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Permit CITY TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2002 -00341 DATE ISSUED: 8/16/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S1 01 BD 00300 SITE ADDRESS: 08015 SW HUNZIKER ST SUBDIVISION: ZONING: I -L BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 100,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: Y 30 - 50 HP: WOODSTOVES: GAS PRESSURE: M 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: 2 <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 2 Remarks: Installation of a 5 ton and 6 ton roof top units Owner: FEES PERFORMANCE CONTRACTING INC Type By Date Amount Receipt 8015 SW HUNZIKER ST PRMT CTR 8/16/02 $72.50 2720020000 TIGARD, OR 97223 PLCK CTR 8/16/02 $18.13 2720020000 5PCT CTR 8/16/02 $5.80 2720020000 Phone: 503-684-5533 Total $96.43 Contractor: ARTIC SHEET METAL 2310 NE COLUMBIS BLVD. PORTLAND, OR 97211 REQUIRED INSPECTIONS Gas Line Insp Phone: 5039288 -5844 Mechanical lnsp Reg #: LIC 17095 Mechanical lnsp Final Inspection This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: i t A , ; -t / L Permittee Sign Call (503) 639 -4175 by 7:00 P.M. for inspectio ne- • • / next bus 1 ness—day r Mechanical Permit Application FOR OFFICE USE ONLY Received ryJ -./ Mechanical b '� Date /By: b l Permit No.:fft CGaDo.2 -00,3* Planning Approval Building ` � City of Tigard Test Form Date/By: ` l T 13125 SW Hall Blvd. Plan Review..., Other _ Tigard, Oregon 97223 Date /By: S /z Permit No.: ` Phone: 503- 639 -4171 Fax: 503 -598 -1960 Post- Review Land Use C" Date /By: Case No.: Internet: www.ci.tigard.or.us�,,� . Contact Juris.: pi See Page 2 for 24 -hour Inspection Request: 503-639-4175 � . . Name /Method: Supplemental Information. �+ ) - ,; �,w ... x . M .., �' � �:E = °K� "�`��'TYPE�,QF WORK,.::.�v_ �,� °�- �.�°1- on.COMmERCIpA °I; FEE* SCHEDULE „,;ITSECI3ECKLIST'm ❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all .. ,, - ,� E . , ;� ;, ,” mechanical materials, equipment, labor, overhead and profit. Via; "��.� ..� �,�CATEGORI';OF CONS'T�BUCTION�;��,� ��" :�_..,�s�;.' �y Value: $ -4 9 ¶ O 52- See Page 2 for Fee Schedule El & 2- Family dwelling F�� Commercial/Industrial i !. p RESIDENTIND''E,QUI MEN -T /SYSTEMS FEE* SCHED.UI:E ; 4 ❑ Accessory Building ❑ Multi- Family Description Qty Fee(ea.) Total ❑ Master Builder ❑ Other: " ; ,`: '-" - ..:Aeating/Cooling 7,, 2 ' _ ' JOB= SITE `INFORMATIONtiand LOCATION. Furnace - add -on air conditioning 14.00 . - ' / Job site address: e4J5' ,x,114/ /k/%? // /{ RD. Gas heat pump ,. 14.00 Suite' #,: • Bldg. /Apt. #: Duct work i:r= Hydronic hot water system 14.00 Pro Name: G Residential bo Cross street/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) ■■. (in wall, in -duct, suspended, etc.) 14.00 l' Flue /vent (for any of above) 10.00 Repair units 12.15 Subdivision: Lot #: _ IDitaiitFuel Milia riees °: ;v ,: `i",,, '`'t =:' • Tax map /parcel #: Water heater 10.00 :: ::,- : r (DESCRIPTION OE3W®RK,:' ;„$,r I �a , _;,� _,. °, FK�U Gas fireplace 10.00 17 .-A4��� & "� _ je d¢.e- c y Flue vent (water heater /gas fireplace) 10.00 Log lighter (gas) 10.00 . Wood /Pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 t%®:PROPERTY."O\NER { TENANT', 4 ; ,. Other: 10.0 ; " ''" ,:EnvirotihiatifEiha'uit:& Yen'tilation`', Name' L. - (��� /�E r Range h ood /other kitchen equipment 10.00 Address: ec /, . 5i ti A4/../<6--/-1- Clothes dryer exhaust 10.00 City /State /Zip: q ek.,em ©� 9722,-7 Single duct exhaust Ph•ne: / ax: (bathrooms, toilet compartments, P APPLICANT 'A ® :;CONTACT;BERSON, .N utility rooms) _ 6.80 Name: G Attic /crawl space fans 10.00 • �J¢P � ��� , Other: 10.00 Address: ...2Q0 4/ C_ r IJmi>ii ,tom _A/e .,,:;" -::Y;;a P r, _ "' _: $ . . _ . ; ; ) City /State /Zip: / �J,fe�G,,0- ,n ?7.2// ($5.40 for first 4, $1.00 each additional) ** Furnace, etc. ** ■` Phone �'o3) g -.� Fax:Cs��� e-5�49 Gas heat pump ** `.. E -mail: Wall /suspended /unit heater ** N ; n; ; ill NTRACTORia':?,nu_ -;. ? ',,: : Water heater ** GTiC� -� - Business Name: j ,,G Fireplace Fireplace ** Address: .23/D /7/e ■, - /a ' B ' ,,, Range ** Range ** City /State /Zip: ?0 i riirivs'' /e , 77o2/r Clothes dryer (gas) ** 5:e Phon 3) � mill Fax 3) g- 3719 Other: ** / 7o 5 Total: CCB Lic. #: . ' Mech anic al'Pecmit.Fees* Subtotal: $ ' Auth. = - . Minimum Permit Fee $72.50 $ '' r f 0 .:'gnatu -: f , ' Date:.'�e)° - - Plan Review Fee (25% of Permit Fee) $ /R . /,,�� / State Surcharge (8% of Permit Fee) $ . -4 4, " 4 TOTAL PERMIT FEE $ /i/4,, (Please p na ) Notice: This permit application expires if a permit'is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fraction thereof, to and including $25,000.00. $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or cix(-5-67- fraction thereof, to and including $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or fraction thereof.