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Permit CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00305 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/23/2012 Parcel: 1 S 135ACO2500 Jurisdiction: Tigard Site address: 9160 SW MANDAMUS CT Project: Longstaff Apartments Subdivision: ASHBROOK FARM Lot: 25 Project Description: New MF. Building 8 (6 units). Contractor: JT SMITH COMPANIES Owner: J.T. SMITH CO 5285 MEADOWS RD, STE 171 5285 MEADOWS RD SUITE 171 LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 PHONE: 503 - 975 -7639 PHONE: 503 - 975 -7639 FAX: 503 - 684 -0102 FEES Specifics: Description Date Amount Type of Use: MF Range Hood /Other Kitchen 07/23/2012 $200.34 Class of Work: NEW Type of Const: Clothes Dryer Exhaust 07/23/2012 $200.34 Occupancy Grp: Occupancy Load: Single Duct Exhaust (Bathrooms, Toilet, 07/23/2012 $373.12 Utility Rooms) Stories: 12% State Surcharge - Mechanical 07/23/2012 $92.86 Project Valuation: $0.00 Fuel Air Handlers Fuel Types: Units < 10000 cfm: 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: Appliances Vent Fans: Vent Systems: Total $866.66 Hoods: 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 direr estions to NC b 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. Mechanical Permit Application FOR OFFICE USE ONLY City of Ti and Received City g ��I Date/By: ‘. 7 /i2-+ i ir _ 1. 1 _ �� d II q 13125 SW Hall Blvd., Tigard, OR 97 , Plan Revie C : Phone: 503.718.2439 Fax: 503.598.1960 ECEIVED Date/By: Other Permi � Paola _4003 Inspection Line: 503.639.4175 TIGARD Date Read /B lulls: HI See Page 2 for Internet: www.tigard- or.gov MAY 2 4 2012 Notified/Method: 7 Supplemental Information CITY Of TIGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST TYPE �� LI�IISiQnj 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: $ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* arrltly- 4we4hf( ❑ Commercial/industrial ❑ Accessory building For special Information use checklist. ulti- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: (requires site plan showing placement) 46.75 9I 9 / 4►8� - f �f? 9 9i7t -{ 7Sf,✓ / ct ` n C7` Furnace 100,000 BTU (ducts/vents) 46.75 City/State/ZIP: rr' a f C�iz 2. / `fo 9 "( / 0 Furnace 100,000+ BTU (ducts/vents) 54.91 1 J Sui 1dg. t. no.: Project name: ��-0�h sh� / � cqs a r Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 l � 2j7 & � � e 1(v Q / n. Residential hot water boiler ( 23.32 !7w Rpl s� L esidentiaiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), * Rl ,c, WOO S Plattitta.411 VG 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 Gas fireplace 33.39 AL Flue vent for water heater or gas M /� /j, vi r � � © fireplace 23.32 I I �/ o Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32 Other: 23.32 _ Name: Environmental exhaust and ventilation: Address: ,,��yy�� Range hood/other kitchen ��� �' /evs equipment 6 33.39 City/State /ZIP: C%u- (-,v,€74 / O Clothes dryer exhaust I2 33.39 (�) 4 - '/ F ) 6'�'i�_ O Single-duct compartments, rtm ents (bathrooms, o ) / � Phone: ��J / �� 6 � % 4Z toilet corn artments, utili rooms) 23.32 ❑ APPLICANT [ C NTACT PERSON - Attic /crawlspace fans 23.32 ,/� Other: _ 23.32 Business name: ST sm , 6. Fuel piping: Contact name: 4, / / C - , i- $14.15 for first four, $4.03 for each additional Address: 52,85--- fiketeeemj s /2' Furnace, etc. Gas heat pump City / State/ZIP: L a c . . Os c .i e 6 J ae `j 70 Wall/suspended/unit heater Phone: ( c� d3) Water heater (� r� / �-7e3" Fax:: r// � �8 c /-- of a z___ Fireplace E -mail: (4 y t%1fe� , - 'rni 4 CC , Gel 1"..1 Range CONTRACTOR Barbecue Clothes dryer Business name: D (gas) . Other: Address: / MECHANICAL PERMIT FEES City / State/ZIP: Subtotal j Minimum permit fee ($90.00) Phone: ( ) / F ( Plan review (25% of permit fee) CCB lic.: it ) State surcharge (l2% of permit fee) / J TOTAL PERMIT FEE _ (64 r 6 'j This permit application expires if a permit is not obtained within 180 Authorized signature: / days after it has been accepted as complete. Print name: C4 ,G cep- Date: • Fee methodology set by Tri -County Building Industry Service Board I:\ Building \PermilsNEC- PermiuApp.doc 09/09 /10 440 -461 (11 /02/COM/WEB)