Permit •
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00316
TUG AR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/07/2011
Parcel: 2S 113AD01700
Jurisdiction: Tigard
Site address: 16850 SW 72ND AVE
Project: Bridal Exclusive Subdivision: ROSEWOOD ACRE TRACTS Lot: 30
Project Description: mechanical for TI.
Contractor: DETEMPLE COMPANY INC Owner: BRIDGEPORT LAND LLC
1951 NW OVERTON ST 3939 NW ST HELENS RD
PORTLAND, OR 97209 PORTLAND, OR 97210
PHONE: 503 - 227 -2641 PHONE:
FAX: 503 - 274 -7686
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/07/2011 $500.11
Class of Work: ALT Type of Const: Plan Review 07/07/2011 $125.03
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/07/2011 $60.01
Stories:
Project Valuation: $16,000.00 -
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 $685.15
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 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: •ermittee Signature:
Call 503.639. •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.
JUL /06 /2011 /WED 02:37 PM FAX No, P. 002
II Mechanical Permit AppIicati tt "cEIVED FC)R ()HIVE USE ONLY ,
d oeive
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City of Tigard Received
eive 7� - _ ,
13125 SW Hall Blvd., Tigard, OR 97223 JUL .. 06 2011 Plan Review rl'• V
■ : Phone; 503,718,2439 Fax: 503.598.1960 Date /By: Other Pennit: P� �I_ -7
Inspection Line: 503.639.4175 RD �� ` ��'
TiGARp CITY OF TIGA Date Ready /By: � El See Page 2 for
I nternet; www,tigard- or BUILDING DN Notiited/Method: v v Supplemental information
ISION _
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r' "''''1 'r.'''''�{ _caw;, -it. pW d:'•Y1•._; ,,__ , _,..�,v,: �A i ,'��►',A hj:: 4+, x7.ld'�:i'`:'yh „tl`, t,1L`.: v'Y ," R Y, P �, fees* arc based on the value ..,�?al•. � t i .i
""-��� Mechanical permit 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.
L r.` g !� y '�'yf'Vt' , ', y/ ^ ; ,r ; ;, ,`:.;;r,� ';� " > "w> },h;��5 °c�' +qay »d '4:'c yT :.,.:�� • r h' w 1;':+," 1rti:,.,�",�+4. `.r Value: $ 16,000
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111 1 - and 2-family dwelling ( Commercial /industrial Accessory building For special hoJ'ormailon se theckllst,
❑ Multi-family ,❑ p�gg Master builder ❑ Other: Description Qty, Es, Total
i, "�1''�; k^ ,r.: 4 1 ' i1WY, �` 'i wR' ^N` m • a�. ' ` tl g , 4 t r , �c A '� h " ��^`, +4` �, �Jy, tVV I�dl /coolie.;
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Job site address: 16850 SW 72 " Ave (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State/ZIP; Tigard, OR 97224 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Tigard Center Bldg. B TI Neat pump
(requires site plan showigplacement) 61.06
Cross street/directionS t0 job site: SW Durham Rd Duct work 23.32
Next to Bed, Bath and Beyond Tdydronia 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.:
Fluc/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
fi tour Yr'z t �'a �t�6 } A' r t y` ® ', rJ I t' t• `•G Y� " ; �) t r ', Water heater
x h,:llr "` 444 �+..a ,, .art. ,,„ ;,,,44', P',. 0 E *1'"a,; Z " 'i kf4. , , ," ' l.. 23.32
Duct modifications. Raise supply and return drops to new 12' ceiling height, Gas fireplace 33,39
Flue vent for water heater or gas
Move bathroom exhaust vent to new bathroom locations. iePlace 23.32 • Log lighter (gas) . 23.32
Wood /pellet stove 33.39
Wood fireplace /insert . 23,32
"4� ^w�'�l "'q' '� '�* a �, , ,,.,r „ ' °` .T' - •:tW r h' 44N., w v '1. ,N1. Chimney /liner /flue /vent 23.32
, + 1"+1 7'LS."C 9 , r'a�'S r ,x a,, +, i , '' :, i':V ' , o �. FZ;•?s� +, `� 4 , l ", �; "
a a t n. ? "' , Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33,39
City /State /ZIP: Clothes dryer exhaust 33,39
A ° - - Single -duct exhaust (bathrooms,
Phone; ( ) Fax; ( ) toilet compartments, utility rooms) 23.32
^"r; +"' 0 : ',0A. . qt m � �trt +y i 4� s s K v "" w ' yi�ryM'' ,c fi` Attie/era 1 aoa fans
`�ti:«�,Swn„ >.�u. l., �,.� sey�,, ;a •Y', c tt« „l,; h �'.�: ;,31,�;' S p" �w'�l ,, t � '�, �t
r `•> ' ' W 9p . 29.32
Business name: DeTemple Company Other. 23.32
Fuel piping;
Contact name: Bryan Nix $14.15 for first four; 14.03 for each additional
Address: 1951 NW Overton St Furnace, etc,
- Gas heat pump
City /State /ZIP: Portland, OR 97209
Wall/suspended/unit heater
Phone: (503) 471 -5252 Pax: : (503) 274.7686 Water heater
Fireplace
E -mail: b.nix rt detemple.com •
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Business name: OcTemple Company Clothes dryer (gas)
Other:
Address; 1951 NW Overton St ' ,i ,�e , ,' f „' „ w a ',,'
City /Slate /ZIP: Portland, OR 97209 Subtotal 5C0 , I
Minimum permit fee ($90.00)
Phone; (503) 227-2641 '� 14 Pax: (503) 274.7686 J _ Plan review (25% of permit fee) 17S,
CCB lio.: 2510 State surcharge (12% of permit fee) (0 0, 0 1
TOTAL PERMIT FEE 6 '6' , i
, �l ) n !1 /f 1'� Thls permit application expires if a permit is not obtained within 180
Authorized slgna re: �11 �{..I� ��(/VE(° days after it has been accepted as complete.
Print name: t K4L e 6k u * J o k-' ' Date: 14 (p I IA Fee methodology sot by Tri- County htuilding Industry Service Board
I:1auildins6Nrmitl \ME - PermitApp.doc 09/09/10 440 -4617T (1l /02/COM/WEB)