Permit n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit #: MEC2010 -00321
Date Issued: 07/27/2010
TiGARI) 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
„., Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 200
Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project: Stash Tea
Project Description: Mechanical for TI.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee 07/27/2010 $333.66
PORTLAND, OR 97224 Plan Review 07/27/2010 $83.42
PHONE: 503 - 624 -6300 12% State Surcharge - Mechanical 07/27/2010 $40.04
Contractor:
ARJAE SHEET METAL CO, INC.
5510 SE MCLOUGHLIN BLVD.
PORTLAND, OR 97202
PHONE: 503 - 231 -7717
FAX: 503 - 230 -4888
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $457.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow t !rules adopted by the • ego
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Y. may ..tal .: •py of — ules
or direct questions to OUN by calling 503.2 • . • - • • • :00.332.2344.
Issued By: Permittee Signature: / 1,
Call %x' 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 j` V.V. FOR OFFICE USE ONLY
t Cl V . Received
`J of Ti g and 0 Iiatemy: 7 1 / i t r Permit No.: r , E � 3. ,..,
- (v " 00
13125 SW Hall Blvd., Tigard, OR 97223 t /
o
' h • Phone: 503.639.4171 Fax: 503.598.1960 00 1PIan Revie• ! ( . J 1 6 _
1
i" Date/By: r , t I ( O ther Permit Y
TIGARD Inspection Line: 503.639 0. t ,;`. ! ! e dy ey: '• See Page 2 for
Internet: www.tigard - or.gov O V `�1 ,ti vlethod: 7 ) ' Supplemental Information , rAll
TYPE OF WORK .... ..,i0V 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.
CATEGORY OF CONSTRUCTION Value: $ $9,500.00 •
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 16655 SW-1-7-2 AVE .7224a Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: ITC R Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 200 I Project name: STASH TEA
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: 1 Lot no.:
Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
MODIFY THE EXISTING SUPPLY AND RETURN DUCTWORK ABOVE THE Gas fireplace 33.39
Flue vent for water heater or gas
CEILING . PROVIDE AND INSTALL NEW THERMOSTATS. PROVIDE AND fireplace 23.32
Log lighter (gas) 23.32
INSTALL(1) DUCTLESS SPLIT SYSTEM FOR THE SERVER ROOM Wood/pellet stove 33.39
MODIFY THE EXISTING GAS SERVICE Wood fireplace /insert 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: PAC TRUST Environmental exhaust and ventilation
Address: 15350 SW SEQUOIA PARKWAY Range hood /other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503- )624 -3000 Fax: (503- )624 -7755 toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: ARJAE MECHANICAL
Fuel piping
Contact name: HEATH BURMEISTER $14.15 for first four; 54.03 for each additional
Address: 5510 SE MCLOUGHLIN Furnace, etc.
. Gas heat pump
City /State /ZIP: PORTLAND OR Wall /suspended/unit heater
Phone: (503) 231 -7717 Fax: : (503) 230 -4888 Water heater
Fireplace
E -mail: HEATH @ARJAE.COM Range
CONTRACTOR Barbecue
Business name: ARJAE MECHANICAL
Clothes dryer (gas)
Other:
Address: 5510 SE MCLOUGHLIN MECHANICAL PERMIT FEES*
City /State /ZIP: PORTLAND OR Subtotal
Minimum permit fee ($90.00)
Phone: (503) 231 -7717 Fax: (503) 230 -4888
Plan review (25% of permit fee)
CCB lic.: 60835 7 ,1 i ),_ State surcharge (12 %ofpermit fee)
/ , r =.�7�' TOTAL PERMIT FEE
Z 1�� `" ( � Z C' ' 'r `— This permit application expires co
bs if a permit is obtained within 180
Authorized signa ure .
days s after r it t has been accepted as complete.
Print name: +1f ' Date: - 1 * Fee methodology set by Tri -County Building Industry Service Board
I:U3uilding \Permits \MEC- PermitApp.doc 10/01/09 440- 4617T(II/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2,- Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit 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.
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