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Permit (107) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2019-00388 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2019 T t c_;A It.C) 9 Parcel: 1S136DD02300 Jurisdiction: TIG Site address: 11799 SW 69TH AVE Project: HAMPTON INN&SUITES Subdivision: Lot: Project Description: Gas&Condensate drains for New 87,872 sq.ft.five-story,152 room hotel with parking structure. Contractor: YORK CUSTOM MECHANICAL Owner: DVKOCR TIGARD, LLC PO BOX 21474 1419 W MAIN STREET, SUITE 110 KEIZER, OR 97307 BATTLEGROUND,WA 98604 PHONE: 503-554-1771 PHONE: 360-723-0024 FAX: 971-273-0647 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/20/2019 $1,236.71 Class of Work: ALT Type of Const: IIB Plan Review 06/20/2019 $309.18 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/20/2019 $148.41 Stories: Info Process/Archiving-Lg$2.00(over 06/20/2019 $6.00 Project Valuation: $45,000.00 11x17) 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 $1,700.30 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: 10 Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions = a NC by calling 503.232.1987 or 1.800.332.2344. i Issued By: ��� _ _ Permittee Signature: C--(X._)4` ''':-- Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 5000 Mechanical Permit Application FOR Oil i( l I SE Oyl,l Received Cityof TigardDate '/ ' E Permit No.: G ,_ - �,3. 1315 SW Hall Blvd.,Tigard,OR 97223 Plan Re: ( d / tom G-.�`f°1 f Ct''S58 g Plan Review p Phone: 503.718.2439 Fax: 503.598.1960 �'� 6-r t3 ., d C-I � Other Permit � � j - 5' Date/By: 4BB@lfff I 1 G A R p Inspection Line: 503.639.4175 gry.(E,CDate Ready/By: . /' Juris: See Page 2 for Internet: www.tigard-or.gov 9 x ,otified/Metho-: �I 7;�'y/ Supplemental Information � .12019 �'' ,lir ` ` - TYPE OF WORKO t t IAL FEE*SCHEDULE- LSE CHECKLIST (�(or TIGARLiMechanical permit fees*are based on the value of the work j2ELNew construction ❑Addition/alteratL �QE e meip/ISION performed.Indicate the value(rounded to the nearest dollar)of all ElDemolition 0 Other: kimechanical materials,equipment,labor, verhead,and rotit. - Value:$ Si(..70CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYTEMS 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 Heating/cooling: Air conditioning 46.75 Job site address: ,! i 'Ill am'S Lt, `' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: �T T e 1 Nap I Q a_."` (1.---77_7-'3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Pro ect name: nii �� 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: l 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 G-As (( l C. -D t fireplace 23.32 Ale") ( � 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 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 0 APPLICANT til CONTACT PERSON Other: 23.32 / I Fuel piping: Business name: \101 ._. �> 4,,01.3e ���{��0�'��� y� $14.15 for first four;$4.03 for each additional Contact name: 1 Yap./t� Furnace,etc. Address: .�1) e-.) '7,I 1.-r/LI Gas heat pump Wall/suspended/unit heater City/State/ZIP: i ,� Water heater -- - Phone:( ) Fax::( ) Fireplace - Range E-mail j AVri'� \10(4--9_ \i ( 41-041.( � Barbecue l CONTRACTOR Clothes dryer(gas) Business name: / ' � _Other: r(t, ! (_1✓�j�JVVa!I NnC ((�1 l(C� , ('lL MECHANICAL PERMIT FEES* Address: 1..)4) c*. Z 101 q Subtotal City/State/ZIP: !chi t Q_ 4-7 509 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(9/5 0.3- c?---7(p' Fax:( ) State surcharge(12%of permit fee) CCB lic.: '2,05,31.--:, 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: ✓ * Fee methodology set by Tri-County Building Industry Service Board Print name: "T2 I jj \ogy Date: 42//7 Ar I:\Building\Permits0IEC_PermitApp_040113.doe 440-461 (11/02/COM/WEB) 1 II