Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00024
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
• Parcel: 1S134DD00100
• Jurisdiction: Tigard
Site address: 10559 SW TIGARD ST 53
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Install (4) ductless heat pumps in units 53, 54, 55 & 56 .
Contractor: THE HEAT PUMP STORE Owner: RICHARDS, JAMES E & SHARON S
985 N MAIN ST BY NORRIS & STEVENS
INDEPENDENCE, OR 97351 621 SW MORRISON ST #800
PORTLAND, OR 97205
PHONE: 503 - 606 -9165 PHONE: 503 - 624 -9856
FAX: 503 - 837 -0572
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 01/20/2012 $360.41
Class of Work: ALT Type of Const: VB Plan Review 01/20/2012 $90.10
Occupancy Grp: R -2 Occupancy Load: 12% State Surcharge - Mechanical 01/20/2012 $43.25
Stories: 2 Info Process /Archiving - Sm $0.50 (up to 01/20/2012 $4.50
11x17)
Project Valuation: $10,452.00 Misc Administration Fee 01/20/2012 $4.50
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 4
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: 4
Appliances
Vent Fans: Vent Systems: Total $502.76
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 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: Permittee Signature: Q V /' 7 �ajv'
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 Application REC .
EIV '- , D ate/By
: i • ewed ' FOR OFFICE USE ONO'
City of Tigard tie&olea a 1 61, - , QA
13125 SW Hall Blvd., Tigard,OR 97223
' ,,' • : Phone: 503.718.2439 Fax: 503.598.1960
IN
JAN 1 3 Plan Re =1111
vie 4 Permit No.:
irtallIME
201 4 Date/By: ( ik
: _ i i i .:X- Et.1 3 i Inspection Line:. 503.639.4175 Date Readyn:y: Jul is Fil See Page 2 for
Internet: www.tigard-or.gov CITY OF M 1 Notified/Method: / / , At' Supplemental Information
BUILDING Di vi VIONT ‘
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Mechanical permit fees* are based on the value of the work
El New construction pi Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ / 0,
CATEGORY OF CONSTRUCTION • :' , : -.- - -- ", - .- - - , -.', - • --_,....- "------ ''-'"' --- ' - '', - '',1-•:4.. , -'
' " - . - - ' ' . - = - , - - - ,, .,-. - '' - --- r - - - --- - " ' ' -,-' - . - - ' ' '•: .• ",..;,, Ic011)EiNTIALEpUIPMENT/S SIt.MS NEE,S,,.,,
El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
Ni Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
RWSITEL LOCATION , . ,f, ..„ ; ,::-., f ,- - ,,,,,,,,,.,.
Air conditioning
,.- „-
Job site address: tO co s Iv 7 7 67A s-r A ,,k 53, 5%/ - D
,..-, D‹,e, (requires site plan showing placement) 46.75
....--- g Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: /i6.44/LD (I) fs 77 AA 3 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: \A) / ND i ti I LL e. ) 61. pirk-i-fsiENTS Heat pump
(requires site plan showing placement) if 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
. . DESCRIPTION' OF WOW: • .. • Water heater 23.32
• .. - •
Gas fireplace 33.39
:c./15 8 rin)14 - 70.1" .›./C Mt f 5 /'J 4 Flue vent for water heater or gas
Alc e., Act; m ( - /1-2- 9'
r II ci 'f 1'4(5 fireplace 23.32
Log lighter (gas) 23.32
‘14/(11 • 01/7'4e l
r r IA/ i I q Aida o - 5 - 1 - "Wcfth i a Wood/pellet stove 33.39
tiSi ),. ft ( I r r Civ.c-e cyfroVd 6teic - a if , Wood fireplace/insert 23.32
• Chimney/liner/flue/vent 23.32
. N . • - - • • ' . . • Li•-rE& '
pRofEmry OWNER . . . - , ., ,.,..
. - Other: 23.32
Name: I, ,i, 4:-. sh,rtA) gum 9 5' Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 1 0 5'r) 6k) .-T-4i41237 57-
equipment 33.39
City/State/ZIP: ' 9 0/2_ r") JA 9 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( 593) A)* ,_ 70 Fax: ( ) toilet compartments, utility rooms) 23.32
' . :- ' -'• .'
APPLICANT .-, - , •' , , 0 CONTACT I'.:t.s.ciN , . Attic/crawlspace fans 23.32
,.- .. -- .. . • •
4 c ent.tir Se pAge 4) A ir p lc timt g 52,
Fuel piping:
Rom-- Other:
23.32
Business name:
--r
Contact name:
ii p' 71 ) / 0 $14.15 for first four; $4.03 for each additional
Address: 3 S dr / ki 5 -r Furnace, etc.
Gas heat pump
•___
City/State/ZIP: 1 -4‘.) . 1N) 'WAX'. 0 R-. 99 ., 5 i Wall/suspended/unit heater
Phone: ( 5 '-))) boc, .._ 11 Fax: : (5-05) 3''7.. 0 7 )_..... Water heater
. - Fireplace
E-mail: , ..1dik , k 4 tLeto- e rk_ ki_ea fd/kilp 5 - Co A Range
Business name:
Clothes dryer (gas)
- 7 [4. .. ti--_ A gz
Other:
Address: ? gi Al MA ST . , .- - , " • MECHANICAL PERMIT FEES*
City/State/ZIP: - "," e-
-LA) Pe t 0 r N 6 Lc 0 fZ 91 51 Subtotal
Minimum permit fee ($90.00)
Phone: ( .co3 ) 6 0 6 _ m5 Fax: ( 5,5) ,q. -51- 7 C3 7)..._
Plan review (25% of permit fee)
CCB lie.: i 9 "; (3-• . State surcharge (12% of permit fee)
Authorized signature: I
. 1114111r/ TOTAL PERMIT FEE 5 .- - 7
• 4P1'# permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: 1 omi l i tAN Mo 5 A c .-_-. 1 _ 1„ 0 Date: y / 3 hz / e.... * Fee methodology set by Tri-County Building Industry Service Board
1: \Building \Permits \MEC-PermitApp doe 09/09/10 440-4617T (I I/02/COM/WEB)