HomeMy WebLinkAboutMEC2024-00298 Permit Application Mechanical Permit Applic tECEIVEQ
City of Tigard A P 2 r! � Da is d ti as all rnec.any aqS
V 13125 SW Hall Blvd.,Tigard,
Permit No.:
OR 97223 Y
Nan Review q��r.�
Phone: 503.718.2439 Fax: 503.598.1460 �. 0 / Other Fermis;
� paie/By:
).1 GA li 0 Inspection Line: 503.639.4175 i rr Dale ed elhy Juris: See Page 2 for
Internet: www.tigard-0r.gov / Notificd/Method / Supplemental Information
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TYPE OF WORK a
r"�ERCIAL FEE* SCHEDULE-USE CHECKLIST i
• "f Mechanical permit fees'arc based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ®Other: Food Carts mechanical materials,equipment,labor,overhead,and profit.
Value:$ pay)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT!SYSTEMS FEES*
El 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building _For special information use checklist.
❑Multi-family ❑Master builder Eit Other: Food Carts Description _ I Qty, I Ea, f Total
JOB SITE INFORMATION AND LOCATION Air
c A nditi o ink:
— Air conditioning _ 46.75
Job site address: 11847 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(duetslvents) 54.91
Heal pump 61.06
Suite/bldg./apt.no.: LProject name: Carts on Broadway Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
NE Corner of intersection of Hall Blvd and SW Pacific Hwy , 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: I Lot no.: Other: _- 23.32
Other fuel appliances:
Tax map/parcel no.: 1 S135DD 00800 Water 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Food Cart Pod fireplace 23.32
- Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
Chimncy.!lincr'iluc/vent 23 32
Nj PROPERTY OWNER J 0 TENANT Other. 23 32
Environmental exhaust and ventilation:
Name: Shleifer Broadway LLC 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:( ) Atttckrawlspace fans 23.32
I4 APPLICANT 0 CONTACT PERSON Oilier. 23.32
Fuel i n :
_Business name: 7 Pines Plumbing, LLC _- SI4.1s for firs)four;f4.03 for each additional
Contact name: Jana Wingate/Derick Garcia Furnace.etc. T—
Address: 109 6th St Gas heat um -
WalVsuspendedlunst heater _
City/State/ZIP: Carlton, OR 97223 Water heater
Phone:( )971-381-0157 (0) 1 Fax::( ) 971-387-6230 (D) Fireplace
Ran c
E-mail: spplumbingllc@outlook.com;sevenpinesplumbing@icloud.com Barbecue
CONTRACTOR Clothes dryer(gas) -_
Business name: 7 Pines Plumbing, LLC Other200' Natural Gas Piping
MECHANICAL PERMIT FEES'
Address: 109 6th $t - Subtotal —
1—
City/State/ZIP: Carlton, OR 97223 Minimum permit fee(590.00)
Plan review(25%of permit fee)
Phone:( )971-381-0157 (0) I Fax:( ) r---
State surcharge(12%of permit fee)
CCB lie.: 236579/HVAC#CRE293 TOTAL PERMIT FEE
�-- - •— This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete.
Authorized signature — • Fcc methodology set by Tri-County Building industry Service Board
[Print name: ,J na Win to Date: -
I:Utuildineermits\MEC c 440.4617r(11 i02/COM/VER)