Permit CITY OF TIGARD MECHANICAL PERMIT
" a 2 ' +, COMMUNITY DEVELOPMENT Permit# MEC2011 -00477
Date Issued 10/26/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel 1S134BC00403
Jurisdiction Tigard
Site address 12505 SW NORTH DAKOTA ST 1616
Project Meadow Creek Apartments Subdivision WINDSOR PLACE Lot 32
Project Description Install new fireplace in unit 1616
Contractor PORTLAND CHIMNEY INC Owner BEL PORTLAND HOLDINGS LLC
1441 SE 122ND AVE STEM BY EATON VANCE MANAGEMENT
PORTLAND, OR 97233 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE 503- 256 -9140 PHONE
FAX 503 - 256 -3020
FEES
Specifics: Description Date Amount
Type of Use MF Permit Fee 10/26/2011 $158 09
Class of Work ALT Type of Const 12% State Surcharge - Mechanical 10/26/2011 $18 97
Occupancy Grp Occupancy Load
Stories
Project Valuation $3,400 00
Fuel Air Handlers
Fuel Types Units < 10000 cfm
Gas Pressure Units > 10000 cfm
Furnaces Boilers 8 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 $177 06
Hoods Comm Incinerators Required Items and Reports (Conditions)
Woodstoves 1 Gas Fireplaces
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, o • . suspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility : ification 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 dir- t ques ons to OUNC iy in! 50 2 1987 or 1 800 332 2344
Issue. By /- ,, Permittee Signature a ` ., - if
Call 503 639 4175 by 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 Applicationg CEIVED J:t „t,;l;rl,,.= ,NE orii
City of Tigard p C ZU\� _ na Raporvca 4 v , A Penn N n
FIl /—� 77
P. 13125 SW Hal) Blvd Tigard, OR 97223
Plan Re (t7 f`J
OCT G 5
III S Phone. 503 718 2439 Fax' 503 598,1960 �� /RCV¢w Other Penna.
.1 c A R r.) Inspection Line, 503,639 4175 CITY OF TIGARD ii rc Ready/By B
Internet www tigard-or gov y y' n n Id Sc e Page 2 for
BUILDING D Notificd/Mcihod Suppiementa IInformation
WORK ' ' dontimea I)t !SCHEDULE -,ISE CHECTCLIST
10 Demolition nlst Addi /alter p cmen ": .. - me "In .... "
TYPE OFW
New Construction anon /rc lac [ Mechanical permit fees* arc .::_y.or-�• —•.a1 ork
performed ..
erformed Indicate th . 7 rounded to the nearest dal -: r) of ail
mechanical matcna suipment, is r, verhead, and pr , It
S 1
V
1 -an 2-family dwelling
Value.
CATEGORY O
OF CONSTRUCtiON j , ' "' wclin "RESIDES At)E!'f)Ii /9Y5T','i..r ass ❑
y g ❑ Commercial /industrial ❑ Accessory building Po. .
SC Multi-family ❑ Master builder �' _ • • we dreckrLV.
II Description Qty, Ea Iota!
JOB,, .SITE 'INFORMATION AND LOCATION Heating /cooling: _
‘2_ 5 0 1 ...) Air maatc plan thawing placement) 46 71
c
Job site address- �� f 1. 1, E � ^ Ice (stemma ar
` City /Si ate/LIP: ' °fet t)1Z ASS g17 �`T� Furnace 100.000 BTU tnnccdsems) 46,75
1 Furnace 100 ODO* BTU (ducts/vcnts) 54,91
Suite/bldg. /apt no, I (> Project name: 0 —! 1 rat G, t Heat pump
Cross streeUdireeflon5 to 106 site: 4 � (regmms sue plan ebnwinfplacemenr) I 61.06
Duct work J 23 32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronlc) 23 32
Unit heaters (fuel -rypc, not electric),
in -wall, to -duct suspended etc 46 75
Flue/vent For any of above 23 32
Subdi vision: Lot no :
Tax map /parcel no.. Other 23 32
Other fuel appliances:
DESCRIPTION OF,WORK, Water Pastor 23,32
i S s� i, [.a rep GELS fi r lace 3 39
vtE li 1 - I n tRS �I ` nC � Flue vent for water hearer or gas 3
1 ; . - �q,4, /' ' l r ...
fireplace 23 32
lighter (pas) - j 23,32
Wood /pellet stove 33 39
Wood fireplace /insert 7 23 32 23 • 31
❑ PROPERTY OWNER C7 'i°FNANT' Chimney/liner /flue /vent 23,32
Name: Other: 23 32
Environmental exhaust and ventilation:
Address Range hood /other kitchen
_equipment 33 39
Oty / State /LIP' Clothes dryer exhaust 3339 r
Single -duel exhaust (bathrooms
Phone, ( ) Fax. ( )
APPLICANT ' toilet compartments utility rooms) 123 32
TLI ` ❑ CO PERSON Attu /crawlspace fans 123 32
Business name: P LI Tk !�. 0 t I M+s�.) „kJ, J l . /'"h f� 4 fl,l Other'
�'K r. Fuel piping; . 1 23,32
Contact name' {] `l_(
1 ! 'fc 1 _ $14.15 for first four; 54.03 for each additional
Address I� SE ti � 12 7... " 3- ti Fumacc etc
City /State /ZIP' 2, Aka", 1 6 p 9 , Gas heat pump
e
r 1'` r'� r�� WaWall/suspended/unit ndndd /unit heater
Phone. ( 5.3) 2 s 6 _ e l ic, Far - (St) ) C, 3010 Waler heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
-
Business name: 9 r'4 -\_0i 1 0 A 1 G � nil i>' Clothes dryer (gas) I
Address' 11-141 S IZZM� &..., 54t M 1 Cnher ,
City /State /7,iP: 'iECfiAnTC�CY,PIEAwtT PEES*
O C ` Subtotal ® 0 9
Phone: ( � / Minimum permit fee 59000) C� /� l 0�
�tai - � �Z56 . - 31)2 P (
C'C'B I - Plan review (25 % of permit fee) ��'QQQ 5
'- �'I O Stole surcharge (12% of permit tee) 7
TOTAL PERMIT FEE
AlIl110rircd s' attire — This hermit application expirrx da permit In not nhtained within In e t A ) 1 Joys after It has been accepted m Corn
Feint name: _ _•' Date: 7 .. to r ` " Per mcthodoles) .ei by Tn- Count■ B r �,Ild;n : ' Scrvicc nr
I \au Jdinp\Ppmuca \MEC- Prrm,l App doe ONnerio 44041;17T ( I I t02/COMASPa) t (77 °W