Permit CITY OF TIGARD MECHANICAL PERMIT
o ■ '• COMMUNITY DEVELOPMENT Permit#: MEC2022-01113
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/1/2022
Parcel: 2S110DB01300
Jurisdiction: Tigard
Site address: 15298 SW ROYALTY PKWY
Project: Eye Health NW Subdivision: 1996-010 PARTITION PLAT Lot: 2
Project Description: Replacing(2)existing gas lines to(2)roof pack furnaces,adding(1)new gas line for existing water heater.
Contractor: ALL FUEL INSTALLATION &SERVICE LLC Owner: TIGARD INVESTMENT PROPERTIES LLC
PO BOX 69 11086 SE OAK ST
TROUTDALE, OR 97060 MILWAUKIE, OR 97222
PHONE: 503-674-2350 PHONE:
FAX: 503-674-2693
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/01/2022 $130.46
Class of Work: ALT Type of Const: VB Plan Review 12/01/2022 $32.62
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/01/2022 $15.66
Stories: Info Process/Archiving-Sm$0.50(up to 12/01/2022 $1.50
11x17)
Project Valuation: $2,500.00
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 $180.24
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 4 Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You -y obin a copy of the rules
Issued By: . . ' � , Permittee Signature:Li
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE CSE OM.\
City of Tigard Received
Date/By: a ___
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1
Phone: 503.718.2439Date/By:
Fax: 503.598.1960 'f Other Permit:
I I(;A R D Inspection Line: 503.639.4175 Date Ready/By: Inris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 2500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑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:15298 SW Royalty Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:King City, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
CM G( Heat work
61.06
Suite/bldg./apt.no.: Project name: 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: 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
Replace existing leaking gas lines to 2 roof pack furnaces. New fireplace 23.32
gas line for existing water heater. Please see attachment for Log lighter(gas) 23.32
Wood/pellet stove 33.39
load calculations. This is a business with no heat& no hot water Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name:Leanne Hess 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:(360 )608-2923 Fax:( ) Attic/crawlspace fans 23.32
la APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:
All Fuel Installation & Service Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Joe Camp Furnace,etc. 2
Address:PO Box 69 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Troutdale, OR 97060 Water heater 1
Phone:(503)674-2350 Fax::(503)674-2693 Fireplace
Range
E-mail:allfuel@comcast.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:All Fuel Installation & Service Other:
MECHANICAL PERMIT FEES*
Address:PO Box 69 Subtotal
City/State/ZIP:Troutdale, OR 97060 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503 )674-2350 Fax:(503;674-2693 State surcharge(12%of permit fee)
CCB lie.:169503 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 190
........
days after it has been accepted as complete.
Authorized signature: 7 • Fee methodology set by Tri-County Building Industry Service Board
Print name:Joe Camp Date:12-1-22
E1Building\Per ik1MEC PermitA _040113.doc 44046177(11/02/COM/WEB)