Permit (35) CITY OF TIGARD MECHANICAL PERMIT
F .:7
COMMUNITY DEVELOPMENT Permit#: MEC2016-00706
TVSA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2017
Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13205 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 4-mechanical for 24 units.
Contractor: JET INDUSTRIES INC Owner: GRABHORN, BURTON E ESTATE OF
1935 SILVERTON RD NE 14577 SE ANDERSON RD
SALEM, OR 97303 CLACKAMAS, OR 97011
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 01/18/2017 $703.31
Class of Work: NEW Type of Const: VB Plan Review 01/18/2017 $175.83
12%State Surcharge Mechanical 01/18/2017 $84.40
Occupancy Grp: R-2 Occupancy Load:
Stories: 3 Info Process/Archiving-Lg$2.00(over 01/18/2017 $8.00
Project Valuation: 11x17)
$24,000.00 Info Process/Archiving-Sm$0.50(up to 01/18/2017 $2.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: 8
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: 8
Heat Pump:
Appliances
Vent Fans: 24 Vent Systems: Total $974.04
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: 8 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 24
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 qu'ons-4 OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. ` �, Permittee Signature:
-' (
of,_0,,,,,, ,,-& 9ature: eiJI-!4.C�
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 Applicat 1 I , FOR OFFICE USE ONLY
City of Tigard
" Receivedtd �����������
MI
Dates B Y ��ji. Permit No.
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.196 C T 5 2016 Plan Rev
i Other Perm'
I�IGARD Inspection Line: 503.639.4175 Date/Re �� �e� Page 2 f"�d J�,
r, Date Ready/I Juns: ® See Pa
Internet: www.ti and-or. ov s m +v Page 2 for
g g " a b � p GA f4.xNotified/Method: Supplemental Information
' 1 t t 11 ; -irvht -G{,7 tl �
TYPE O MERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement pertonned.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition D Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$24,000.00
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 Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:13205 SW Hawk's Beard St. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97008 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:4 Project name:Scholls Ferry Apts Heat pump 61.06
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
Venting of:
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Jet Industries,Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tina Torres Furnace,etc.
Address: 1935 Silverton Rd.NE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Salem,OR 97301 Water heater
Phone:(503)363-2334 Fax: :(503)363-2622 Fireplace
Range
E-mail:Tina.t@jetindustries.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Jet Industries,Inc Other:
MECHANICAL PERMIT FEES*
Address: 1935 Silverton Rd.NE
Subtotal
City/State/ZIP:Salem,OR 97301 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)363-2334 Fax:(503-)363-2622 State surcharge(12%of permit fee)
CCB lie.:3944 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: it 1 CA/Ult2) * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tina Torres Date: 10/4/16
I:Building`.Permits,MEC_PermitApp_040113.doc 440-46I7T(1I/02/COM,WEB)
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
! ' Transmittal Letter
i ; ,;,E< i, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: <I D_("t-A -- DAT 4, _ - I• ,
DEPT: BUILDING DIVISION
UtL 272016
FROM: •�l /?/�gs4,� cult O iftll
COMPANY: .j./-.G ,�.Us r/j , BUILDING IV SIO
Eciel
P ONE: S .540 (ce/0
RE: 09'd c [Lc Q .5./-. H ed 490l4 -o0 70'
(Site Address) (Permit Number)
0_ 4—.J2}2.141/ i d i / 616C. `t
(Project name or subdivision ne and le number/
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s)of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: 9 ` j /.d») aQ11 4.
'FO
1 (3F ICE USE OILY
Routed to Permit Technician: ate: t Initial vi,,
ri' )
X
Fees Due: 4 Yes o Fee Description: Amount ► e:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes ❑No 0 Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc