM/WEB)