Permit CITY OF TIGARD MECHANICAL PERMIT
° • COMMUNITY DEVELOPMENT
Permit 9: MEC2012 -00382
T I G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/19/2012
Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 105
Project: Cognex Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: Replace existing A/C with new ductless heat pump.
Contractor: CLIMATE CONTROL INC Owner: JDS LLC
16500 SW 72ND AVE CRITERION CREEKVIEW LLC
TIGARD, OR 97224 ATTN JAMES A MEYER
PO BOX 6525
BEAVERTON, OR 97007
PHONE: 503 - 453 -4822 PHONE:
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/19/2012 $201.07
Class of Work: OTR Type of Const: IIIB Plan Review 07/19/2012 $50.27
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/19/2012 $24.13
Stories: Info Process /Archiving - Sm $0.50 (up to 07/19/2012 $3.00
11x17)
Project Valuation: $4,795.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers ii 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:
Appliances
Vent Fans: Vent Systems: Total $278.47
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:
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.
City of Tigard Receivee
: � . • 13125 SW Hall Blvd., Tigard, OR 97223 JUL 19 2012 Dat : / / Permit NpyrC� / �
Phone: 503.639.4171 Fax: 503.598.1960 Pla Rev y �
1" I G n I: D .4175
•�► p� Date/By: rl ( D!erPenrnt:
Inspection Line: 503.639
Internet: www.tigard- or.gov OFTIGARD Date Rea : 1 luris: ® See Page 2 for
BUILDINGDIVISION Notified/Method: 77 Supplemental information
` :P''. � •; . - .TYPE�OF ,WORK::'^ �a <, :
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.• , ,� - /� �', •L-:. -�:- .�.. .. �S i'��.:_I' .. .. ' 4' a• nTr'=•:-+ •.1.� 111tewYi�,i.- .r¢ �e.'�,l.[� ••.M�Ya•
❑ New construction th `mo
�Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
❑ Demolition performed. indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical
*-� •:� -.i: _;,•. materials, equipment, labor, overhead, and f
,:. - ..f_.,- .:- •- ^,_....�- .,...,.,, �.x..�r,.,,....- �...,,, profit.
+ti • i- i ' " -M ,- , - G7EGORrthi-t iiffiti PiOI1 Ys 3 ° 7 • " :$,? 7?S D
..,...•,. �:. : :: : :; �'c'�- _. �I;� . `:�" Value: 0
1- and 2- family dwelling AlCommercial/industrial ❑ "`' ..a, T •
For special information use checklist.
❑ Multi - family ❑ Master builder 0 Other:
s eisv:
�- .'�`�it; 3Z: �,r ...r. yK,.ti,"„ N Description I Qty. I TOtal
it:-, ; ;' r.,, a;JOB.,: ;.x.'.':T'..!R14:Yikt M T4CA�TiOIii %tsa�t
l' 3:.t E a. -
' - .. r,;. >r:1�a -. HeatJng/eooUng
Job site address: /68(o s i ,./ iA( 0 ye- •0 -s Air conditioning
(requires site plan showing placement) 46.75
City /State/ZIP: Ti E
of 9 'LZN Furnace 100,000 BTU (ducts/vents) 46.75
Suite/bldg. /apt. no.: I Project name: n Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 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: I Lot Flue/vent for any of above 23.32
Tax map /parcel no.:�' 23.32
hr, �� Other fuel appliances
' 445Tt:;3; ,44, ''. , i•i:. 3,
,4diD M'11. OTT. '-, r _ - „c_„a,r• .,s .77.7, ti.- Water ht
. , .: heater
^ A � ._ - �•.��'�' " -�. �•. '1±;:•' 23.32
Ab / "'P- D o e -- 'S ' . • (1)i.) Wt jD, fireplace 33.39
Flue vent for water heater or gas
Re MAk. EC IS 7-(n 5 A/-- , fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
s
:4 ' ... ��c 9r.l.i; r, 7+ . F " - � ` Chimney/Iina -/ lue/vent 23.32
Name: CO3 1ie )C Other: 23.32
Environmental exhaust and ventilation
Address: 15 ( 5 i -N A 4110 5 Range hood /other kitchen
equipment 33.39
City/State/ZIP: T 6 p g '7 Z Zy Clothes dryer exhaust 33.39
Phone: (5 1 13/ - 875 - 7 Fax: ( ) Single -duct exhaust (bathrooms,
T _ toilet compartments, utility rooms) 23.32
6.14 i-l =;� -- _ - M. ;. ;:7-,"
! w a Attic%rawlspacefans 2332
Business name: MA1e. ADn
(: mot_ Inc- Other: 23.32
Fuel piping
Contact name: RD 4 t'
IS 514.15 for first four; 54,03 for each additional
Address: 1 (o500 51.0 7! r' A ,'
Gas heat pump
Furnace, etc.
City/State/ZIP: fit/
r nand r 972 3 Wall/suspended/unit beater
Phone: ( S 0 3 ) ys3 - y B Z Z e f Fax:: ( Sp3) 9 i _ 7 2 Zy Water heater
7 Fireplace
E -mail:
f'oy@GItn- a.. --e.cc.- - roL1nc c o
r,,, -„_ , :.. • 3 .... � M.�,N...,::r,. ^'tb •�►- -^two , r►�'1 Range
Business name: CLI Y1i14 Tr o n 4 ,`L /re . Clothes dryer (gas) '
O 77.-n/2 U Other:
Address:
1(050 clot-3 A vt K •�;., ..0. 41 :
City/State/ZIP: � "- =c �:,.��'- x ..�.�,:
� orrlan Cr c1-�.Z2y ^ Subtotal •
Phone: (5-03) (.�s� y $ Z2- I Fax: (03) °now _ -7 z zy Minimum permit fee ($90.00)
CCB lic.: 7.4 oi Plan review (25% of permit fee)
State surcharge (12% of permit fee)
TOTAL PERMIT FEE a 7J', V7
Authorized signature: ( //.0 .4.4.1,,
/ This permit application expires If a permit is not obtained within 180
days after it has been accepted as complete.
Print name: AID (i i cheirris I Date: 9/Z I • Fee methodology set by Tri -County Building Industry Service Board
I: IBuildmgTermits , MEC- PermitApp.dor 10/01/09 4 40 - 461 TT II /02 /C
( OM'N'EB)