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Permit CITY OF TIGARD MECHANICAL PERMIT III 8..7 COMMUNITY DEVELOPMENT Permit#: MEC2013 00706 T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/27/2013 Parcel: 2S 101 AC00800 Jurisdiction: Tigard Site address: 7148 SW GONZAGA ST Project: The Adrienne Subdivision: BEVELAND NO.2 Lot: 14 Project Description: HVAC system for new 10,900 square foot mixed-use building(2,600 ground floor commercial and 8 residential units-8,300 square feet). Contractor: ROTH HEATING&COOLING Owner: ROGERS, ROY R PO BOX 1265 13690 SW TWELVE OAKS CT CANBY, OR 97013 TIGARD,OR 97224 PHONE: 503-266-1249 PHONE: FAX: 503-266-3478 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/27/2013 $3,338.71 Class of Work: NEW Type of Const: IIB Plan Review 11/27/2013 $834.68 Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 11/27/2013 $400.65 Stories: 3 Info Process/Archiving-Lg$2.00(over 11/27/2013 $10.00 11x17) Project Valuation: $125,000.00 Info Process/Archiving-Sm$0.50(up to 11/27/2013 $2.50 11x17) Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: 8 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: 8 Appliances Vent Fans: 18 Vent Systems: Total $4,586.54 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: 8 Other Mech Units: Gas Outlets: 2 Other Desc: Duct Work: 10 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 :8 i _344. Issued By: � ittee Signature: _ Call 51 .6 •. 5 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 Applicatiog kr „..,,,,,,,F, FOR OFFICE USE ONLY 1.- . Received City of Tigard Date/By:/���b ��� Permit 1 ff C 7^/2—oO 706 - q 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 21 2013 Plan Revie,' / vO' J Phone: 503.718.2439 Fax: 503.598.1960 Date/By: •'i l) 1 C (I '-ier Perre, 0a0/S Q042,2.6-'" Inspection Line: 503.639.4175 ((�G Date Read/B Juris 171 See Page 2 for T 1 GARD Internet: www.tigard-or.gov OF �����® Notified/Method: 776 Supplemental Information 13 TYPE OF WORK MME CIAL FE * SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work 1 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: 2 g^ 0 D;4; ../*--- CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling irj Commercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1 14 6 C;AI & wiz/1 m S1. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1ttl..&Q.t, I 223 Fumace 100,000+BTU(ducts/vents) 54.91 / / Heat pump 61.06 Suite/bldg./apt.no.: Project name:7/1t. itD 4 IlJN6- Duct work • 23.32 Cross street/directions to job site: 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 Flue/vent for any of above 23.32 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 L ^� Flue vent for water heater or gas H V PrC l iw-P kL ere_ PI-t�-v\J M4 �/1 f 1 4/ 5 fireplace 23.32 I Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER I 0❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: (N ,/'U2 I cNNV' Range hood/other kitchen equipment 33.39 Address: -. , it 6 S W £I ONz4/q 61. Clothes dryer exhaust 33.39 City/State/ZIP: 1 t&iA b 012_ 1 1 2-23 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 gy APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: e 1y N Re>rr ., & Loa,, i Jisi 514.15 for first four;S4.03 for each additional Contact name: V��6' /1/1 S ev. Furnace,etc. Address: D 0 en (�(.�m Gas heat pump ` /"v ( Wall/suspended/unit heater City/State/ZIP: ( Water heater (...,,AK " l `DfZ ��o — Phone:(5-11 ) z.&,6 - 1 Zq-ek I Fax: :(S01 ) 2(9t -34--71, Fireplace i t Range E-mail: 3ec.e-r e_�— t' — V A. �p,/,�. Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: i i ./ MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) �/ r Plan review(25%of permit fee) Phone:( ) I Fax:( State surcharge(12%of permit fee) CCB lie.: 1 40� TOTAL PERMIT FEE I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: ^ * Fee methodology set by Tri-County Building Industry Service Board Print name: n/fit/UE[,/,� Date: 11 Zo )3 I:\BuildingWermits\MEC_PermitApp_040 113 doc 4 -461 T(I I/02/COM/WEB) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7148 SW GONZAGA ST, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2013-00706 Chip Barnett Violation Summary: Inspector Contractor