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Permit CITY OF TIGARD MECHANICAL PERMIT 114COMMUNITY DEVELOPMENT Permit#: MEC201600093 T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2016 Parcel: 1 S135BC01100 Jurisdiction: Tigard Site address: 11131 SW GREENBURG RD Project: Jump Sky High Subdivision: OAKBURG Lot: 27 Project Description: New gas packs for air conditioning Contractor: ARROW MECHANICAL Owner: GREENBURG SPACE CENTER LLC 10330 SW TUALATIN RD PO BOX 91305 TUALATIN, OR 97062 PORTLAND, OR 97291 PHONE: 503-692-1565 PHONE: FAX: 503-691-1879 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/03/2016 $3,411.71 Class of Work: ALT Type of Const: VB Plan Review 03/03/2016 $852.93 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/03/2016 $409.41 Stories: 1 Info Process/Archiving-Lg$2.00(over 03/03/2016 $2.00 11x17) Project Valuation: $127,500.00 Info Process/Archiving-Sm$0.50(up to 03/03/2016 $10.00 11x17) 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 $4,686.05 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 No -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dir: questions to O► C . ..fling 503.232.1987 or 1.800.332.2344. Iss ed By: / � "� �J/ 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 City of Tigard Received //�� !(o '„"'" ""4 a,""is C Datemy: d' q Permit No.: /�./G L/ 93 a 13125 SW Hall Blvd.,TttiL"tl;'Oit 91221 t , F` ' !G ll(����T 3 ?.,,�.�,," Dan Revi *-1 �� Phone: 503.718.2439 Fax: 503.598 f9g04 Plan Ry: Other Permit: T 1 G A R D Inspection Line: 503.639.417p-._, c ^�' Date Ready Juris: EI See Page 2 for Internet: www.tigard-or.gov I il J L U 1 Notified/Method: 3,72 ,/ Supplemental Information W .`< x,. i* .a,^e '°"x a,: --.z* e .x' 411 r .int ,r s:• .: ��' 4ati r•S � i-'.e 8 a ,��,,r�fn . v� aritr lxt: .. .-, /w., -n aa.. ...-...y ;.i, ." r-..r,-.1i, . ,,,,-, "�-*.....:.. es..r.-"e r-�.-r..,...', e... ..s;ss... . .. . "',rxs..' 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 rofit • Value:$ /Zve7b0£ s � Ris� � s7 - riiyCfi jd fy • £ f + l 40W 4vGti ' ,'-, u '. . c,. . . . < s'?s ,,,,,W,:>,--.4.V',' *,vi n y ` 7 �. V..... , @ ❑ 1-and 2-family dwelling 53 Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total kgeatat:gittillOak xeWidrIri;17 4" Aur s. ..,�'...., .k. ,. f i ��, Iieatin /coolie ` condi'oning 46.75 Job site address: / ,3, 5;,,i 6,2fy G./-113 J U j2.e AQ' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /r'/ ' �2 Z' Furnace 100,000+BTU(ducts/vents) 54.91 I4Q� DZ y 3 Heat pump 61.06 Suite/bldg./apt.no.: Project name: 541/44.7.4--#7-0,[ T+-tP sk`/ Yid* 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 Oth Subdivision: Lot no.: er' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 'Ei " '0.7c2•71 irf � v u �rdia6 az� � Gas freplace/insert, 33.39 .. # s . Net G Flue vent for water heater or gas /W V &p-5P 5• fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 . Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ' z' 2`5� h^. ��y - `-g.s^ 'Z`'M.`�Z`Ma, .---, ..,s", : y 3-„ Other: 2332 -. W�i�t`�2� ' J' ' ; ': � - 4,-.,-444. of A r7 ',41 -P-'"4, " ,. s•'.,i':.-.-- "..,�ruw-4,4-1 -. Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 srxo .. sufe .' y , sr Other: 23.32attrSf!Wfa a y Fuel piping: Business name: Ag_Q t. NC ;CAG e.610- $14.15 for first four;$4.03 for each additional Contact name: /40. KtZJ5 zt 541 Furnace,etc. Gas m pAddress: 1U33" �"� Vi ' • > Wal/suspended /unitheater City/State/ZIP: 74)44,47/,J/UQ. 4706z Water heater Phone:(5u,)ee,g-I'4 Y Fax::('D3) 69/- /en Fireplace Range E-mail: twitC� Tr fit.I;i'..t G✓`m Barbecue Business name: ,$RJ M I )tut, e.v�7 ▪ v��r /Ne Other: ;, l f •. Address: /0530 5 .-Tv U9-Th-) _golip Subtotal City/State/ZIP: Minimum permit fee($90.00) OA.D4Ti,� v� 9 7©G Z Plan review(25%of permit fee) Phone:(St,3 ) 612_14-G-; Fax:(5"v) ) �,,/._ i67, State surcharge(12%of permit fee) CCB lit.: Sj f 3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 _ • days after it has been accepted as complete. Authorized signa * Fee methodology set by Tri-County Building Industry Service Board Print name:,,2E t/i,t./ /22 z e 6,2 LCJ 576( Date: 2 ,e2 -l L\BtnIdingTemrits\JdEC_PemritApp_040113.doc 440-4617T(11/02/COM/WEB)