Permit (3) II CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00259
T E G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2012
Parcel: 2S110AA00900
Jurisdiction: Tigard
Site address: 14050 SW PACIFIC HWY
Project: ESP JOB Subdivision: 2011 -041 PARTITION PLAT Lot: 2
Project Description: Replace roof -top packaged heat pump like for like
Contractor: TRI COUNTY TEMP CONTROL INC Owner: ESP PROPERTY FACTORS, INC
13150 S CLACKAMAS RIVER DR 22018 S CENTRAL POINT ROAD
OREGON CITY, OR 97045 CANBY, OR 97013
PHONE: 503 - 557 -2220 PHONE: 503 - 245 -1177
FAX: 503 - 557 -0919
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/19/2012 $288.70
Class of Work: ALT Type of Const: Plan Review 06/19/2012 $72.18
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/19/2012 $34.64
Stories: Info Process /Archiving - Sm $0.50 (up to 06/19/2012 $5.00
11x17)
Project Valuation: $7,840.00
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 $400.52
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: Dlu A-/ PL/ ( Tzo/lJ
_jiajlei_splat_ 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.
$1
Mechanical Permit Applicat1 IVED 1 : O1; t H r H t 1.1 11 () \I .,
City of Tigard n« S , _�
7 ,
13125 SW Hell Blvd., Tigard, OR 97223MAY 16 202
• �
Phone: 503.639.4171. Fax Planitevte j 503.598.1960 Date/By: =
,., �: -\ „ ,., lnspection Line: 503.639.4175 CITY OF TIGARD Date Ready : Y: 10 See Page 2 for
Internet: `""Mine -or BUILDING DIVISION N°6fied/Mahod: Supplemental Information MI
0 New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the va of the work
preformed Indicate the value (rounded tothentatrest dollar).of all
❑ Demolition ❑ Other mechanical materiels, equipment, labor, overhead, and profit.
: : :::..., - -1 ...CATEGOJitX OBCA�S'fRUC19�Y..:_, .-._: - . , -,...
Value:
. RESIDENITAtEQUWFNIENf /SY3FEMS FEES**
(] I- and 2- family dwelling IITCommercia1rmdustrial ❑ Accessory building
. For special information use eheddist.
❑ Multi- family ❑ Master builder ❑ Other: Description ( Qty. I Ea. I Total
— . ' JOB ITE I NFOitMAfUI►i ?MID' LOCATION - ;. • . Heating/eerding
1
Job site address: '40B0 e7W �`�*^ Air conditioning
'CVLN J s Ci (requires site plan showmgplacement) 46:75
City/State ZlP: " C7 art ()R g122,8 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU lucts/veacs) 54.91
Suite/bldg./apt. no.: Project name: Heat pump lPI (1i'_ I 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall; induct, suspended, etc. - 46.75
Lot Flue/vent for any of above 23.32
Subdivision: O 23.32
Tax map/parcel no.: Other fuel appliances
-.
...:..; ,: s . D ts(tiinort ,,` _: . . _ ' water heater - 2132
Gas fireplace 33.39
Flue vent for water heater or gas
! �� p fireplace 23.32
ACC) cr 1 V� 1 I d 'o / il l4/t Log hg (gas) 2332 •
V Jan— 11 '/ r li • Wood/pellet stove 33.39
VI/ Yip
- Wood fircpiacefmsert • , 2332
Chimneylliner/fiudvert 23.32
.PRO Other; 23.32
Name: Lei' .Property fd�rA I nc. Environmental exhaust and ventilaton
Address: 2.1./01$ S. r Point -Range hood /other kitchen
equipment 33.39
City/State/ZIP: act q-(0i . Clothes .dryer exhaust . 33.39
MD.* J Single -duct exhaust (bathrooms,
Phone: ( f Fax ( ) toilet compartments, utility rooms) 23.32
. Attic/crawlspace fans 2332
® APPI71GANi! . . , )� °P)L50N';'
• Business name: Same as contractor Other. 23 32
Fuel piping
Contact name: Diane Mason $14.15 for first four; $4.03 for each additional
Address: Furnace, eta
Gas heat pump
City /State/ZIP: WalVsuspended/unit heater ,
Phone: ( ) I Fax:: ( ) WaterLeater
Fireplace
E -mail: Ranp .
Barbecue
Business name: Tri County Temp Control Clothes.dtyer (gas) .
Other:
. Address: 13150 S Clackamas River Drive MECHANICAIS IP RNIIT FEIi S• .
City/ State/ZIP: Oregon City, OR 97045 Subtotal
Phone: (503) 557.2220 I Fax: (503) 557.0919 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
,ECB lic.: 72623 IA v- - State surcharge (12% of permit fee)
4 0 in G TOTAL PERMIT FEE CYJ•
Authorized signature: This pe rmit application expires if a permit b not obtain w itbio Igo
days after It has been accepted as compkte.
Print name: 1) i arri M901/ I Date: S(1 . Fee methodology set by Tri-County Building industry Service Board
t:ivadirgPmaasvdEGPnmitAppdo. 10/01/09 440.46171 (11/011COMIWEB)
110 30 T00 :301id 0961865£0S :01 6UtT000 pue 6ur2eeH :WOU3 WV WTI ZTOZ /91/S