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Permit CITY OF TIGARD MECHANICAL PERMIT 11111 '. COMMUNITY DEVELOPMENT Permit #: MEC2011 -00022 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/12/2011 YIGARD Parcel: 2S102AA01400 Jurisdiction: Tigard Site address: 8925 SW CENTER ST Project: Luke -Dorf Inc Subdivision: Lot: 0 Project Description: Install new heat pump, furnace, duct work, gas piping and vent bathrooms. Contractor: MPS HEATING & COOLING LLC Owner: LUKE -DORF INC PO BOX 5597 10313 SW 69TH AVE BEAVERTON, OR 97006 TIGARD, OR 97223 PHONE: 503 - 319 -7798 PHONE: 503 - 726 -3700 FAX: 503 - 746 -6117 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/12/2011 $601.71 Class of Work: ALT Type of Const: VB Plan Review 01/12/2011 $150.43 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 01/12/2011 $72.21 Stories: 2 Info Process /Archiving - Sm Sheet (up to 01/12/2011 $1.00 11x17) Project Valuation: $19,958.88 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: 1 Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 0 -3 HP: Furnaces >= 100K BTU: 3 -1'5 HP: Floor Furnaces: 15 -30 HP: Unit Heaters: 30 -50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: 2 Appliances Vent Fans: 2 Vent Systems: Total $825.35 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire /Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: I 6 � Permittee Signature: ' &mQ 16 Call 503.639.4175 by 7:00 a.m. for the next available ins ction date. This permit card shall be kept in a conspicuous place on the job site un I completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applica h'' E EVE) FOR OFFICE USE ONLY City of Tigard Received ° 13125 SW Hall Blvd., Tigard, OR 97223JAN 12 2011 Date /B ". Permit No ?p /j / Ip�, A g Plan Revie 7 1� Phone: 503.718.2439 Fax: 503.598.1960 / O ther Per Inspection Line: 503.639.4175 4 ax: 5 D ate /By:A At IP t eti,c,ViQ -- /// Ins T I G A R D p CI OF TIGARD Date R:. , • I y: furls: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction X performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value:$ kR 5'8 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling A 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 S ' tc �' Gc`iclfr, 2, Job site address: S'/ (requires site plan showing placement) 46.75 �a p.� • I - Furnace 100,000 BTU (ducts /vents) 46.75 City /State /ZIP: OR G}z- 2-3 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: _ Heat pump (,9 O 2 Ric - (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 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 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 ( v Gas fireplace 33.39 kh 5 i� \11e �tC{'T)UY fk _ I *DV Flue vent for water heater or gas �� CES (7 1 oe (3,�1�. V b ynnrn_s fireplace 23.32 \^ Log lighter (gas) 23.32 Wood /pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: ( ) ( ) toilet compartments, utility rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: o ,n Other: 23.32 �\ s k -t .,„..,t a "1 �� ��� - Fuel piping: Contact name: Maki I - 0 ` k.O $14.15 for first four; $4.03 for each additional ea Address: 5 q'Z PO X Gas heat t pump T Gas heat City /State /ZIP: Cz e � ,� \I ? C R- c11-00‘ Wall /suspended/unit heater Phone: (5 5) F " \G — V—i_t cs Fax: : (50 - 3) ' .L(6 6 I I-3_ Water heater 1 Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal 604, Z/ Phone: ( ) Fax: ( ) /9 tH • M o ' 00) /, 7 Plan review (25% of permit fee) /...., CCB lie.: I S h G }q q y /, P_ State surcharge (12% of permit fee) 702, a, / T OTAL PERM FEE�5: This permit application expires if a permit is not obtained within 180 Authorized signature: C d a y s af ter it h as been accepted as complete Print name: t lac o Q 56 .;,e k, Date: / j I - I I * Fee methodology set by Tri- County Building Industry Service Board I.\ Building \Permits\MEC- PermitApp.doc 09/09/10 4440 -4617T 4 I /02 /COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\ Building \Permits\MEC- PermitApp.doc 09/09/10 2 0 • 4 2.8 2 1 1 1 1 1 4 S8 O 4 S8 © S8 1-HR 0 • TYP IN THIS ► •. 1 8 ROOM ONLY 11; , I ' ll S8. '' CE Jijjk � ARRANGE FIXTURES IN CI J, - .. g,•. TION S I _ t }�- TRIANGULAR FORMA ROUGHLY CENTERED IN I' LLL f I . �'. ROOM AS SHOWN, TYP � �S8 ( TYP \ 8 I ,• ate. - ' 6, ,,.,( , c, c — O — I : o e av TYPE X' = ..2 • UND ER LANDINGS I I !' I� ,1 fr '�` Syr , ,.ji W 1 -J' PROVIDE PIT LIGHT I \-I t \j 1A V} {,�' 1, +0' W ; ; „,. :Im -- E, � yr inn © ”" _ II 1. d —� —J ._ Sf t ru P, Tv I F .FFIEE U' j I .. .. ' �.: r I �2 ,�R � W L .- ra I.� 0.$I, 1, 2 I . I I T • CITY OF TIGARD . TYPE •)f GwS , .1 t ` . • - 2 A pproved . ( . L. C [ UNDER STAIRS ' n4 Conditionally Approved [ ] I � {'I • I � - ' IDD See Letter to: Follow [ ] Att. hed ( CAL 7 Permit Nir a er: i " �_,. - at -G . 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