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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015-00226 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015 Parcel: 2S 112AD00500 Jurisdiction: Tigard Site address: 14650 SW 72ND AVE Project: Rogers Machinery Subdivision: BONITA GARDENS Lot: 4 Project Description: Add radiant heat. Pipe gas from meter to roof. Contractor: SPECIALTY HEATING&COOLING INC Owner: UNION CENTRAL LIFE 7500 SW TECH CENTER DR STE 130 TREASURY SERVICES TIGARD, OR 97223 ATTN: DIANE THOMAS PO BOX 888 CINCINNATI, OH 45240 PHONE: 503-620-5643 PHONE: FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/28/2015 $703.31 Class of Work: ALT Type of Const: VB Plan Review 04/28/2015 $175.83 Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 04/28/2015 $84.40 Stories: Info Process/Archiving-Sm$0.50(up to 04/28/2015 $20.00 11x17) Project Valuation: $24,000.00 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 $983.54 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: 4 Other Desc: Radiant Duct Work: heaters Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: we mittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection e. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application 1.0R OFFICE USE ONLY City of Tigard RECEIVED Received ,��� � Permit No.: lidA) zr 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie !e� r Phone: 503.718.2439 Fax: 503.598.196 PR Date/By:2 2015 Date/By: ,/sue. •\ ® Other Permit: I I t, I:1 Inspection Line: 503.639.4175 Date Ready Juris: Internet: www.tigard-or.gov Notified/Method: S fie Page 2 for CITY OF TIGARD .) 1S Supplemental Information et II t. • • ► '11," A Mechanical permit fees*are based on the value of the work ❑New construction ®-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 2.(1 t 006 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 t, t.- ° - _ : ..: r , ' '. ,. 1 Heating cooling: / Air conditioning 46.75 Job site address: J`f6So 5 i.✓ 7Z not q Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Pops b.n� Q I 722.11 Furnace 100,000+BTU(ducts,'vents) 54.91 Suite/bldg./apt.no.: I Project name: p Heat pump 61.06 e0c1e�S ( t (/ Duct work 23.32 Cross street/directions to job site: 7 Z , t. /13On••-tc 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 Other: 23.32 Subdivision: 1 Lot no.: Other fuel appliances: _ Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas ADD r : --- I,•.,i e, -e y-.`S T:nc, 13✓i l�:nS • p>`P e- '' i fireplace 23.32 Fri,, ""G r t 7� J J Log lighter(gas) 23.32 Lac• Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 0-PROPERTY OWNER // f 0 TENANT Environmental exhaust and ventilation: Name: Ro9S Mack;her 7 — T-fo,•k W;C f;n Range hood/other kitchen equipment 33.39 Address: Pp poyL LSOC419 Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms,Ci /State/ZIP: o r Iw, ' ©� 7 Z j toilet compartments,utility rooms) 23.32 Phone:(So}) Ze-7 2,6 8 Fax:( ) Attic/crawlspace fans 23.32 Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue //CONTRACTOR Clothes dryer(gas) Business name:SPCc;otlT/ rte.-T 05 `.-(-Ct9 L(1 Other: Address: 7 S'p0 5.,.1 Tecl, Genre OC. Subtotal City/State/ZIP: T) a(� i pR l 7 7/7,-) Minimum permit fee($90.00) Phone:( p )/ f� Fax:( ) Plan review(25%of permit fee) S 6�6 077 State surcharge(12%of permit fee) CCB lic.: 66 S7 g TOTAL PERMIT FEE 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: Gre.. �Ce 1c_. Date:lj -CZ,• 15 1:auildina'PermitsMEC_PermitApp_040113.doc 440-4617r(11,02 COM/WEB)