Permit tY ���� �F ����® MECHANICAL PERMIT
:! �: '�. COMMUNITY DEVELOPMENT Permit MEC2010 00298
k � Date Issued: 07/01/2010.
• t-EGARcji 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S102AA01100
Jurisdiction: Tigard
Site address: 12035 SW PACIFIC HWY A
Subdivision: Lot: 0
Project: Tigard Auto Stop - Spec Space
Project Description: Moving unit heater'and shortening gas line.
Owner: FEES
TIGARD AUTO STOP PARTNERS Description Date Amount
2829 RUCKER AVE STE #100
EVERETT, WA 98201 Permit Fee 07/01/2010 $69.06
Plan Review 07/01/2010 $17.27
PHONE: 503 - 796 -2887 12% State Surcharge- Mechanical 07/01/2010 $8.29
Contractor:
OREGON HEATING & AC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 -691 -9699
FAX: 503- 691 -8556
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:' Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: 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: 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 by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-001-0100. You may obtain a of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B : / �,. . .�� -_ 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 W t', i i , " „1r,:,ba, r t YQ� ifip
, fir r , ,� ,� FOR`� , , .., . �.. , �, , ..,
t
•
CI of Tigard VD E 'ew Peiinit No.: �C DJ a OR 97223 Other Permit:
Phone: 503.639.4171 Fax: 503.598.19 1 � �O Other
T 1 G A R D, Inspection Line: 503.639.4175 A.W.- O + �' Date Ready/By: Mill ® See Paget for
Internet: www.tigard or.gov i) Notified/Method: Supplemental Information
' P
'T" I1 In
. + t TYPE•'OF" WOR D N Cl1� w ` COMMERCIAL F EE* ,SCHEDULE - iUSEi.CI-IECKLIST
Mechanical permit fees are based on the value of the work
❑ New construction XAddition/alteratidfikeplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical. materials, equipment, labor overhead, and!profit.
CA TEGORY,:OF'CONSTRUCTION' «. .: : Value: $ ... zip
❑ 1- and.2- family dwelling Commercial /industrial ❑ Accessory building RESIDENTIAL,EQUIPMENT./ SYSTEMSyFEES*
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
a ; • JOB' SITErr`INFORMATION LOCATION ' � Heating/cooling
• Job site address: / 2..,--3 ) c ly (/� G ,�/ 1.... l il/� Air conditioning
(requires site plan showing placement) 46.75
•
City /State /ZIP: — � /),./ Furnace 100,000 BTU (ducts /vents) 46.75
/ I ..,,-(1 / 4(144.4_14.--)2_
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 0 PrdJ`ect name: Heat pump 61:06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
64.a/ f' (l v t / e/ 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: I Lot no.:
Other: 23.32
Tax'map /parcel no.: Other fuel appliances
' ' DESCRIPTION OF WORK • - • _ .
. . . .
Water heater 23 32
Gas fireplace 33.39
F ake (14 j f ' � Flue vent for water heater or gas
I ) / L l 23.32
5 � 9'd' / � /``1 Q V �', y _I 1 i U r a� .Log lighter fighter (gas) 23.32
(-1Jir- ✓ Wood/pellet stove 33.39
�� �^f® j Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
' 1:1 .PROPERTY'_OWNER ❑ ,a` _ NANT •
., . . . . _ / '/ Other: 23.32
Name: 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
craw p s
APPLICANT' CONTACT.•PERSON` Attic/ Is ace;fan 23.32
)� /l Other: piping
23.32
Business•name: t�C�17� Fuel i ing
Contact name: . i / t i ' 3 r I � $14.15 for first four; $4.03 for each additional
Address: PP ,v I L� / Gas etc.
!'� T Ga heat pump
City /State /ZIP: /9Uy„ U f q 7/ C- Wall /suspended/unit heater 1 •
Phone: ( S) a L �i /_• L I Fax: ( ) Water heater
// rE' Fireplace
E-mail: eel (:tr-t . 1 _ a e � -A" L ' (b1 , .._- Range
- CO TRACTO .
` • Barbecue
Business name: I/'L�tiv� Clothes.dryer (gas)
Other:
Address: .
MECHANICAL`PE . , FEES*
City /State/ 'IP: Subtotal
Minimum permit fee ($90.00) s'ef_i00
— 7
Ph : ( ) Fax: ( ) — .
Plan review (25% of permit fee) 1_ . --7 J _
CCB lic.: 1 2 1,6, State surcharge (12% of permit fee) _ r
/ _ TOTAL PERMIT FEE _ L f.(7
This permit application expires if a permit is not obtained within 180
Authorized signature: ' , i days after it has been accepted as complete.
• Print name: f' Date: %I" '
Fee methodology set by Tri- County Building Industry Service Board
I:1 Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T 1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation:: P 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
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
RECEIVED •
JUL 0 1 -2010
CITY OF TIGARL _._.
BUILDING DIVISION
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RECEIVED
JUL 01 2010
CITY OF TIGARD
BUILDING DIVISION
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