Permit 1
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CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00600
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/9/2008
PARCEL: 2S 110AD -08806
SITE ADDRESS: 10790 SW MURDOCK ST D7 ZONING: R -12
SUBDIVISION: PACIFIC CREST APARTMENTS LOT: JURISDICTION: TIG
PROJECT: PACIFIC CREST APARTMENTS
Project Description: Replace vent fan. Project Value: $2,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: ME UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PACIFIC CRESTS APARTMENTS Description Date Amount
10695 SW MURDOCK ST
TIGARD, OR 97224 [MECH] Permit Fee 12/9/200E $72.50
[TAX] 12% State Surch 12/9/200E $8.70
Total $81.20
Phone: 503- 639 -0523
•
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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 is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires yo o fol .w rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -10 0100. ou may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is ued By: , ' At , ?. ' Permittee Signature: Ilk. i
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
'Mec
hanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Date/By: / 04 7 0 8 r Permit No.: /..4 7 s :750 )
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C : Phone: 503.639.4171 Fax: 503.598.1960 DateBy: Other Permit:
T I G A R Il Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: i/I Supplemental Information
TYPE OF WORK COMMERCIAL FEE * SCHEDULE — USE CHECKLIST
❑ New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 0
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
c ,r� �p ^ F Air conditioning or heat pump
Job site address:
/< 7 `? b / w p •q_ V ►`_J, G„ < T 0-7 (requires site plan showing placement) 14.00
City/State/ZIP. -I—fJ OR q '7
t &I a., e Furnace 100,000 BTU (ducts/vents) 14.00
!! _ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: PD '? r R c 2 &,oigf i- Gas heat pump . 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
S � f n' 'Z� 84-1-L (� r Gas fireplace ent 10.00
�/ Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
1 Other: 10.00
Name:/ 5 1 Vj c(< 51— Environmental exhaust and ventilation
r ( �/ Range hood/other kitchen
Address a i r•1 C c i.R SPA -t-{ 64 c:17 0 .12-y equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name:
(1) vA N eIL Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) l/t/�
Plan review (25% of permit fee) �/
CCB lic.: State surcharge (12% of permit fee) gr. 70
TOTAL PERMIT FEE ei/ . 90
Authorized si ature: This permit application expires if a permit is not obtain within 180
days after it bas been accepted as complete.
Print name: I (4- U 1 p D as Date: f...--9.-6/ S/ • Fee methodology set by Tri -County Building Industry Service Board
I:\Building\Permits\MEC- PermitApp.doc 01/19/07 440- 44617T(II /02/COM/WEB)
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Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or .
fraction thereof, to and including '
$50,000.00. •
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and •
$1.25 for each additional $100.00 or
fraction thereof, to and including
• $100,000.00.
$100;000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 • •
CITY OF TIGARD
BUILDING DIVISION #: MEC 00fl 00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 122000
Phone: (503) 639 -4171 /aua4, '); A Inspection Requests (24 Hrs.): (503) 639 -4175 "1. ..
INSPECTION WORKSHEET FOR DATE: 1/29/2009 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 10790 SW MURDOCK ST D7 CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: R vent fan. Project Value: $2,000
OWNER: PACIFIC CRESTS APARTMENTS, PHONE #: 503- 639.0523
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/29/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 01)0110.01 503 - 620.5933 N
Corrections /Comments /Instructions:
I
(I PASS VA ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ' L //CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Inspector: /1 _ Date: Z 0 Phone #: (503) 718-
`
CITY OF TIGARD
BUILDING DIVISION • . PERMIT #: MEC200(3 -00600
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1.2/9/2000
Phone: (503) 639- 4171z , ��!.����
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/1512009 TIME: 7:07AM PAGE: i0
SITE ADDRESS: 10790 SW MURDOCK ST D7 CLASS OF WORK:
SUBDIVISION: PACIFIC CREST APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: PACIFIC CREST APARTMENTS
DESCRIPTION: Replace vent fan. Project Value: $2,000
OWNER: PACIFIC CRESTS APARTMENTS, PHONE #: 503-639 -0523
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 1/15/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
640 Exhaust hood 079737 -01 503 -620 -5933 N
Corrections /Comments /Instructions:
0 ) r iSoer1-4 --- r—Alk)
li 2 'ASS PA TIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
'• FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J Date: 1 Phone #: (503) 718-
2_6/(
_ ..