Permit . .a
CITY OF TIGARD MECHANICAL PERMIT
Ill i COMMUNITY DEVELOPMENT Permit#: MEC2021-00862
Date Issued: 11/3/2021
TIGARD 13125 SW Hall Blvd,.Tigard OR 97223 503.718.2439 Parcel: 2S102AA03903
Jurisdiction: Tigard
Site address: 8859 SW COMMERCIAL ST
Project: Class Magnum Inc Subdivision: None Lot: None
Project Description: Gas line to new meter location. NW Natural Gas will set the meter.
Contractor: HEAT RELIEF CO Owner: RM WADE TIGARD OFFICE LLC
13122 NE DAVID CIR#800 10025 SW ALLEN BLVD
PORTLAND.OR 97230 BEAVERTON,OR 97005
PHONE: 503-261-9915 PHONE:
FAX: 503-261-9814
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/02/2021 $69.06
Class of Work: ALT Type of Const: Plan Review 11/02/2021 $17 27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/02/2021 $8.29
Stories: Info Process/Archiving-Sm$0.50(up to 11/02/2021 $1.00
11x17)
Project Valuation: $500.00
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 $95.62
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work.
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Ho-J,y Vim,De,We e. Permittee Signature: 0w AYv,l ,o.,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatl
EIVED �- I 0i /21
Cityof Tigard OCT 2 2 2d21 DateB d !0 -2t2L1 ( W21..X?v,2_
d Permit No
.III
" 13125 SW Hall Blvd„Tigard,OR 97223 y
Phone: 503,718.2439 Fax: 503,598.1 Plan Review r
t1TY OF TIGA iD Date/By: /B l* / .�- Other Permit:
I I t,I R D Inspection Line: 503.639.4175 Date Read 1 ions:
Internet: www.tigard-or.gov 1 y y' / Supplemental
See Page 2 for
,� i��n�n!r DIVISION Notified/Met od 1 Supplemental Information
i TYPE OF WORK CO RCIAL YEEk`*SCHEDULE- USE CHECKLIST
�.— Mechanical permit fees*arc based on the value of the work _
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: mechanical materials,equipment,labor,ov ad,and profit.
— _...- ----- Value:$ %�j
CATEGORY OF CONSTRUCTION _ RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling igl Commercial/industrial ❑Accessory building Fur special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description F Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address. a�•� 1, j
Air conditioning 46.75
�D f I 7 V V �r��� ��r Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: y-rd/ /`IQ t 7' '? -7 3 w— Furnace 100,000+BTU(duets/vents) 54.91
Heat pump 61.06
i
Suite/bldg./apt.no.: Project name:Ai I , Duct work 23.32
Cross street/directions to job site:u Ci, /t.J Na� /AZ- 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
D SCRIPTION OF WORK Gas fireplace/insert 33,39
pp -"- in. Flue vent for water heater or gas
ez... . C l L .._._ __ i I r fireplace ... __..._.- 23.32
c)r./)'el ��)i � tt-1�" Log lighter(gas) 23.32
/1��� V v L Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER Sp TENANT Other: + 23.32
1 r MI/UM^ t� Environmental exhaust and ventilation:
Name: i. Range hood/other kitchen
Address:
�6q .�,/ c i g equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: T 1 /I Single-duct exhaust(bathrooms,
t^ 2 (yJ I - toilet compartments,utility rooms) 23.32
Phone:(✓OJ) /! ;4 /$7/
-677 7 Sl( ( Attic/crawlspace fans 23.32 _
01,APPLICANT ❑ CONTACT PERSON Other: _ 23.32
Business name: // //f� Fuel piping:
J 1 14 j l'/ $14.15 for first four;$4.03 for each additional
Contact name:t ']"�� � � � � ,J
v T Furnace,etc.
Address: /� r /f t. �f r) -- _ Gas heat pump
L.! CJ C�' Wall/suspended/unit heater
City/State/ZIP: i ....-_�_.0
Water heater
Phone:( ) 'th/. / Fax::(� b/`tf�-�?/ t q Fireplace
E-mail: Range
/G p Barbecue
CONTRACTO Clothes dryer(gas)
e 1 �i 1 y 17/4 - Other: -_
Business name:
MECHANICAL PERMIT FEES*
Address: / /��'7777 2 �' ��r� ®
�ISubtotal
City/State/ZIP: �y" ��i7�j Minimum permit fee($90.00)
✓ Plan review(25%of permit fee)
Phone:(I7a `r e� ` v/Fax:( �, g! State surcharge(12%of pennit fee)
CCB lie.: / ( /�L- [ TOTAL PERMIT FEE
// — This permit application expires ira permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tn-County Building Industry Service Board
Print name: 0 Date: j v.24... I
-
I:IBuildinv3Pernit,iMEC PcrmilAtw 040113 doc 440-4617T(I I/02/COM,WEBI