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Permit CITY OF TIGARD MECHANICAL PERMIT 1111 * COMMUNITY DEVELOPMENT Permit#: MEC2015-00106 TiGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015 Parcel: 2S101AB03500 Jurisdiction: TIGARD Site address: 7110 SW BEVELAND RD Project: Curzon Subdivision: 2014-011 PARTITION PLAT Lot: 3 Project Description: Mechanical for build out of tenant space in previous shell building. Contractor: ADVANTAGE HEATING&AIR CONDITIONING LLC Owner: CURZON 2355 HYACINTH ST SE 15171 SW BNGY RD SUITE#124 SALEM, OR 97301 LAKE OSWEGO, OR 97035 PHONE: 503-393-5315 PHONE: 503-601-5060 FAX: 503-393-2253 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/04/2015 $360.41 Class of Work: ALT Type of Const: VB Plan Review 03/04/2015 $90.10 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/04/2015 $43.25 Stories: 1 Info Process/Archiving-Lg$2.00(over 03/04/2015 $2.00 11x17) Project Valuation: $10,500.00 Fuel Air Handlers Fuel Types: 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 $495.76 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility • -• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or• ect questions to c N : falling 503.232.1987 or 1.800.332.2344. Issued By: 11_4 Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Received - City of Tigard ON DateBy: w - / s PermitNo.:M c -t,o i c !o� - i 13125 SW Hall Blvd.,Tigard,O Plan Review G C_ow f Phone: 503.718.2439 Fax: 503. Date/By: 0, '1 1AD Other Permit: ,6/0/29.61/Li_cr`274, TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris VI See Page 2 for Internet: www.tigard-or.gov FFB 2 5 2015 Notified/Method: 3 1.05_ 97 Supplemental Information TYPE OF lR,iovit x1 J ERCIAL FEE* SCHEDULE - USE CHECKLIST i� �I 1�1111C/A) Mechanical permit fees*are based on the value of the work ®New construction ❑Addition/a�ljet t performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: BUJ mechanical materials,equipment,labor,overhead,and profit. Value:$ ( /6) 00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* y Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total f E(0 JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: SW BEveland st (requires site plan showing placement) 46.75 City/State/ZIP:TIIG'A"RD/OR/97223 Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name (CAI-ZcS.ly Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site:72"n TO BEVELAND ,t7""1 Duct work 23.32 1 `� ,jS Hydronic hot water system , 23.32 t 1�1 sO Residential boiler(radiator or �_``CS 1/. hydronic) 23.32 bl(> 1(�5� l Unit heaters(fuel-type,not electric), i in-wall,in-duct,suspended,etc. 46.75 Subdivision:BEVELAND Lot no.:3 Flue/vent for any of above 23.32 _ Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 A i `— R3,g *if Flue vent for water heater or gas 1 /� fireplace 23.32 T /F - rTr G Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r1 PROPERTY OWNER ❑ TENANT Other: 23.32 Name:MISSION HOMES NW Environmental exhaust and ventilation: Range hood/other kitchen Address:PO BOX 1689 equipment 33.39 City/State/ZIP:LAKE OSWEGO/OR/97035 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:(503)381-3753 Fax:(503)214-8524 toilet compartments,utility rooms) 23.32 ® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 _ Business name:MISSION HOMES NW Fuel piping: Contact name:JOSH KELSO $14.15 for first four;$4.03 for each additional Furnace,etc. Address:PO BOX 1689 Gas heat pump City/State/ZIP:LAKE OSWEGO/OR/97035 Wall/suspended/unit heater Phone:(503)381-3753 Fax: :(503)214-8524 Water heater _ Fireplace E-mail:JOSHKELSO3@GMAIL.COM Range CONTRACTOR Barbecue Clothes dryer(gas) Business name:ADVATNAGE HEATING&AIR CONDITIONING,LLC Other: Address:2355 HYACINTH MECHANICAL PERMIT FEES* Subtotal City/State/ZIP:SALEM/OR/97301 Minimum permit fee(590.00) Phone:(503)393-5315 Fax:( ) Plan review(25%of permit fee) CCB lic.: 17/1 160 /y/l^? State surcharge(12%of permit fee) TOTAL PERMIT FEE S— This permit application expires if a permit is not obtained within 180 Authorized signature / days after it has been accepted as complete. • Print name:JOSH KELSO Date: Fee methodology set by Tri-County Building Industry Service Board I:\Building\Pennits\MEC-PennitApp.doe 09/09/10 440-4617T(11/07JCOM/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 7110 SW BEVELAND RD, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00106 George Heimos Violation Summary: Inspector Contractor