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Permit
IL CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2019-00745 Date Issued: 10/23/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 370 Project: Sellwood Consulting Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: Relocating supply and return air grilles. Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES PO BOX 1188 ATTN: N PIVEN CANBY, OR 97013 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 971-930-7194 PHONE: 503-624-6300 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/23/2019 $207.21 Class of Work: ALT Type of Const: Plan Review 10/23/2019 $51.80 12%State Surcharge-Mechanical 10/23/2019 $24.87 Occupancy Grp: Occupancy Load: Info Process/Archiving-Sm$0.50(up to 10/23/2019 $0.50 Stories: 11x17) Project Valuation: $5,000.00 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 $284.38 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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 952-001-00'I. You may obtain a copy of the rules or direct questions to OUNC by calling 503. '.`• 800.332.2344. my Issued By: LPermittee Signature: _ ` Call 503.639.4175 by 7:00 a.m.for the next available inspectio date. This permit card shall be kept in a conspicuous place on the job site until completion oft e project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY "R •eceived City of Tigard �� F DateBy: lit �Tif�� Permit �� G __ ,) lnll - 13125 SW Hall Blvd.,Tigard,OR 97223 $ '' ' g Plan Review Phone: 503.718.2439 Fax: 503.598.1960it DateBy: Other Permit: r► 1/ TIGARD Inspection Line: 503.639.4175OCT2019 Date Ready/By: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: IIMI Supplemental Information CITY OF DGA- , TYPEOF WO'1 , 0,.$xe NV ' v COMMERCIAL FEE* SCHEDULE.-USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ NT w©to CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPME /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:C.C.,, 0 5(AiRC DW 00 D LAN' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: jl coAKD o k 07-7224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:37 0 Project name: ,-... 1.../..IN`JO D ENSue.,..T/AJ cr 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK` Gas fireplace/insert 33.39 X Flue vent for water heater or gas �J�' tecLVSuPPcy 1 R N 71JKA, 12 ?t-L'r:.[.(��'s fireplace 23.32 c Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 )S)) PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation: Name: pA` rtt.V c7" Range hood/other kitchen equipment 33.39 Address: 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 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater : Fireplace Fax: Phone:( ) ( ) Range E-mail: 3-ERE/oily c2 L/yUok G .N,-1 Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: '''')(c..&—e.... /7/04 i e,. MECHANICAL PERMIT FEES* Address: 7) ?o X //F3 g Subtotal City/State/ZIP: C4N�Y Cr C17Q1'� Minimum(25perm%t of permit($9fee)/ Plan review(25%of fee) Phone:(971 ) Gf 3 0- 7/w Fax:( ) /l//4 State surcharge(12%of permit fee) CCB lie.: a/ (/3 v 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 ill Print name: 5r K.e-neLy v&rr Date: /D4 j/ 4 I:\Building\Permits\MEC_PermitApp_046113.doc 440-4617T 1/02/COM/WEB)