Permit "� CITY OF TIGARD
MECHANICAL PERMIT
n
sz ... COMMUNITY DEVELOPMENT Permit #: MEC2010 -00177
4T [ G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/21/2010
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 105
Subdivision: Lot: 0
Project: Fax Back
Project Description:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 Permit Fee 04/21/2010 $69.06
Plan Review 04/21/2010 $17.27
PHONE: 503 - 624 -6300 12% State Surcharge - Mechanical 04/21/2010 $8.29
Contractor:
PHONE:
FAX:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 6
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: Vent Systems: Total $94.62
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 b the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a c• o he rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: /A it V Permittee Signature:
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 . ,. , ,1 t)IZ LEI , 1 t,�Nl� � � 1, , V � ,. , � ;
tY g g Date/By: Ci of Ti and y: M n if _?/ do Permit No.4 ec . 2 0 • —c 1
° 1- - SW Hall Blvd., Ti ard, OR 972 R ECEIVE Plan Review
'; Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
p APR 21 2010 Date By:
I I � Ait o'. Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
- Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF *OWING 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, overhead, and profit.
C T DRY OF CONSTRUCTION r Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: f 2 V 5 GOz /,/t/ I 0 S Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: 7)72 --/d t,,- Fumace 100,000 BTU (ducts/vents) 46.75
/ r j Fumace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: /d c Project name: k b r Heat pump 61.06
Cross street/directions to job site: Iv Duct work 23.32
7 Z46/ Hydronic hot water system 23.32
Residential boiler (radiator or
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: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
t Gas fireplace 33.39
p �/e v) S / a id .211 a1t�k ✓lh Flue vent for water heater or gas
fireplace 23.32
Log 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: P(.tKU Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( Fax: ( . ) toilet compartments, utility rooms) 23.32
APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
/I Other: 23.32
Business name: 0/4 C Fuel piping
Contact name: ( ) s ..71' L «1 Li t-_ 514.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( I/5) F54-( I / t Fax: : ( ) Water heater
/ Q Fireplace
/' (
E- mail: \ (' C/� E C. ,(9- � `evaz,. - 1 . � Range
, (� CONTRACTOR Barbecue
• Business name: DA C. Clothes dryer (gas)
OA Other:
r 7
Address: �( MECHANICAL PERMIT FEES*
j/�
City /State /ZIP: 1 1 /,/► a - Y Z- ' 7/1 c -..-- Subtotal
Oil l / Minimum permit fee ($90.00)
Phone: ( ) Fax:( ) •
Plan review (25% of permit fee)
CCB lic.: _, 7
( .2 �� State surcharge (12% of permit fee)
1 6 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days a it has been accepted as complete.
Print name: /t t / / Date: W-Z„t/ 1, * Fee methodology set by Tri- County Building Industry Service Board
1:\Building\Permits\MEC- PermitApp.doc 10/01/09 l 4400- 4617T(1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit
$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.
1:\ Building \Permits\MEC- PermitApp.doc 10/01/09 2
4 .
• ® . ,..
& Air Conditioning
Faxback Ti
Scope of Work
Oregon Heating and Air Conditioning will perform the following scope of work:
1. Ducting and air - distribution as drawn.
Equipment Schedule
RTU1,2,3,4.5- Existing rooftop gaspacks
EF1- Existing rooftop fan Greenheck G85. Move to control "d" high speed. 550 cfm @ 0.125 esp.
Ventilation Requirements
RTU1-
Net 300 sft office @ 7 occ /1000 sft X 20 cfm/occ = 42 cfm
Net 130 sft conference@ 50 occ /1000 sft X 20 cfm/occ = 130 cfm
SA = 1000 CFM
RA = 828 CFM
OSA = 172 cfm total. Set at 18% OSA
RTU2-
Net 1040 sft office @ 7 occ/1000 sft X 20 cfm/occ = 145 cfm
SA= 1800 CFM
RA = 1655 CFM
OSA = 145 cfm total. Set at 8% OSA
RTU3-
Net 400 sft office @ 7 occ/1000 sft X 20 cfm/occ = 56 cfm
CITY TIGARD
SA = 900 CFM
Approved l
RA = 844 CFM p l"
OSA = 56 cfm total. Set at 7% OSA Conditionally Appro.cd
See Letter to: Follow
RTU4- Attached [ 11
Net 400 sft office @ 7 occ/1000 sft X 20 cfm/occ = 56 cfm
Permit Number: - zl Ivs
SA = 700 CFM Address: 2Q 5ti] CA20sn�/jI VN
RA = 644 CFM By: /+I�J Date: ./` 2 lQ
OSA = 56 cfm total. Set at 8% OSA
RTUS-
Net 1050 sft office @ 7 occ /1000 sft X 20 cfm/occ = 147 cfm
Net 150 sft recept@ 60 occ /1000 sft X 15 cfm/occ = 135 cfm
SA = 1530 CFM ,
RA = 1248 CFM o r COI L<
OSA = 282 cfm total. Set at 19% OSA
Page 1 of 1
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PHON n NUMBERS � MAILING ADDRESS OPERATIONS CONTRAC TOR LICENSE
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503 - 691 -9699 PO Box 241 19300 SW 118' Ave Oregon CCB 172126 '= 1800 Fornaee = =?-