Permit CITY OF TIGARD MECHANICAL PERMIT
III COMMUNITY DEVELOPMENT Permit#: MEC2021-00895
Date Issued: 11/18/2021
T I GA R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 101 AB03400
Jurisdiction: Tigard
Site address: 7090 SW BEVELAND RD
Project: Univox Media LLC Subdivision: 2014-011 PARTITION PLAT Lot: 2
Project Description: Install exhaust pipe for bath fan to existing 6"pipe to outside
Contractor: SUN GLOW INC Owner: BEVELAND STREET LLC
2428 SE 105TH 7080 SW BEVELAND RD
PORTLAND, OR 97216 PORTLAND, OR 97223
PHONE: 503-253-7789 PHONE:
FAX: 503-253-7693
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/17/2021 $78.27
Class of Work: ALT Type of Const: VB Plan Review 11/17/2021 $19.57
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/17/2021 $9.39
Stories: Info Process/Archiving-Sm$0.50(up to 11/17/2021 $1.00
11x17)
Project Valuation: $800.00
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $108.23
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers.
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: Qw A.,,. 1:, lj.yL
Nis{LJ 1/n ,I7v.41/v/JP. ►'T
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appliclit FOR OFFICE USE ONLY
City of Tigard CEIVEC? DReceived
ate/By ii o� ozj `47 PemritNo.:yeC��^�2 s
lig ■ 13125 SW Hall Blvd.,Tigard,OR 97223 � y ��
��tl ���� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By: �1�F6-�
TIGARD Inspection Line: 503.639.4175 Date Ready/By: / 3 &I See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD otified/Method: l Supplemental Information
'/111I DING DIVISION
'TYPE OF WORK I IF CIAI, ,E* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction Q Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ Sg('Y°I
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 1k3 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder Cl Other: Description Qty. Ea. Total
JOB SITE INFORMATION ANDLOCATION Heating/cooling:
C/�� Air conditioning 46.75
Job site address: 71290 1J 1,e1eLcL 3 -S t• Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:13 tYX7 j,/ I Q-7a9 s Furnace 100,000+BTU(ducts/vents) 54.91
�� /� /qq.� 1,76)(
9 Heat pump 61.06
Suite/bldg./apt.no.: Project name: 61 rt. V QX 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
h i - DESCRIPTION OF WORK Gas fireplace/insert 33.39
�
Flue vent for water heater or gas
'ASI-cdt ,E X1ACUAjat IPl P-e_ 4-0 v )(3aftv va.A1 fireplace 23.32
,N Log lighter(gas) 23.32
to QKI�4I h, , CO p t 4 +U OC,4-S C e Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER ❑ TENANT
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
14 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
`
'( 1 "^(hl� $14.15 for first four;$4.03 for each additional
Contact name: ; t J "Fe1i Furnace,etc.
Address: ,2 d, S St ld 141 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: }ot j z.. J (.512 - '��/ CJ Water heater
Phone:(5O3) /102.=-7C: X Fax::( ) Fireplace
� �^ Range
�
E-mail: f r-ol Geri 4- >C,14,1 64.014r 14 rL , tt'r l,p1 Barbecue
F il GONRACT T �I°i' ''' Clothes dryer(gas)
Other:
Business name:
�� O-
MECHANICAL PERMIT FEES*
Address: 9/mg 6 g. 6 OS pk Subtotal
City/State/ZIP: d60/4/ d Minimum permit fee($90.00)
`'') Plan review(25%of permit fee)
Phone:(!5t3)--a 53 - /-28 q Fax:( ) State surcharge(12%of permit fee)
CCB lie.: l ) TOTAL PERMIT FEE
` This permit application expires if a permit is not obtained within 180
�C.i�E daysg after it has been accepted as complete.
Authorized signature: r-- * Fee methodology set by Tri-County Building Industry Service Board
Print name: / Z a ie , . .z3 Date: /0 90.6a(
IBuilding\Permits\MEC_PermitApp_040113.doc 44 -4617T(11/02/COM/WEB)
>a��rrnrrrr �.
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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 PermitApp_040113.doc 2