Permit (59) CITY OF TIGARD MECHANICAL PERMIT
m COMMUNITY DEVELOPMENT Permit #: MEC2013 -00248
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/13/2013
Parcel: 1 S 135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 525
Project: Suite 525 Subdivision: ASHBROOK FARM Lot: PTS 5 &
Project Description: Move (3) 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 05/13/2013 $78.27
Class of Work: ALT Type of Const: Plan Review 05/13/2013 $19.57
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/13/2013 $9.39
Stories:
Project Valuation: $800.00
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 $107.23
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 of started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t r les adopted by the Oregon
Utility No • -; •• _ - ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You / a obtain a copy of the rules
or di t questions to O C b -fling 503.232.1987 or 1.800.332.2344.
Is ued By: I�I Permittee Signature:
./AL
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 A t Ili 1 "tz12.0_. FOR OFFICE USE ONLY
City of Tigar Received l Date/By: O f 7 ! 1 3 Permit No.: M£ �► I g
111 q
13125 SW Hall Blvd., T 9722
Phone: 503.718.2439 Fax: 503.598. Plan Review
20 � DateBy:
A Other Permit:
TI G A R D Inspection Line: 503.639 I I + Date Ready/By: Jung: ® See Page 2 for
Internet: www.tigard - or.gov CI • . TIG Notified/Method: Supplemental Information
'D
TYPE B�f OF ' DIVISION COMMERCIAL 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
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhe d, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling - Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
116-p �,� Air conditioning 46.75
Job site address: Furnace 100,000 BTU ( ducts/vents) 46.75
City /State /ZIP: / L y (7/ 4 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: �.c Project name: Heat pump 61.06
� Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler (radiator or
vvv eem (,, hydronic) 23.32
Unit heaters 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 o Flue vent for water heater or gas
/� ?Q �1
�7 4 //< fireplace 23.32
[�� / 6/ Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
❑ 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 /crawlspace fans 23.32
)53 APPLICANT CONTACT PERSON Other: 23.32
( Fuel piping:
Business name: O $14.15 for first four; $4.03 for each additional
Contact name: rj,,,. / . /�„Q� Furnace, etc.
Address: (�1�J "�K Gas heat pump
Wall /suspended/unit heater
City/State /ZIP: Water heater
Phone: ) 7 06 y Fax: : ( ) Fireplace
Range
E -mail: r / ia—i- / v, j - 2of C✓gt,. A �/ f , (.�'Y� Barbecue
CONTRACTOR 7 Clothes dryer (gas)
/, ee ' Other:
C7
Business name: (` X� MECHANICAL PERMIT FEES*
Address: q / ' J ` ! n .(,/ / Subtotal
Ai l
City/State /ZIP: LL l (I '0 ��1 ���/l vl ' 7l/ 3— Minimum permit fee ($90.00)
t' / 1 ` j- / Plan review (25% of permit fee)
Phone: ( / ) 6 / / ! Fax: ( ) State surcharge (12% of permit fee)
CCB lic.: vv / / ` / / TOTAL PERMIT FEE /Q •
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri- County Building Industry Service Board
Print name: / /4.." / .,( ri tl c - Date:
I:\Building\Permits\i C_PermitApp_0401I3.docc 44 6 17r 1 /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
i 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.
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