Permit 4III CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2022-00363
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/23/2022
Parcel: 1 S127DD00100
Jurisdiction: Tigard
Site address: 9730 SW CASCADE AVE 100
Project: Shane Co Subdivision: None Lot: None
Project Description: Adding 8 stations for Little Torch Kits for jewelry cutting and cleaning.
Contractor: KRUSE PLUMBING Owner: MAX R BROWN LLC
1330 NE KNOTT WR SHANE LLC
PORTLAND,OR 97212 K&B SHANE LLC ET AL
PO BOX 3552
ENGLEWOOD,CO 80155
PHONE: 503-518-1375 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/20/2022 $191.86
Class of Work: ALT Type of Const: VB Plan Review 05/20/2022 $47.97
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/20/2022 $23.02
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/20/2022 $1.00
Project Valuation: $4,500.00 11x17)
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 $263.85
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: jewelry
Duct Work: cutting torch
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Thoseos rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: �� /"r' / 0\14, Permittee Signature: (......„---
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard F R°rei°ea
131 SW Hall Blvd.,Tigard,OR 97223 ����t IJeteBy: �'/a Ia� Permit No.: nl� ae4 a -C [P 3
Plan Review'r `^�� ,
B Phone: 503.718.2439 Fax: 503.598.1960 M A� M ;/U .r: Date By: J I Other Permit:
Inspection Line: 503.639.4175
1 lip a R.I Date Ready/By: Juris. RI See Page 2 for
Internet: www.tigard-or.gov
CITY Y OF I IGAR)Notr� eth Supplemental Information
TYPE OF WORK RCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction [Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,lab verjtgad,and profit.
Value:$ S06./', '
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPME /SYSTEMS FEES*
❑ 1-and 2-family dwelling O'Commercial/industrial D Accessory building For special informalion use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. La. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: il 3 O s l. CGS(,Ale Qt4-(- . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: j-: - J ci 0..„ Furnace 100,000+BTU(ducts/vents) 54.91
t 1 Heat pump 61.06
..
Suite/bldg./apt.no.: Project name: CA VN I- CO 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTIONJ- OF WORK Gas fireplace/insert 33.39
-�rt S 4,G l i I e-04(,tea 1 a s 4 Flue fireplace vnt for water heater or gas
23.32
I C 1 Log lighter(gas) 23.32
(.citi.-l.lir C t PA"I h'b d" G�./ ,n� J7 G ;G{17 S Wood/pellet stove 33.39
rJ Wood fireplace/insert 23.32
Chhnney/liner/flue/vent 23.32
0 PROPERTY OWNER I ❑ 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/erawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
t Fuel piping:
Business name:• �,,.,,^c lO(N ini t n
$14.15 for first four;$4.03 for each additional
Contact name: jTike CIAcl.. Furnace,etc.
Address: /�
Gas heat pump
V 1 ��� S it- Wall/suspended/unit heater
City/State/ZIP: rev.-4 ` 7y ..Gt'7 / t-� Water heater
Phone:(I'Cra) 51 C6 11j7 5 r Fax::( ) p I IA- Fireplace
Range
E-mail: 1t ovi, a C f,„ r,„ 164 AA I iyl�. G AA.. Barbecue
5/$ J 3 75 CONTRA OR Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES*
Address: Cj GyyL1.-- CAC al, G 6-t----C- Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax ( ) State surcharge(12%of permit fee)
CCB lie.: a-5 S 1 a C 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:tt * Fee methodology set by Tri-County Building Industry Service Board
Print name:-,U^ omf\ ��i,c ( Date: S-'a„�-Z..
I:\Buildin\PermitsWIEC_PermitApp 040113.doc 4404617r(11/02/COMl1411B)