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Permit (36) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00203 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2016 Parcel: 2S110DC01000 Jurisdiction: Tigard Site address: 11075 SW MEADOWBROOK DR 4 Project: Summerfield Subdivision: WILLOW-BROOK-FARM Lot: 17 Project Description: Vent lower unit dryer to exterior. Contractor: PORTLAND CONSTRUCTION SOLUTIONS Owner: SUMMERFIELD ASSOCIATES, LLC 14915 SW 72ND AVE BY HSC REAL ESTATE TIGARD, OR 97224 1500 SW FIRST AVE STE 1020 PORTLAND, OR 97201 PHONE: 503-908-9822 PHONE: FAX: 503-336-6557 FEES Specifics: Description Date Amount Type of Use: MF Permit Fee 03/24/2016 $69.06 Class of Work: ALT Type of Const: Plan Review 03/24/2016 $17.27 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/24/2016 $8.29 Stories: Project Valuation: $300.00 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 $94.62 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: 1 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 Notifi - -• _-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 direc •uestions to O NC by c ing 503.232.1987 or 1.800.332.2344. Issued By: aza.cilej Permittee Signature: ?(- Call 503.639.4175 by 7:00 a.m.for the next available inspecti 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 Applintn, FOR OFFICE: 1SF ON 1,1 City of Tigard i1 E D Received bU Date/By: /6 ,' Permit No.:H€0_�l co.� 90 41 13125 SW Hall Blvd.,Tigard,OR 97223111111 . Plan Review //�� Phone: 503.718.2439 Fax: 503.598.�� 2 4 2016 Date/By: Other Permit: 4ff„,lo1G.--oO/ 1(, 11:.1) Inspection Line: 503.639.4175 Date Read /B )iris: Internet: www.tigard-or.govOF �^pp � Ready/By: Supplemental See Page fnr CITY i S�;,S��l�.i Notified/Method: Information t:•:-.5t ,_-.F::-::e:'' 3/UIILDING D IVIS ON ` ,��,1� 4 ,.,,.. o...';'• ..sS' VY Ric . ,' - .r L �r�.. .. I)-i §4 i`i.....;- .7 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 0 Other: mechanical materials,equipment,-- labo>�ove eaO�n d profit. Value $ j.460//w + CA % OF CNSU(t+ DN . , ' ijt SY * 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. 1K1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total - Siff"kiiiiii*iiiiiiN'AND CATKi ih Heating/cooling: �' ""`' "" Air conditioning 46.75 Job site address: 11 o7 S Y�c5 p4612.co'/ .p�U 2, o\-(* ) Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ri '0, 9 72-7-1, Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: It ( Project name: be—yet DJL7?N Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: C� w ,wy) I 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: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 D1�SCi�IP [ON Oh `WORK Gas fireplace/insert 33.39 '" Flue vent for water heater or gas ✓ r Lo1w t- UN)T agE72 M E C)2(0A (rtLEtr/el) fireplace 23.32 // Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 PROPERTY OWVN I© r T` Environmental exhaust and ventilation: Name: SUS,(M OLP/Co /$0U4-7-E3 LL C Range hood/other kitchen I'I'7 s Clothes 33.39 Address: 1 ME�p�J��'p� �� r Clothes dryer exhaust 33.39 City/State/ZIP: I l W1e..1/ 0 0,-. /722-q-`"(�, Single-duct exhaust(bathrooms, -1 toilet compartments,utility rooms) 23.32 Phone:(So3) 68 4"/59) Fax:( ) Attic/crawlspace fans 23.32 CLAPIMAICAP11T "9:CONTACT PERSON Other: 23.32 Business name: Fuel piping: �02 ^ 7��(T �L�T ON5 $14.15 for first four;$4.03 for each additional Contact name: J ,---e.424/ P .1(L c 5 Furnace,etc. Address: 11.0(5- -7z DIP /41/1,-- Gas heat pump Wall/suspended/unit heater City/State/ZIP: T6,404)7 0 s2 (® 2 '7 Z_ - Water heater Phone:( 5---k3) 5-347_565'Z Fax: :( ) Fireplace Range E-mail:Jew Bv12 E35 &PO/YC5,Co f M Barbecue r.' ., �,t�„ :.7,40,het .... :_.. . Clothes dryer(gas) e- X11 Other: �, Business name: lZ 3, 0 ,� R J 44* 'Y Address: � �-��"�� Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: '?'fS� Z TOTAL PERMIT FEE Fg -fey This permit application expires if a permit is not obtained within 180 after has been accepted as complee. Authorized signature: Fee methodologydays set byit Tri-County Building Industry Service Board Print name: J $ 6 Date: 3 z 51—/, I:Building Permits MEC PennitApp 040113.doc 440-4617T(I 102 COM WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Per .: $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_PennitApp_040 113.doc 2