Permit 741 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00023
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
Parcel: 1 S134DD00100
Jurisdiction: Tigard
Site address: 10555 SW TIGARD ST 57
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Install (4) ductless heat pumps in units 57, 58, 59 & 60. ,,
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:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gae 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: i ��--� Permittee Signature: v 41-46 E. /C3,17/0
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 FOR,OFFICE USE ONLY
- ..' City of Tigard Dated
, RECEIVE) Received
/
)111 Permit No.: i •-‘100,
13125 SW Hall Blvd. Tigard, OR 97223 Pl Rev
Blvd.,
... . ; 0 .. - Phone: 503.718.2439 Fax: 503.598.1960 JAN 1 3 2012
114 - . ly: i an iew pA, ,
Date/By: mi I No Other Permit:
jr 1 (JA RD
Inspection Line: 503.639.4175
Date Ready ry: 611 See Page 2 for
,.- =1' Internet: www.ttgard-or.gov CITY OF TIGARD Notified/Method: 1 / s?' 4 1%10 ii. Supplemental Information
BUB DiN6 Di
-,' .? '':, - '''- I:. .;,..- iiiii ' ., -:-. -- .-- - ,- , ,, , ,.;. --, ' ,, -„ ' .g.W.§.T.-.:,!,-L:
Mechanical permit fees* are based on the value of the work
0 New construction II Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ i 0 9-3;2 Da5
OTE9: '' ''' .' -‘:-' s '': ::", , , ='" ";:f, r --- 1SifaYikAii"SiiNf 1 scsVai*ii:E§.'
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
wiMulti-famil 0 Master builder 0 Other: Description Qty. Ea. Total
,':,-., - - -. • ,.- ,• -' , t • •--- , • ,• --, -,,,---. ',, ,-, , ),, ,- - - -Y -,--• e - -,-- - . • - '.-; - - -- Heating/cooling:
- , - - - * JOH • INFORMATION ;AND. • LOCATION .. ,-,' - • - - -
Air conditioning
Job site address: i 6 c - 5 ,....f s iv --f- - / 6,11,0_0 Si 01 67 5g 5 • (requires site plan showing placement) 46.75
''' "/ Furnace 100,000 BTU (ducts/vents) 46.75
..---
City/State/ZIP: /1 6AILIC) n 9, 77 A 3 4- Z
Furnace 100,000+ BTU (ducts/vents) 54.91
. Heat pump
Suite/bldg./apt. no.: Project name: kA.1 i Nv
III LL_ A fiCaTMEN'6 i f . (requires site plan showing placement) 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 WO* - Water heater 23.32
. . ..- . , " .
Gas fireplace 33.39
X 11 5 /1 ci i,14 -- Zort.f 12,1 c 4-iut 5 • liej" r1-11) Flue vent for water heater or gas
hy- e_ Acii c o c AZ_ / tint C/ i --- ill t5 fireplace 23.32
Log lighter (gas) 23.32
qty ,
Of-" ail') o tiew J 51,,,c6,,,e Wood/pellet stove 33.39
t.IS/ r 4411 . 4 CI IC Clv _al/1/401 4110 , Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. N PROPERTY OWNER : ' i ' • ' ' ' ' . 0:TENANr .. • •
Other: 23.32
Name: il AI 4 5/14 ail) Z )}4Q 9 5' Environmental exhaust and ventilation:
Range hood/other kitchen
Address: I 0 3,9 s,..) T ikvill v S' .
equipment 33.39
City/State/ZIP: Q[ .7 ja 3 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ct 3) A31- - 7q,C6 Fax: ( ) toilet compartments, utility rooms) 23.32
LICANT
. ' g-API" - •
. - „. . '. • ••' : „.. • .,. ". El CONTACT IPE12$ ON= - ' Attic/crawlspace fans 23.32
. . . . . , . . .., .
1 I - - r: ie , niv/ _ .. e pt dr 7il / l ot/ )1, Fuel piping:
irt-om- Other:
23.32
Business name:
....--,
Contact name: 7(-10-A) / 0 $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: S Ai Mill tki - 5 T Gas heat pump
City/State/ZIP: . t - - - • p c----N) timc c. 0 4, 1 .,5 Wall/suspended/unit heater
Phone: ( 5) c,GG .._1( L5 Fax: : ( j) 631- 06 7 )__ Water heater
Fireplace
E-mail: \j6V\ Stkr.tv• e ttel_. (Aiej \pd mp 516 - C C A' Range
•._:,„...:,..- c ",„,.; ,,,7. ,--. ,, _. ' , - ...
CONTRACTOR - - , . ,.., ' .: . , Barbecue
Business name: ---( , -- A,,,
4 Clothes dryer (gas)
Other:
Address: 21 5 iti i ,c1- I . ,y,..i =._ : • ,weitANICAL jerpigyus ,. • , ; ..,,,..
l
City/State/ZIP: f_ 9 e i t7A) D r N G c otz_ 9 I 5 1 subtotal
Minimum permit fee ($90.00)
..
Phone: ( .5031 606 ,_ (ph . 5 - Fax: ( $,5) cg 37.- 657d__ Plan review (25% of permit fee)
CCB lie.: i '; -, State surcharge (12% of permit fee)
TOTAL PERMIT FEE 7 .56.2• V
Authorized signature: . y /100 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 1 ONAllt/iA) Me5t,ett e7.10 Date: V/3 igIcie--- * Fee methodology set by Tri-County Building Industry Service Board
RBuildingWermits\MEC-PermitApp.doc 09/09/10 440-4617T (11/02/COM/WEB)