Permit CITY OF TIGARD MECHANICAL PERMIT
II R : COMMUNITY DEVELOPMENT Permit #: MEC2012 00016
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/20/2012
Parcel: 1S134DD00100
Jurisdiction: Tigard
Site address: 10609 SW TIGARD ST 9
Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2
Project Description: Install (4) ductless heat pumps in units 9, 10, 11 & 12.
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
Moods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: 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, 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 t. •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � 1 Permittee Signature: OA/ /9_70/° /Ce9-77D/),
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.
c: Approved plans are required on the job site at the time of each inspection.
a.
Mechanical Permit Ap li fi
P-- -°' -wED „ FOR OFFICE USE ONLY
Ci SW Hall Tig Received
; . - i l 131 Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.5984*
II
1 3 20 t
12 Date/By: / 4 5 „, 1")
r' Permit No.:
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Date/By: (
I kk-eAlioa_eze,/0„
t . .i 0 er Permit:
Inspection Line: 503.639.4175
TIGARD Date Ready/Ja y!' Jul is: RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Ani 04/ ethod: / /.7. Supplemental Information
BUILDING DIVISION We..w,Arr .._ . _ _ , .__ .. .
-,-• - . - --• , - '' - - - ' -?'----- , - - -- OR , - , • :• :...,-•,• ', ..,": ; --- '",--', -- -: :,',..1.6e i I Retti, SCHEDULE iighviiI4rirskefike4i§,t,
. . . . . ...„,_., .. .., ,...„, a .., a: . • , . / ' Me • - , cal permit fees* are based on the value of the work
El New construction p 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: $ / 0
, , - -..- . .- ., • - - CATEGORY OF, CONSTRUCTION --, - . : --- - ' ', - -,'" - .7 - ., , r'. ''' "" '''-'',F''',:'''7'.'"-'*': S'S EMS . :-.'",';;;.-.%..V../:'
El 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
gMulti-famil 0 Master builder 0 Other: Description Qty. I Ea. Total
. : ..: • .,., :.-.,- ,-.,„, , .4 INFpwATIoNANiv,kocApori:: i ,.,,., ,- , ::: ,..,, .._, ,
Air conditioning
Job site address: J 060 q S ti) 1 _ _ 51 aljriS 9 1 /5 ,J,, . •;..... (requires site plan showing placement) 46.75
/ f 1 1 Furnace 100,000 BTU (ducts/vents)
46.75
City/State/ZIP:
1 0 P 77 Aa 3 Furnace 100,000+ BTU (ducts/vents) 54.91
. Heat pump
Suite/bldg./apt. no.: Project name: W i Ano i i LA, Li-
A tifitiMeNrc (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:
, . .
DESCIIIPTIONF WORIc". . . .. Water heater 23.32
. ,-.._. .. -:
- - - .
Gas fireplace 33.39
1 115 4 r1 ii S' i eu - Zom ›,/c) s $ ileS-- ie,,,,,,ip Flue vent for water heater or gas
ores e_ Aciet e Ae_ 9 old - 5 Q 71'4,5 fireplace 23.32
Log lighter (gas) 23.32
q4 dielf •
O-f-. i c i m k qt,e/d J 3' h-vcisorot Wood/pellet stove 33.39
VS/ i '1 "4 V frtdr a 6(4( , Wood fireplace/insert 23.32
IN PROER. TY OWNER - ''. '''' ' ' 0 TENANT
- - ' -
'
_ - -- . , Chimney/liner/flue/vent 23.32
. =.,,,•. • - • - -, . - ••,, - • Other: 23.32
Name:
q I iti 4 3 -ro+,42 5' Environmental exhaust and ventilation:
Range hood/other kitchen
Address: I 0 5 ,9 -T 4ritap s .
equipment 33.39
City/State/ZIP: 7, 6049 of/ r) aft 3 Clothes dryer exhaust
33.39
Single-duct exhaust (bathrooms,
Phone: ( cc 3 ) ( 3.y.. ,- ? .56 Fax: ( ) toilet compartments, utility rooms) 23.32
APPLICANT ,: :;,, ... i ar CONTACT PERSON , ,,.. , Attic/crawlspace fans 23.32
Other: 23.32
Business name ONE /lent , , e ,,l/r 7 ' fetft got i . .1" Fuel piping:
Contact name: name:
1) Co c■ 71-iikrU / 0 $14.15 for first four; $4.03 for each additional
Address: 7c6s it). / N ' S -r Furnace, etc.
Gas heat pump
City/State/ZIP: 0 1 1 9 . ,5 i .
Wall/suspended/unit heater
Phone: ( 5 0) b GG ._ 1 t L 6 Fax: : ($e5) 631 ... OC 7 a__ Water heater
., Fireplace
E-mail: \jolks' EP t(el_ ,pd Alp 5 - to <*--- Range
CONTRACTOR `. ' - -" -''-- ml-. - - -,' Barbecue
Business name: - 7 74.. / 4 „ow p41,090 .5
Clothes dryer (gas)
Other:
Address: 7 g 5 Ai MAIA) 5 , - , -:t,'::;- , ,,•, , •. . - , 1 V.Kqfl. , S , NICAkPiKRISII
v
City/State/ZIP: ' ( , r r - _,, w r i v 6 c.: o o 913 51 Subtotal'
Minimum permit fee ($90.00)
Phone: ( (3: 664 - 7/i4 I Fax: ( $4) q--57.... 657
Plan review (25% of permit fee)
CCB lie.: P 9 '-,- a- . State surcharge (12% of permit fee) $
.
i ...IOW/
4//, TOTAL PERMIT FEE 5607.
0
This permit application expires if a permit is not obtained within 180
Authorized signature: . v
days after it has been accepted as complete.
Print name: 1 crufrIttAN Ma5t ictr e if Date: I Jilt °/ 0/--- . Fee methodology set by Tri-County Building Industry Service Board
1: \Building\Permits\MEC-PermitApp.doc 09/09/10 440-46I7T (11/02/COM/WEB)