Permit ,
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2006 -00101
A tb lIA DEVELOPMENT H BMENg Tigard, -639 -4171 DATE ISSUED: 2/17/2006
PARCEL: 2S 110DD -00109
SITE ADDRESS: 11055 SW SUMMERFIELD DR 6 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT: 013 JURISDICTION: TIG
Project Description: Unit 6, install dryer vent.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
'
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SUMMERFIELD ASSOCIATES, LLC Description Date Amount
HSC REAL ESTATE [MECH] Permit Fee 2/17/200E $24.25
1500 SW 1ST SUITE 1020 [TAX] 8% State SurcharE 2/17/200E $1.94
PORTLAND, OR 97201
Phone: 503 - 546 - 5712 Total $26.19
Contractor:
SKYWARD CONSTRUCTION
15908 NE 10TH AVE REQUIRED ITEMS AND REPORTS
RIDGEFIELD, WA 98642
Contact #: FAX 360 -546 -1630
PRI 360 -546 -1625
Reg #: LIC 158289
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 work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: Permittee Signature: %A , . / / . 1
(Z.)47 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.
„,,02/1 11:50 FAX 5035981960 CITY OF TIGARD 21 003
Mechanical Permit Application FOR Oii lCE USE ONLY
City of Tigard A. /4 0 , f I P er mi t • No . , .,,4010/
13125 SW Hall Blvd., Tigard, OR 97223 Pia. Review Other Permit
Phone: 503.639.4171 Fax: 503.598,1960 t, ; � +;{ Datc/By. _
•
inspection Line: 503.639.4175 . r •11 Date Ready/By: ia See rage 2 for
In[emec www.Iigafd- or,gpv Nodded/Method; Supplemental Information •
• •
TYPE OF WORK °•: - : . , COMMERCIAL ; :FEL'i ;.SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
12 New construction CI ition/alteration/replaeement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demol ition Other. mechanical materials, equipment, labor, overhead, and profit.
• CATEGORY OF CONSTRUCTION; MENT/SYSTE
Value: $
RESIDENTIAL EQUIP' MS FEES* .
❑ 1- d 2- family dwelling ❑ Commercial /industrial El Accessory building .. For special information use checklist,
ulti- family ❑ Master builder ❑ Other. .
Description Qty. I Ea. Total
: JOB SITE INFORMATION .AN LOCATION 13eating/cooling
Job site address: _ Air conditioning pump
oning or heat
I 0 5 5. 4,,, /-I / EL >, "fl.. (requires site plan showinLplacementl 14.00
City /Statc/ZIP: a c t c _ ) 0 9 72- Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (dums/vents) , 17,90
Suite/bldg./apt. no.: L % I - 4 Project namc� - 4 . _ «4) G heat pump 14.00
Cross street/dircctions to job si lDv q � ' Duct work 14.00
'
q 7 E � Qn_. Hydronic hot water system 14.00
�) G ti- C 'i � S i Residential boiler (radiator or
• hydroni� 14.00
Unit heaters (fuel -type, not electric),
in -wall. in -duct, suspended. etc. 10.00
Flue/vent for any of above • 10.00 •
Subdivision: Lot no.: _ Other. 10.00
Tax map /parcel no.: Other fuel appliances _
• DESCRIPTION OF WORK . • . . - Water heater _ 10.00
I Gas fireplace + 10.00
ilV``.3 i , - :- 1.0 N.) V” _,...t1t O Flue vent for water heater or gas •
fireplace 10.00
D &-te.... . — 11 _ mo _ —. Log Tighter (gas) 10.00 ,
Wood/pellet stove 10.00 _
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00 •
IROPERTY OWNER . . , �: • . ❑ :T• NN NT • ..... Other. 10.00 • !
Name „ U) �� �� (iL ti-pc, t, Environmental exhaust and ventilation
-AT2: Range hood /other kitchen
Address: % , - . erg•. de - l ' U . t C: equipment 10.00 ,
City/State/23P:Po - A.ty O G
' R- 9 72..c. i Clothes dryer exhaust ( 10.00
Sjngle - duct exhaust (bathrooms,
Phone: (S03 ` . —! 1 . Fax: (. ' 0) 5 „ ;., —,5 )C $ _ toilet compartments, utility rooms) 6.80 • it APPLICANT . • • • • • t i . ONTACT•:PERSON : Attie/crawlspace fans - 10.00 .
Other 10.00,
Business name: L .,; .A a CZ?(;[ - i • l; L �� Fuel piping
Contact name: ( '-4r > viA. _. $5.40 for first four, $1.00 for each additional
Furnace. etc. •
Address: — Gas heat pump —
— City /State/ZIP: Wall/suspended/unit heater
_ Water heater
Phone: -- (4 2.43 Fax: : ( ) _ Fireplace
E -mail: Range
CONTRACTOR
: • . , ., ::. :... _ : Barbecue • Clothes dryer (gas)
Business name:S t ,,,AH j CO;- . L C '-> i c.- Other. •
Address: (C 11. ..-
(7t 1GIECHANICAI.;P.:ERMTTFEES*
City /State/ZIP: i 7 L,.: .tor q .l C 4---2 -. Subtotal ( /
�� I Minimum permit tae (57230) ,.._4
�. J
Phone: (e,o) 5 -• i Fax: C ?) °� (� Ci Plan review (25% of permit fee)
CCB lit .: ` � � , . 9 State surcharge (8% of permit fcc) . q
TOTAL PERMIT FEE 1
-.-. A- 0),0r144----7v- This permit application expires Ira permit is nut obtained W 18n
Authorized sign r days after it has been accepted as complete
��ye elm \� Date: . - V • Fee methodology set by Tri- County Building Industry Service Boan7
Print name: R
CITY OF TIGARD , R da--___
BUILDING DIVISION C 0 6 _ 0 0 /0
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 itp
Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �!
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
li
SITE ADDRESS: / / V ,s ,s L CLASS OF WORK:
SUBDIVISION: / L OT i TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 ° co — oC Pour Time:
Code # Inspection Description Confirm # Contact # Message
Co /S— Yn.e 3 / b s 7/ S7 i/Z-e/L-- ir
Corrtf ctions /Com ery(s /Instructions:
6 (
0 1 e-----'
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I II FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Z
Inspector: Date: .. Phone #: (503) 718 - VI