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Permit CITY OF TIGARD MECHANICAL PERMIT 1 111 `' COMMUNITY DEVELOPME Permit #: MEC2011 00028 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2011 Parcel: 1S126DCO3300 Jurisdiction: Tigard Site address: 9900 SW GREENBURG RD 180 Project: Neopost USA Subdivision: Lot: 0 Project Description: Relocating (9) existing supply air registers. Contractor: OREGON AIRE INC Owner: C/O CUSHMAN & WAKEFIELD OREGON 7715 NE 33RD DR STE A 200 SW MARKET ST #200 PORTLAND, OR 97211 PORTLAND, OR 97201 PHONE: 503 - 279 -1700 HONE: 503 - 335 -2222 FAX: 503 - 335 -9977 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/14/2011 $93.62 Class of Work: ALT Type of Const: Plan Review 01/14/2011 $23.41 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 01/14/2011 $11.23 Stories: Info Process /Archiving - Sm Sheet (up to 01/14/2011 $0.50 11x17) Project Valuation: $1,275.00 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 $128.76 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 re.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throug DAR 952 -I IP • -0090. q ay obtain . opy of the rules or direct questions to OUN by calling 503.23. ': • .'`332.2344. Issued By: Permittee Signat. Call 50 " " ` � .y 7:00 a.m. for the next available inspection date. 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 FOR OFFICE USE ONLY Received ,M 111 City of Tigard Date/By: �® �� Permit No.: , ' I 0 ; - H SW ., ard, i Phone: 13125 503.639.417 Blvd F 503.598.1960 OR 97223 Plan Review DDate/By: Other Permit: � ,�O 0 ('� -7 r TIGARD Inspection Line: 503 Internet: w .639 � � !� E� � Date Ready/By: : Juris: E1 ee Page 2 for ww.tigard- or.gov Notified/Method: p( �", '7J f Supplemental Information : :;i; -I` '" �J ' , TYI?E 'OF WO J i . i V Oh tl 'a 1'' COMA *RCIAL FEE* SCHED�E USE CHECKLIST 1\ ... �i�,. ��.. ...': ,,. r ,..,. __... : :.... -. .::, � : : ' . �l /y j w� y ;T,F ,�a , ✓„ • -�, ��...� _��s,._ -. ,., , »...+ °' . El New construction Addition/alteratio Cep CT IA Me permit fees* are based on the value of the work OO performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition I=1 Other: D` - mechanical materials equipment, labor, overhead, and profit. t oI CAT OF CON UCTION Value $ . 1- and 2-family dwelling p Commercial/industrial Accessory s RE E / SYSTEM FEES* 4 ❑ Y g ❑ sory building .. � ,,. For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total v 0 o 3 „ : 4:0, co1TE INFO AND LOCATION ' �" • ,, Heatingicooling Air conditioning Job site address: ? 'ac -) ` J 6.A.4.5 zt. ,/ (requires site plan showing placement) 46.75 City/State /ZIP: i l G�2p ®4t i 1 ( Furnace 100,000 BTU (ducts/vents) 46.75 / 6 / Furnace 100,000+ BTU ( ducts/vents) 54.91 Suite/bldg. /apt. no.: 1 ®0 Project name: iiip,4) p 00- (As79 "Y ' /C - Heat pump 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 row ` Water heater 23.32 f, A 51IQNo0F WORK Gas fireplace 33.39 Lt9 C Lx i 5770 /1 C .lS S Flue vent for water heater or gas fireplace 23.32 • Log lighter (gas) 23.32 Wood/pellet stove • 33.39 Wood fireplace /insert 23.32 Chimney/liner /flue /vent 23.32 PROPERTY : OWNER - ; ❑ TENANT Other: 23.32 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 33.39 City/State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, . Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPJ CANT RAINCIpE Dffigg:r ❑ CONTAGTaPE ON k Attic /crawlspace fans 23.32 Other: Business name: �° ® - /0 La _ _ ; 1 c - Fuel piping , ) Contact name: ' ' t L L $14.15 for first four; $4.03 for each additional Furnace, etc. 7 ,� Address: 7 J _ °' j7 l Gas heat pump 3 City/State /ZIP: C' q' 7 // Wall /suspended/unit heater J ,04._ / Water heater Phone: O ©3 ,>—_ g�a / Fax :"bb) 3 3 _ 7 C 27 Fireplace E-mail: k "_– CP 2 do m0 4/2e_—, Co Range 3k CONTRAi OR=S r ,i : % Barbecue Business name: Clothes dryer (gas) '� — Other: Address: � MECHANICAL PERM0FEES* 1' City/State /ZIP: Subtotal Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: l . State surcharge (12% of permit fee) / (� TOTAL PERMIT FEE �� 76 Authorized signa V\ This permit application expires if a permit is not obtaine within 180 days after it has been accepted as complete. I Ynnt name:� , �� 6 L L- I Date: / ^ Ze –J/ I -, ,.,...c w c wcuuuiu ac.. uy iuw u -uury uuuu,g u,uusu'y ocLvicu Dual u I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440- 4617T (11 /02/COM/WEB)