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Permit CITY OF TIGARD MECHANICAL PERMIT I. ' COMMUNITY DEVELOPMENT Permitfi: MEC2020-00154 Date Issued: 04/14/2020 T 1 G AR f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135CB00200 Jurisdiction: Tigard Site address: 10250 SW NORTH DAKOTA ST Project: AT&T Subdivision: None Lot: None Project Description: Gas line for generator. Contractor: GREEN POWER ELECTRICAL CONTRACTORS INC Owner: PASCUZZI INVESTMENT LLC PO BOX 836 10250 SW NORTH DAKOTA ST AMITY, OR 97101 TIGARD, OR 97223 PHONE: 971-259-1051 PHONE: FAX: 503-835-2702 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/23/2020 $130.46 Class of Work: ALT Type of Const: Other Plan Review 03/23/2020 $32.62 Occupancy Grp: U Occupancy Load: 12%State Surcharge-Mechanical 03/23/2020 $15.66 Stories: Info Process/Archiving-Sm$0.50(up to 04/09/2020 $17.50 11x17) Project Valuation: $2,500.00 Fuel Air Handlers Fuel Types: Natural Gas 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 $196.24 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: generator 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 toNC hy.calling j13.232.1987 1.800.332.2344. Issued By: 2'' -1 ' / Permittee Signature: �� /` y� ��' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / 1 L" 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 Fon nova r I \1 ')\I 1 City of TigardSi A`lE nit P rrn,t\,r I S 125 SW flail Blvd.Tigard.OR 4T23REG arr 2a.I°r,' Phone 5(13 718 2439 Fax 503 59R.1960 Data it,‘ . e .Z(n Cnher Perum Inspection tinc 4413 639 4175 �� Dmc Ready to furs, Internet www rr"rd-or_L'oN ® See Page 2 fur MAR 19 \criihni\ rd �/ supplemental In(nrmannn TYPE OF WORK OMMERCIAL FEE"SCHEDULE- USECf1ECtiL16T I Mechanical permit tees'are based on the value of the work ❑Nett construction E ,ldditur allcralnnrl -... performed Indicate the valuetrounded to the nearest dollar)01 all E I lcmo Ill ion ❑Other mechanical ma(erials,equipment.labor.oserhead and profit Value S 2,500.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT t SYSTEMS FEES. ❑ I-arid_-Id i ils .1tri11me ''( ,'� I onmrercial inchlsui;d ❑-Accewm handing Furspeeiol inJhrmution use chef Alisr. ❑ Iulti-'nine's ❑ A1;nlcr huilJcr ❑I phcr Description - (AN Liu I1-rlal JOB Si1E INFORMATION M.D LOCATION IleatitttJeoolittg. \a condtuonme 46 75 .lob site address. 10d 5 0 SW North L'iKs/va V.I.- ' Furnace 100.000 BTI1'duels cams) 4675 City/State/ZIP: Tigard 97223 Furnace 100.000-fill''alms%vino 1 i491 Suitc'hldg-'apt no: I Project none: Greenburg Kcal pump 61 IA Duct work 23.32 Cross strectidireclions to job site. Hvdronic hd water sastem 23 32 Residential boiler'radiator or hvdronic) 23 32 I Intl heaters Duel-npe.not electricl. 1 , in-wall in-duct suspended etc 1 46.75 flue/ken(Ior ans of above 23 32 Other 23 32 Suhdixision I tot our Other fuel appliances: .__..__ .. ... I as rmp parcel m` Water heater 23.32 " DESCRIPTION OF WORK Gas tireplaccInsert 33 39 -----'--- Flue vent lirt water heater or gas hook up natural gas line fcr generator fireplace 2332 I.og lighter I cas I 23.32 Woodlpel let close 33 39 Wood fireplace insert 23.32 l'himnes/Imeri Rue isent 2332 Other 23 32 0 PROPERTY OWNER ❑ TENANT EaviraamentAl rehouse and ventilAtioa: \iuc Range hood/other kuchen equipment 33 39 Address. Clothes diner exhaust 33.34 City/State/ZIP Single-duct exhaust'bathrooms - lodet compartments,utilits proms) 23.32 ('hrrte I I as I I ! .AtuacrassIspace tans 2332 t< r Q CONTACT PERSON 1 Other 2312 Business name. GPE':_ I ne _Furl piping: 514.1S for first four:S4.03 for each additional Contact name: Karter Roberts Furnace.etc Address: PG Box 836 Gas heat pump IAall:suspendcd.-unit heater City/State/ZIP. Amity, OR 9'7101 Water heater Phone'I971 1 241-2873 ('as::1503 1835-2702 Freplaee karter 9P. l- ecelect ric.coin IBarle ge I'-maiC i Barbecue CONTRACTOR Clothes deer(east I liu;utcss name'. GPEC Inc M£C7IANICAL PERMIT FM* .Address'. //:,1© 06...e, / -- — f Subtotal 13ra 4ti C'itylState.'ZIP: i7 G� e77 10/ tihmmum penuu fee 159u ow 'el 32.Ip 2 Plan review l'S°adipermit Ice' Phone. I 6'-,> 7 i2 Vas:( I State surcharge 112°6 ofpennII fee) 15.66 CC'II lic. 190713 TOTAL PERMIT FEE /71.711 This permit application expires if a permit it not obtained within 180 Jays after it lux been accepted as complete. Authorized signature- X•',4 " Fee methodulnps sot In Tn-I onion Buddinp Induxtn Seri me Board Print name- Karter Roberts Date: 1/31/20 I Roddms'ibonoN .tfr`.Potnwl 1pp ado I I 41,4 410.16I'rI I I o71'OM WEnI