Permit (7) 111CIn
TY OF TIGARD MECHANICAL PERMIT
•
1 11 COMMUNITY DEVELOPMENT Permit#: MEC2022-00676
Date Issued: 8/2/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DC04000
Jurisdiction: Tigard
Site address: 11858 SW 72ND AVE
Project: Everbowl Subdivision: Lot: 3
Project Description: Mechanical work for TI.
Contractor: INNOVATIVE AIR INC Owner: DARTMOUTH PROJECT LLC
5120 FRANKLIN BLVD, STE 7 222 SW COLUMBIA ST STE 700
EUGENE, OR 97403 PORTLAND, OR 97201
PHONE: 541-746-1040 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/29/2022 $266.22
Class of Work: ALT Type of Const: IIIA Plan Review 07/29/2022 $66.56
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/29/2022 $31.95
Stories: Info Process/Archiving-Lg$2.00(over 07/29/2022 $6.00
11x17)
Project Valuation: $7,088.00 Info Process/Archiving-Sm$0.50(up to 07/29/2022 $17.50
11x17)
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: 1
Appliances
Vent Fans: Vent Systems: Total $388.23
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces: 1 Special Inspection(see plans)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: "�i1��' i _ Permittee Signature: Yer.,/& "' t_)���')r
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE . sa
eceived ��
_/ ' � t�/Y' /I S/
te/By: U�/ C'
III
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 JUL c� , �02� Date/By: ���� Z I Other Permit:
1 I G A R I� Inspection Line: 503.639.4175 '� Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TiGAR
TYPE OF WORK
UlI niN r DIVISION
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
1 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
O Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ '1Dn,a
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
O Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
I 6 5 JOB SITE INFORMATION AND LOCATION Heating/cooling:
< Air conditioning 46.75
4444 v
Job site address: W i rit I I Y"- r G Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: e'Lyv►i (-1?-2-.3 Oa. a Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.4)k4 700 Project name: Eyre o(it, _" L out, workDuct 23.32
Cross street/directions to job site: 1 Ire' a kit 1404.fh 1 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
kl C4)rDvi4f✓ caul enSfv) duc -wovxt ?I-i')t!tef i fireplace 23.32
a f(yc_- PC
1. f_.Ii f ptrn r SPe Log lighte (gas) 23.32
r/l� iTC� rl Wood/pellet stove 33.39
*-ki+r,. 1✓1 t 0/ 14 1 C -AC ec'K1 CALL Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
kl PWkaG , -
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
i . Name: Range hood/other kitchen
equipment 33.39
i Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
- toilet compartments,utility rooms) 23.32
'v Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
r,V EA APPLICANT CONTACT PERSON Other: 23.32
�1NN1) Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
`)4 Wall/suspended/unit heater
._ City/State/ZIP: Water heater
a Phone:( ) Fax: :( ) Fireplace
Range
E-mail: SiteeddN cW 1!?udVGI ?t/ _. iv. (0!/---1._ Barbecue
te- CONTRACTOR Clothes dryer(gas)
Business name: nOVG1vC. Ai( Other:
MECHANICAL PERMIT FEES*
�\ 1 Address: c 7.alo �� Q 1 sit 4Subtotal
`J��C City/State/ZIP: UL{'1 t�bJ2 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(9.4( )1 t,,t att10 Fax:(911.) -1 Lito, ,1�I State surcharge(12%of permit fee)
CCB lic.: i U )i 4.L TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
a ��M �A^' days after it has been accepted as complete.
^
Authorized signature: 5 .4Lti 1 7 \yam * Fee methodology set by Tri-County Building Industry Service Board
Print name: Sharryi 44tr Date: '') I 0..1 jpZ'Z
I:\Building)Permits\MEC_PermitApp_040113.doc 4404617T(11/02/COM/WEB)
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