Permit •
° ' I' MECHANICAL PERMIT
71 COMMUNITY DEVELOPMENT Permit #: ME02010 00040
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639:4171
Date Issued: 01/26/2010
Parcel: 1S 134BC00300
Jurisdiction: Tigard
Site address: 12264 SW'SCHOLLS FERRY RD
Subdivision: Lot: 0
Project: Snap Fitness
Project Description: Installation of (2) vent fans,. no plan review required per Dan Nelson.
Owner: FEES
FW OR- GREENWAY TOWN CENTER LLC Description Date Amount
PO BOX 790830
SAN ANTONIO, TX 78279 Permit Fee 01/26/2010 $69.06
12% State Surcharge - Mechanical 01/26/2010 $8.29
PHONE:
Contractor:
GIBB CONSTRUCTION & REMODELING INC
15755 SW SERENA WAY
TIGARD, OR 97224
PHONE: 503 - 407 -9686
FAX: 503- 549 -8986
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Electricity Units < 10000 cfm:
Gas Pressue: 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: 2 Vent Systems: Total $77.35
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 Notificatio nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct stions to 0 N by . g 503.246.6699 or 1.800.332.2344.
Issued y: Permittee Signature: 4 - 72: - .)(A,_ r-2(z,
— Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
��Total�Valuat><on z . " "Pertriit Fees
$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 �r
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.doc 10 /01/09 2
Mechanical Permit ApplicabiQu- CFIVF -
City of Tigard h r. Date/By: 7 l~ Permit No.:H&-,
° 13125 SW Hall Blvd., Tigard, OR 97223 c Plan Review
Phone: 503.639.4171 Fax: 503.598.196 JAN. 2 6 Z O 1 O Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: ®See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ~c Supplemental Information
C11 ill I)Ihlp- 9 Ql- ,
TYPE OF ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ❑ Add ition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Od Other: T mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ ZOO
❑ 1-and 2-family dwelling X Commercial/industrial E] Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi-family ❑ Master builder Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ZZ ( S HI LJG aLt-s' Air conditioning
• (requires site plan showing placement) 46.75
City/State/ZIP: 72-7- 3 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: I Project name: SµkP TNE~,n Heat um 61.06
Cross street/directions to job site: I Z 1 Sp~~ Duct work 23.32
H dronic hot waters stem 23.32
Residential boiler (radiator or
h dronic 23.32
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 46.75
Subdivision: _ Lot no.: Flue/vent for an of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
T
HWVPe_ - 1A.P C-* I FA#--J Flue vent for water heater or gas
fireplace 23.32
Lo lighter (gas) 23.32
Wood/ pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
Z 1 7 ll•~ J L't Ll C T lla'4 • equipment 33.39
City/State/ZIP: b ~ ID Q ZZY Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( 503) S2 y D 12t Fax: ( ) toilet compartments, utility rooms 23.32
❑ APPLICANT -fMCONTACT PERSON Attic/crawls ace fans 23.32
Other: 23
Business name: Gp'J ~r~Grf0J ~,~,~,a~,1.V (p 1 .32
Fuel piping
Contact name: PjQ) $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: 7 S s W GT. Gas heat um
City/State/ZIP: ~iL1rL7~ C7% Wall/sus ended/unit heater
Water heater
Phone: (51b'&~ G4VJ. R (pt(p Fax:: (tp'3) CJ 1-f-d2l $ ORg (a
Fireplace
E-mail: ~Cpypy~pN~,^ G-rtcr+ LdST Range
CONTRACTOR Barbecue
Business name: 009 ~•'P Ca•T1~a" &.T Iq=V%J '(Z~_.~IOD,A n/ Clothes dryer (gas)
Address: G7q►r1/~ C MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee ($90.00)
Phone:( ) Fax:( )
Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE 77- -6 tp
This permit application expires if a permit is not obtained within 180
Authorized signature / J days after it has been accepted as complete.
Print name: _ V~ 6 Z g Date: ( 21(o I *Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 10/009 440-4617T(II/02/COMMEB)