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Permit
n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2015-00563 T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2015 Parcel: 2S102BD03000 Jurisdiction: Tigard Site address: 13035 SW PACIFIC HWY Project: Alexin Analytical Labs Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35 Project Description: Replace existing ductless a/c with new ductless heat pump. Direct replacement. Contractor: SPECIALTY HEATING&COOLING INC Owner: TRUCK TERMINALS INC 7500 SW TECH CENTER DR STE 130 15965 NW TULLAMORRIE WAY TIGARD, OR 97223 PORTLAND,OR 97229 PHONE: 503-620-5643 PHONE. FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/18/2015 $161.16 Class of Work: ALT Type of Const: Plan Review 08/18/2015 $40.29 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/18/2015 $19.34 Stories: Info Process/Archiving-Sm$0.50(up to 08/18/2015 $2.00 11x17) Project Valuation: $3,500.00 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: 1 Appliances Vent Fans: Vent Systems: Total $222.79 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility • . ion - . Those rules are set forth in OAR 952-001-0010 throug e•- • !: -::90. You may obtain a copy of the rules or di ct questions to OUN •y _ • g 503.232.1987 or 1.800.332.2344. Is ued By: /,, 7 Permittee 'e nature: / r/71 Call 503.639.4175 by 7:00 a.m.for the next available insp- on date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application {( (i FOR OFFICE USE ONLY RECEIVED� �� DateiBy: 0 /d f� 1 ( 5-6056,3" .... 5 � City of Tigard F ennrt No.: Date/By: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1 1 8 2 015 Date/By: Other Permit: I I,, \I;1 Inspection Line: 503.639.4175 Date Ready/By: Juris: VI See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY 0;: TIGARD 11.111.1MMIIIIIIIIIIIIIIII .11M.1.11111.111 Mechanical permit fees*are based on the value of the work ❑New construction g-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 3,500 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-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 Heating/cooling: _ Air conditioning 46.75 Job site address: {3 o 3 S . w Paz.i P iC A.4,9'' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: "'T-ia c_(.ok_ of_ c-,zz Z, Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 1 Project name: NieXi A linen t y '. a I Duet pump 23.32 Duct work 23.32 Cross street/directions to job site: 95 In/ 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: Lot no.: Other: 23.32 Other fuel appliances: _ Tax map/parcel no.: Water heater 23.32 - DESCRIPTION OF WORK Gas fireplace/insett 33.39 ��1 Flue vent for water heater or gas �Pk.CP e Di i 57-i n Q v c.,`t-l e 5> fT A- LA/, t`4, /l/rr-∎.✓ fireplace 23.32 UL1"{e5S T fUA) Loglighter(gas) 23.32 (e�T KQ r i�0.tl'Alien"r Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 n ,, j / Environmental exhaust and ventilation: Name: A le.x l rl 1'-F O.Ly;1-i c�I _ Range hood/other kitchen (� (� equipment 33.39 Address: 13o . s W Pi.c 1 f,'L 14 vwy Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms,City/State/ZIP: +^ C pr� f ©1)- 7 Z z toilet compartments,utility rooms) 23.32 Phone:(Sp,) 639 -q 311 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:( ) I Fax::( ) Fireplace Range E-mail: Barbecue Clothes dryer(gas) Business name: v Other: S Pew,0.I ryc47,rlq r} C�.b(t`n� ,, Address: ©O s w J I . :,�., 7� �=C,( (�2d7`r'( � � l Q Subtotal City/State/ZIPT(C m^0( ) 0 R Z2 3 Minimum permit fee($90.00) J Plan review(25%of permit fee) Phone:( S63) 6 _SG4`-c Fax:( ) State surcharge(12%of permit fee) ,ij CCB lic.: 66 S ,78 TOTAL PERMIT FEE , ,77 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature:- J • Fee methodology set by Tri-County Building Industry Service Board Print name: G`c,,4 yee,I GN. Date: -KS I O-(5 - I:'Building,Pennits,MEC_PertnitApp 040113.doc 440-46171-(11,02 COM/WEB)