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Permit CITY OF TIGARD MECHANICAL PERMIT ` COMMUNITY DEVELOPMENT Permit #: MEC2012 -00031 Date Issued: 01/20/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1 S134DD00100 Jurisdiction: Tigard Site address: 10637 SW TIGARD ST 25 Project: Windmill Apartments Subdivision: 2004 -050 PARTITION PLAT Lot: 2 Project Description: Install (4) ductless heat pumps in units 25, 26, 27 & 28. 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) P roject Valuation: $10,452.00 Misc Administration Fee 01/20/2012 $4.50 Fuel Air Handlers f=uel 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) 1/Voodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Quct 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: ,esA' �A6l e° ____4 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 ApplicationRECETV 1, FOR OFFICE US ONLY City of Tigard JAN 13 212 Date/By: / Permit No.: l`lteaolg�ol73 II - ° 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review , Date/By: � �� Other Permit: T l GA Inspection Line: 503.639 -4175 CITY OF TIGARD Date Ready/By: Jwis• ® See Page 2 for ...,, Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: J /, / Supplemental Information . COMMERCIAL°'FEE ;SCHEDULEy,USE .CHECKLI3T-; .. - r� .' -• TrYRE.fOF VVQRK � : r �. .._ Mechanical permit fees* are based on the value of the work ❑ New construction [ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ j p 9-5,2. , ..i.5 • CATEGORY :OF 2CONSTRUCTION:.. RESIDEN +1IAL l ei UlPN1 N %1' / S 'SI 1 MST EES *' r.`t ❑ 1- and 2- family dwelling ❑ Commerciallindustrial ❑ Accessory building For special information use checklist. [ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total ,y,.- oling • JOB SITE." INFORMATION.; AND, LOCATION„ Heating /co Air conditioning Job site address: /0639 5 i) 74A-P.S. 5 G4AJI /5 /6 _24 a7 (requires site plan showing placement) 46.75 Fumace 100,000 BTU (ducts /vents) 46.75 City /State /ZIP: /I 6/421) ( Rs Y7 ,a 3 q 9-5 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: , Project name: Wi./UO MILL A pfRTmE./Ts Heat J (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 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION. OF WORK. Water heater 23.32 J Gas fireplace 33.39 L115 )1 if c �li1 .z 2 I. 1; at S 5 Ag� - / p 4 ,' y) Flue vent for water heater or gas AY c�c-ii e r Z{ vn t 5 Ci 7 7'4rs fireplace 23.32 / Log lighter (gas) 23.32 QG1((1S • 0,471 ''t' j 11,4 a 1aci/ J 1'6 S/ / /11/ Q Wood/pellet stove 33.39 tiSi �uV i 4 c/» - e- aI /, ‘frie(Lct , Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 PR ERT OWNER ❑ TENANT � . ,, �. Other: 23.32 ' Name: 1 M 4- S bct.rcA) tg c grows? J Environmental exhaust and ventilation: q i Range hood /other kitchen Address: • l 0.0 6 LA ) 7 L17 5-I- equipment 33.39 City /State /ZIP: -- Q 2 ? 1 Ja 3 Clothes dryer exhaust 33.39 q / / Single -duct exhaust (bathrooms, Phone: ( 1O3) (3#- ! j6 Fax: ( ) toilet compartments, utility rooms) 23.32 AP,PLICA NT ' Er CONTACT` PERSON. • .. Attic /crawlspace fans 23.32 �j (�/ L Other: 23.32 Business name: 14 t+1e6� )i Sep;A J1�5 deft' 7 l`fen7 1, /1f�t ,, Fuel piping: Contact name: /J/ i � DPI t. ?/- Iv ) / 0SAreLt_ O $14.15 for first four; $4.03 for each additional Address: GC6 S O P Furnace, etc. I /VIII S 7 Gas heat pump City /State /ZIP: � L Q t✓■l DVS`, ( g-, Irl ` . f I Wall /suspended/unit heater Phone: ( ;'.)j) rl GG ._ l (t, Fax:: (j t'2j ¢ ) 9 31 - 0c 7 Water heater � t ✓ Fireplace E -mail: ,Jbt,∎ ct v> • C (h&j 1)dM 5"S&s' - A Range CONTRACTOR- - 'F, - Barbecue Business name: "7"(4._ r, " // jj �� Clothes dryer (gas) G ITCI�'/ Ley y� Other: Address: 'g 5 /I J, MAW S'7" =. _,., " _ •.� : ._ , , M_ ECH_ ANICAL PERMIT`FEES * _ _ _• . j 7V ! City /State /ZIP: p DrN6{ 02 C I •; 1 M Subtotal °' -p � Minimum permit fee ($90.00) Phone: ( 5 o31 60 /> y/b ) f Fax: ( 7 5) q 57_ 05 7 Plan review (25% of permit fee) CCB lie.: 1) 9 •, State surcharge (12% of permit fee) TOTAL PERMIT FEE 5,A.140 Authorized signature: 0 I This permit application expires if a permit is not obtained within 180 g days after it has been accepted as complete. Print name: 1 eforit fmi / V tt7 5 At c 0 Date: 1/ /. , la o ! ,}--. * Fee methodology set by Tri -County Building Industry Service Board I: \BuildingTermits\MEC- PermitApp doc 09/09/10 440 -4617T (I I /02 /COMTWEB)