Permit „ C ITY OF TIGARD MECHANICAL PERMIT
I� DEVELOPMENT SERVICES PERMIT #: MEC2006 -10003
a 611 . DATE ISSUED: 2/28/2006
-:; W4 ° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 134BC -00200
SITE ADDRESS: 12192 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Adding new rooftop unit with ductwork and gas piping. Project Value: $5,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: 45,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: H 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ELLIOT ASSOCIATES Description Date Amount
50 SW PINE ST SUITE 200 [MECPLN] Plan Rev 3/31/200E $35.38
PORTLAND, OR 97204 [MECH] Permit Fee 31311200E $141.50
[TAX] 8% State Surchaq 3/31/200E $11.32
Phone: 503- 972 -7192
Total $188.20
Contractor:
HUNTER DAVISSON INC
1800 SW PERSHING REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Contact #: PRI 503 234 - 0477
Reg #: LIC 01612
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
throu• •AR 952-6, -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 800 - 332 -2344.
Is . ued By: ' I / ,iL / Permittee Sign ture: / Warr ;
_
Call 503 - 639 -4175 by 7:00 a.m. for inspections that b •sines • ay.
This permit card shall be kept in a conspicuous place on the job si • until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MecJianical Permit Application FOR OFFICE USE ONLY
.City of Tigard Da ` y: , , ; e tei Permit No.: KeG,,,! _ , .5
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.196 / %
EC �° C I / Plan Review
Date/By:
Other Permit:
:•� `,���; � r
Inspection Line: 503.639.4175 . 14 �! I Date Ready/By: ®See Page 2 for
,'WI
�J
Internet: www.ci.tigard.or.us FEB 2 8 2006 Notified/Method: Supplemental Information
t ° k s' -i ' t , P :COMMERCIAL FEE* 'SCHEDULE -. USE CHECKLIST
❑ New construction NrAdcablfflattIftniclift18.10Plient Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
` ', Y :, '
t ■+ 1 , CATEGORY 'OF } CQNSTRU GTION Value: $ e
vela
/
RESIDENTIAL . EQUIPMENT / FEES*
❑ 1 - and 2- family dwelling jXr Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
r t . - JOB SLTE :WFMiM iIO Ar D LO CATION Heating/cooling
,, �J Air conditioning or heat pump
Job site address: 12 Q S0- SC_.I I�f Fe �„� (requires site plan showing placement) 14.00
City/State/ZIP: -fl- / o � 3 Or 7 2� ! Furnace 100,000 BTU (ducts/vents) 14.00
i !/r ) Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: old d 'Jf
�( �(, ,l, Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
a + , , ; DES' ON OF WORK , ' 5R Water heater 10.00
Gas fireplace 10.00
A dd, - .5 Diu e, tr ( r f 14/01,44- ka ` i_ Flue vent for water heater or gas
/ fireplace 10.00
i w 6' '( -p.'r / e , Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner /flue/vent 10.00
❑ PROPERTY OWNER [] : TENANT _ _ Other: 10.00
Name: Eik; of 45fOC fa 1 Environmental exhaust and ventilation
Range hood /other kitchen
Address: 9 $' {, ? nt_ JY C411-c- er--- equipment 10.00
City/State/ZIP: ' p /i.(a,,' .e),0 '7z,e95/ Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (j b7) 72 7/G7 Z- Fax: ( ) toilet compartments, utility rooms) 6.80
Atti / ace fans 10.00
. ... -„ ICANT .. , '0 CONTACT PERSON P
Other: 10
Business name: 6iAn lei /(((/// .Teizo, Fuel piping
�.Jf
Contact name: �1-S / n "` �
,,,i J' $5.40 for first four; $1.00 for each additional
ll�__ J Furnace, etc.
Address: / S E 7c,-' 4 ,'47.9 .I.1 ° Gas heat pump
City/State/ZIP:To i t/a lit / / a "f 7 2C )2- . Wall /suspended/unit heater
Phone: (v3) 5 341 Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR, Barbecue
C , Clothes dryer (gas)
Business name: J a
Other:
Address: MECHANICAL PERMIT FEES*
City /StaCity/State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: J c�• i 2._ State surcharge (8% of permit fee)
(/L � TOTAL PERMIT FEE
T his permit application expires if a permit EM I not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: eh" f! Cg � j Date:? ^2 7 ^Q 4 ( ` Fee methodology set by Tri- County Building Industry Service Board
i- \Building\ Permits \MECPcmtitApp.doc 12/03 440 -4617T (1 I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Paget = Supplemental Information . •
Commercial Fee Schedule:
kk; Lt't3t`�4 �
DAM al l;; luaUdn,. 4 Permit ee, fA, _
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\ Building \Permits\MEC- PermitApp.doc 12/03 2