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Permit CITY OF TIGARD MECHANICAL PERMIT III 8 COMMUNITY DEVELOPMENT Permit#: MEC2013-00551 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 1 S135DD03301 Jurisdiction: Tigard Site address: 11945 SW PACIFIC HWY 236 Project: Tigard Plaza Subdivision: METZGER ACRE TRACTS Lot: 9 Project Description: Relocate gas meter per PGE. Contractor: HEAT RELIEF CO Owner: COMMERCIAL ENTERPRISES LLC 13122 NE DAVID CIR#800 8320 NW HWY 99 PORTLAND, OR 97230 VANCOUVER,WA 98665 PHONE: 503-261-9915 PHONE: FAX: 503-261-9814 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/25/2013 $78.27 Class of Work: ALT Type of Const: Plan Review 09/25/2013 $19.57 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/25/2013 $9.39 Stories: Project Valuation: $800.00 Fuel Air Handlers Fuel Types: Natural Gas 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 $107.23 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 't -r applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 •:ys of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules •dopted by th. Or •on Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain - copy o the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: � Permittee •Signature: f ` i/ `_� \ 111 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. n Mechanical Permit Application FOR OFFICE USE ONLY 1111 City f Tigard Received Q Permit No.: D 5/ e ° 13125 SW Hall Blvd.,Tigard,OR 9722 CEWED / 49'5— S / / /G��13— G Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.19 Date/By: TI GARD Inspection Line: 503.639.4175 Date Ready/By: Iris: 0 See Page 2 for Internet: www.tigard-or.gov v' 2 5 2013 Notified/Method: Supplemental Information �'*O't`1=1 L'`,'= .:r +-'n_.ni;.,TYTE.,OF t ./.. Y:. +i ;, 1r '•'�T.'. =..q "�„COMmit,,11,;FEI $CIikDL1 L '„ L'SE:CHECKLLST. , _B t I b • ° - Mechanical permit fees*are based on the value of the work ❑New construction [g Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. g Value:$ '4I r, ' l: x 'u;°;CA1 EGORY OI ONSTRtfCI'TOl I JI. i° i� dP :;!►l(,, + _.. x ,,-;��t'Y ,,. ••,.� - . , a`-” T}?�'� QLYP)111_111 l E !§, 04. 37t '. 0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ,❑Master builder Q Other: Description I Qty. I Ea. I Total - ,,, ' OB St-eA*5 - XT1:0? , ND,LOCATXO?i: `?2 i4*i.j*" j�' Heating/cooling: L Air conditioning Job site address: 116145 Pic.► 1 1c ak l ,+,Q caa� (requires site plan showing placement) 46.75 City/State/ZIP: �j Furnace 100,000 BTU(ducts/vents) 46.75 T ) r d o� 1 � Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: l Project name: Heat pump (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: 1 Lot no.: Flue/vent for any of above 23.32 Other: _ 23.32 Tax map/parcel no.: Other fuel appliances: Alii:_--.` ",?` ' h 4„ DE$CRIPT'IOI-i aF;;eli y-1't;x Water heater 23.32 Gas R•^ Cs AS Aile,}e,✓ - Pe{ mu.) Nara' Flue ventlfor water heater or gas 33.39 fireplace 23.32 Log lighter(gas) 23.32 . Wood/pellet stove 33.39 Wood fireplace/insert 23.32 „,„ ' .qc o' Rn b ,•`iR ' t . s; Chimney/liner/flue/vent 23.32 . _ t -x t• ?.�3'fo` '_. 47 s►.ice"..�t� Other 23.32 Name: ���Or[t IQ Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Phone:( ) Fax:( ) Single-duct exhaust(bathrooms, toilet compartments,utility moms) 23.32 t r` ".1.f''mm-;::: ' r. ^'.Lr 7:.! •4t r E` Attic/crawlspace fans 23.32 Other: 23.32 Business name: f I .1, _Fuel P P r rn g: Contact name: LD ri2A $14.15 for first four;$4.03 for each additional Address: )30Q., „NJ i V it) Ci IZtei liz -142' )?(`)c) Furnace,etc. Gras heat pump City/State/ZIP:Thi f 1 Odra r2-. ' \ '. 0 WalUsuspended/unit heater Phone:(0 01 (..l 1 Fax::( , 9 21 1 1 Water heater 0 Fireplace E-mail: h1'-Q ( 'c ) heik+rd tQf+o , CO(V), Range t ..wW i f:1,5'.(.. 'lACU. Rg-0.1z,° '' _:;' . .,", '. 7 ;4 Barbecue Business name:4-EAT- i q Clothes dryer(gas) ! 1 B 11 1 Other. Address: 13 Y a,f), ;`v i \\) 1 B t A r�s�-�� 'J ?:.:':”” :;: ,,.•';v1F.CHANICA1.PER,yuT FEES* .. °..r1_ ' City/State/ZIP{�ON( ekrvjk O.\1.�0 Subtotal Minimum permit fee($90.00) Phone:( �(0( S Fax:(c... y� , >ir. Plan review(25%of permit fee) CCB lic.: 1 QaLi D 4 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: Sr� � \` days after it has been accepted as complete. Print name: L...• V Cai r(k_)\. 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