Permit (44) q CITY OF TIGARD MECHANICAL PERMIT
11114 • COMMUNITY DEVELOPMENT Permit#: MEC2014 00291
I \R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2014
TC;
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 325
Project: Carter Counseling Subdivision: ASHBROOK FARM Lot: PTS 5&
Project Description: Move grilles and add grilles.
Contractor: OREGON HEATING&AIR CONDITIONING Owner: SUN LIFE ASSURANCE CO OF CANADA
19300 SW 118TH AVE BY NORRIS BEGGS&SIMPSON
TUALATIN, OR 97062 121 SW MORRISON ST#200
PORTLAND, OR 97204
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/11/2014 $90.55
Class of Work: ALT Type of Const: Plan Review 06/11/2014 $22.64
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/11/2014 $10.87
Stories:
Project Valuation: $1,170.00
Fuel Air Handlers
Fuel Types: 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 $124.06
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan.- . I work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule. adopted by the Oregon
• Notification -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You • ay .btain a copy of the rules
or direct questions to O b C b Ilipg 503.232.1987 or 1.800.332.2344.
Issued By: rit, k1;, Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application F()R oIFFicl.: I sl: ()NIA
Received (.f�1112 Mire l
City of Tigard Date/By: Permit No.: s
• 13125 SW Hall Blvd.,Tigard,OR 972 GA V Plan Review
Phone: 503.718.2439 Fax: 503.598.1 60 DateBy: Other Permit:
1 I o U 1 Inspection Line: 503.639.4175 JUN 1 1 2014 Date Ready/By: Juris 65 See Page 2 for
Internet: www.tigard-or.gov �j]r
TYPE OF Notified/Method: Supplemental Information
CITYOF C1(' U COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
r,DiVI, )? Mechanical permit fees*are based on the value of the work
❑New construction MOther:Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition mechanical materials,equipment,labor,overhead mid d profit.
Value:$ l 7b
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPME T/SYSTEMS FEES*
❑ I-and 2-family dwelling CommerciaUindustrial ❑Accessory building For special information use checklist.
❑Multi-family Master builder ❑Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
� � �� pS��' Air conditioning 46.75
Job site address: (�/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: r I f 1/yy4/l U,- Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: ( ' n
Project name: /7 Heat pump 61.06
�� l� Yl � Duct work _ 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
/M�2 vt/l hydronic) 23.32
L J 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
/��,�p ��
DESCRIPTION OF WORK Gas fireplace/insert 33.39
/%LI/!/'r ytt "`�/
Flue pvent for water heater or gas
(' fireplace 23.32
Log lighter(gas) 23.32
a � Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER f ❑ 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:( j4) Attic/crawlspace fans 23.32
d:1 APPLICANT CONTACT PERSON Other: 23.32
Business name: a 4/! Fuel piping:
) 514.15 for first four;54.03 for each additional
Contact name: ("7, it,/-,, /4 9') v Furnace,etc.
Address: ` Gas heat pump
Wall/suspended/unit heater _
City/State/ZIP: J Water heater
Phone:(g(J) f 7/ V Fax::( ) Fireplace ,
yy Range
E-mail: C/`�/ �- i '2 l iClf/ 1 i. 1 Barbecue
G
CON CT"OR Clothes dryer(gas)
7 / n Other:
Business name: �./ (" MECHANICAL PERMIT FEES*
Address: Si (---2' ,74. ---1}1/ Subtotal ;/YS
City/State/ZIP: l Minimum permit fee($90.00)
Phone: / .a t // Plan review(25%of permit fee) „ZILI
( ) u7 /I �L Fax:( ) State surcharge(12%of permit fee) ir,
Lam- /
CCB tic.: / `7) TOTAL PERMIT FEE jig-C7) ,This permit application expires if a permit is not obtain within 180
days after it has been accepted as complete.
Authorized Signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: (/ I-c f `4 ) _,/ y Date: ( % )4(
L\Building Permits�C_PermitApp_040113.doc 44
(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$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
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(2) ftf t (1) siippii _< 4- Q) & ez- ` KEY NOTES:
O DASH ► LINES INDICATE EXISTING PARTITION OR 0:. CT TO BE
1 REMOVED.
JJ > L 71 V J O PROVIDE AND STALL NEW BUILDING STA aARD CARPET,BASE,
V AND PAINT THRO i HOUT
OFFICE • OFFICE OFFICE OFFICE
Gr , ' U,t� '_ O3 N
PROVIDE AND INSTALL EW PARTI ' . a
` fi la's �` j ID `"�' • �`�' io" Q PROVIDE AND INSTALL NEW : ILDINGST )14�pDR JT
Li _ l} ..� RECITE.
fill-11 T , = O5 PROVIDE AND INS L NEW 3'x 12"P . "' INARE C ,
34"AFF. ^' _1
1 T cv O6 VERIFY ISTING POWER AND DATA.ADD i '''0WN IF
1 • - • CURR• TLY AT LOCATION.
WORK SPACE - - _ _ _ _ �,.o1,,- C"/� O V''IFY LOCATION OF FIRE STROBE AND RELOCATE I ECESSARY.
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- �� �~� // � I \ADMIN ----I
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BREAK C2 ING N7r7 _STOR. �� I ! IP III Mine i Up$«={� I= -1I
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SCHEME C 3RD FLOOR
%fed Date Scale
SUITE 325 CARTER COUNSELING MAY 1, 2014 118" = 1'-0"
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