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Permit N CITY OF TIGARD MECHANICAL PERMIT -°F1 2: '- COMMUNITY DEVELOPMENT Permit#: MEC2013 00553 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 1 S 135DD03301 Jurisdiction: Tigard Site address: 11945 SW PACIFIC HWY 240 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 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 obtai. a copy of rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued ByC k � Permittee Signature: _ �1,4 ..a.....140 — - i m.11 e _e 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 CEIVED Receive N ; 7 - City of Tigard Date/By: %27 Permit No.: �Ll , -DOJ S 11111 ° 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960 \ •; 5 i Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method: Supplemental Information «,4 :� 1 .:,; .F:i f T_. .'of 1 . 4 :t�:-A.: 1.- ,!..., �r, ':(fil�niE CiA1.F> � scl1eDl s' � rsE Cis Ch[fs r y 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:ue �r r a � ii r e , '�-'{t C TE 6RY OFCONSTl2tkr O,L.!.. t.` •` *r . _ w LR � oiQU'IP� 1, FE t v 7» 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'I,S�"IE 4IiiiMXTIQ i A'Ai i ikkitUN?.A 1441r Heating/cooling: a . _ s .:- 'tea `�-`'s'�' Air conditioning Job site address: 1 3 P/ic.)fiC a,,, 1.e (requires site plan showing placement) _ 46.75 City/State/ZIP: Q -� Furnace 100,000 BTU(ducts/vents) 46.75 Ti���d �r^ 3 Furnace 100,000+BTU(ducts/vents) _ 54.91 Suite/bldg./apt.no.: J I 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: I Lot no.: Flue/vent for any of above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: trDES. RI t0 �t•��, r 4:40;; �s G. Pj .N_iUF YOiih � wo Water heater 23.32 doc AS - PPc A ,v ) a�iroLl FFluefientl gas water heater as 33.39 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 'c',' i.6 t`:,,opx f st, _ '"_ l �� �_ { „ ; OthChimn er ey/liner/flue/vent 23.32 23.32 Name: t C( rCt ,/a ZA. 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 i . :� ` 1 fi" ; ' i m� to Attic/crawls ace fans 23.32 w ; , Other: _ 23.32 Business name: ,, ) Fuel i in P P g: Contact name: L QA $14.15 for first four;54.03 for each additional Address: 3( e Av ►t) (t i ea+,L Q ?pc.D Furnace,etc. Gas heat pump City/State/ZIP: )1 AY\d, 0 i . 0 Wall/suspended/wit heater - Phone:( ao t "1 c H t Fax:: ( p , c f 2 i 1 Water heater Fireplace E-mail: hire,1{ :.e() h A+r e t of+od c , L o n Range &R��'i_'=I.M4J:'',: =N>•r 4t;.;;:FC,CO(!i`I'RA4'l'QR "1-.4 •k.!�,- ::w�': =•��•:'.-i.��..:: Barbecue Business name: fee l i E_F Clothes dryer(gas) \ Other. Address: 1.3 t,_�, l,,i 1 ) J i L) p,, (-1-, t.....1._____, ,, c)(D . iv1F.cHA.'V1GA1.PER,VIi7 FEES*: . ;`:ii. ;i:1 City/State/ZIPT X. em,A6k ^,(2_ C4 0 Subtotal Phone:(; (ok ( r� Fax:(r Minimum permit fee($90.00) ���=� ( � Plan review(25%of permit fee) CCB lic.: I QaI4 D 4 State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: r r� This permit application expires if a permit is not obtained within 180 ��`�� � days after it has been accepted as complete. Print name: �' V,/,..C\<-41.--Is Date * Fee methodology set by Tri-County Building Industry Service Board I:\BuildingTermits\MEC-PermitApp.doc 09/09/10 410-4617T(11/02/COM/WEB) \ . \ ■ . \ \\\ \\\\ \ ` \\ � \ ` ``\ ` \ ` � \ �` `\ \ \ \ ' ` � � \ ` `' \ � '� \ \� ` \\ \ \ `. ' ` \ ' \ ` \ ` \ \� \ \ \ \\ ; \ ; ; ',, , , , \ \ , \ , \ \ , , \ \ \ , ,„ , „ ' \ \ \ \ \ , \ \ \ \ \', \\‘ . 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