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Plans (2) CITY OF TIGARD MECHANICAL PERMIT 1111 I _ COMMUNITY DEVELOPMENT Permit#: MEC2016-00746 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2016 Parcel: 2S 112DC00701 Jurisdiction: Tigard Site address: 15969 SW 72ND AVE Project: Teriyaki Express Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: Replace exhaust fan and non-welded grease duct from the hood to curb. Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES 14505 SE HWY 212 ATTN: N PIVEN CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-658-1892 PHONE: FAX: 503-658-6925 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/12/2016 $319.61 Class of Work: ALT Type of Const: VB Plan Review 12/12/2016 $79.90 Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 12/12/2016 $38.35 Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/12/2016 $17.50 11x17) Project Valuation: $9,000.00 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 $455.36 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Type 1 Duct Work: exhaust fan 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 rul-s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-i s0. You m7 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 4 : ft 1 � Permittee Signature: /i,/,'`` A Call 503.639.4175 by 7:00 a.m.for the next available inspection dat 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. R J .. Mechanical Permit Applicati E��,,.�s � FOR OFFICE ESE ONLY City of Tigard Received �A / Date/By/0/46' / 1 '! Permi[N�i7s(��(?r©Q�� 13125 SW Hall Blvd.,Tigard,OR 97223 ¢� 1 r Zi: Plan Reli e Phone: 503.718.2439 Fax: 503.598.1960 11 / 1f Other Permit 6 Date/By: it, T I GARD Inspection Line: 503.639.4175 frit/ i Date Ready/By: loris: ® See Page 2 for Internet: www.tigard-or.gov �' Notified/Method:i// /J Q� _ Supplemental Information 11I DINt��1��I �= r/t G /,�,"� �-e , { .,,e1 t+L'et. "v 'r+ ih I * TYPE;OF Wt RK" C ERCTAL FEE S lifU E-r,orellE. T', V " 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 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$$9,000.00 CAICEG©RY QF C 1N >(JCTT�N" „ . RESIDENTIAL EQUIPMENT"I SYSTEMS FEES* ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION A'" Heating/cooling: Air conditioning 46.75 Job site address: 15969 SW 72"d Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 1 Suite/bldg./apt.no.: Project name:Teriyaki Express 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 Subdivision: Lot no.: Other: 23.32 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 Replace Exhaust Fan&Replace non Welded Grease Duct From the Hood to Curb fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: PacTrust Range hood/other kitchen equipment 33.39 Address: 15350 SW Sequoia Parkway Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503-)624-6300 Fax:( ) Attic/crawlspace fans 23.32 ID';APPLICANT 0 CONTACT'PERSON Other: 23.32 Business name:Gohman Mechanical,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Jennifer Fulsher Furnace,etc. Address: 14505 SE HWY 212 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Clackamas,OR 97015 Water heater Phone:(503)658-1892 Fax: :( ) Fireplace Range E-mail:Jennifer@gohmanmechanical.com Barbecue CONTRACTOR' Clothes dryer(gas) /� Other: Business name: G "tel ,4k9,, ,,a,,, '44.1 MECHANICAL PERMIT FEES* 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.: `9. TOTAL PERMIT FEE This permit application expires it 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:Jennifer Fulsher Date: 10/26/2016 I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(II/02/COM/WEB) A