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Permit n CITY OF TIGARD MECHANICAL PERMIT ' COMMUNITY DEVELOPMENT Permit#: MEC2014-00629 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/02/2014 Parcel: 2S113AB00800 Jurisdiction: Tigard Site address: 15995 SW 74TH AVE 100 Project: Duncan-Dowdle Building Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30 Project Description: Installing(2)mini split heat pumps and a heat recovery ventilator. Contractor: AIR COMFORT INC Owner: DUNCAN, JOHN ARTHUR&JANICE LEE 16055 SW 74TH AVE SUITE B 1001 NW LOVEJOY#812 TIGARD, OR 97224 PORTLAND, OR 97209 PHONE: 503-260-7806 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/02/2014 $855.71 Class of Work: ALT Type of Const: Vg Plan Review 12/02/2014 $213.93 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/02/2014 $102.69 Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/02/2014 $5.00 11x17) Project Valuation: $30,000.00 Fuel Air Handlers Fuel Types: Units< 10000 cfm: 2 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: 2 Heat Pump: Appliances Vent Fans: Vent Systems: Total $1,177.33 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuan - • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili Notification Cen- Tr ules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUN • callin• .'.232.1987 or 1.800.332.2344. Issued By: al. / , 4 Permittee 5 nature: 0 14 ,As _ f Call 503.639.4175 by 7:00 a.m.for the next available inspe do date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application lft.)V FOR OFFICE USE ONLY Received City of Tigard a()t. DateBy: `f 'J Permit No.:-.1 13125 SW Hall Blvd.,Tigard,OR 9724 Phone: 503.718.2439 Fax: 503.598. 1 Plan Review{ Date/By: = Other Permit: Ih' _�4 A` T I G A R l� Inspection Line: 503.639.4175 ��O Date Rea. y: See Page 2 for Internet: www.ti ardor. ov `1 1 g g `\OV a �A�� ate Rea.'ethod: // /5;:// Supplemental Information AAP TYPE OF WORT( C r;!' RCIAL F * S EDULE - USE CHECKLIST +.,� �`�� / Mechanical permit fees*are based on the value of the work El New construction ddition/alteratioent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 20/ L CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: /5i� �tj 7� . /t2 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 77 7)..., !�\ �, q-3—)-1— '1 Furnace 100,000+BTU(ducts/vents) 54.91 �J Heat pump _ 61.06 Suite/bldg./apt.no.: !0Q Project name: a,a,��„D ii Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or `-7 u 1 A. ('l � hydronic) 23.32 l l Unit heaters(fuel-type,not electric), ��Pa in-wall,in-duct,suspended,etc. 46.75 l)a (f.F^ 4,i i iq tyl Flue/vent for any of above 23.32 Irk Subdivision: W'■ '(A r Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: \t.O" `i Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 _- _ n Flue vent for water heater or gas L 1- A C2) rAtJA- i S PLiT 1 EAT- p UMAf replace 23.32 Log lighter(gas) 23.32 Ps, Y) a U . LT ny 007- 1, `Ufir/ t v}2--), Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 1-(11,," - - 17- 1©u 7 1)U N`C Range hood/other kitchen equipment 33.39 Address: (,I I `) 1 (.0 r-) - Clothes dryer exhaust _ 33.39‘'l & Ckilt City/State/ZIP: Q Z Single-duct exhaust(bathrooms, ^ � 1 toilet compartments,utility rooms) . 23.32 . Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 A r. Fuel piping: Business name: A 1 _ l ei �,.,rTO D 1 1�J L $14.15 for first four;$4.03 for each additional Contact name: %` I L • •F t--/ I- Furnace,etc. Address: ( 4 0 yS^ S w <7 1 i A J e` s� Gas heat pump _ l Wall/suspended/unit heater City/State/ZIP: 4_41.1 4,1 9 9--2--1-Al r Water heater Phone:(1�3 )' O _� eo// Fax::( t ) ` Fireplace 66 Range E-mail: Q,,A_ Qc -‘,�� ��g1..�,� . C —'- Barbecue R....._� )CONTRACTOR Clothes dryer(gas) 1 (` PI I`�1^ r-� t/ Other. Business name: �) L Iv MECHANICAL PERMIT FEES* Address: ` - , d \-(� w r1 t-1 d-1 �e` (1 ± Subtotal / ' )_ f{- i ( � 0 ,/� 9.dl".Z4 Minimum permit fee($90.00) City/State/ZIP: (�--� [� L ""\ n > / Plan review(25%of permit fee) Phone:(cc 3) !_6 �c�o 6 Fax:( ) State surcharge(12%ofpermit fee) CCB lic.: (5'B 0 3 S ' TOTAL PERMIT FEE J1 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: Jam'„ g_ - £l ti ''r Date: ////r ),G 1 y I:\Building\Pennits\MEC_PermitApp_0401 I3.doc 440-44617T(I I/On/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040I I3.doc 2