Permit CITY OF TIGARD MECHANICAL PERMIT
.` �'! ° COMMUNITY DEVELOPMENT Permit #: MEC201000365
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/17/2010
Parcel: 2S101 BB01400
Jurisdiction: TIGARD
Site address: 12178 SW GARDEN PL, BLDG# 3
Subdivision: PARK 217 Lot: 0
Project: Colossae Church
Project Description: Add exhaust fan, relocate grilles & add demand ventilation.
Owner: FEES
WALTON CWOR PARK BC 8 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 325, PO BOX
Permit Fee 08/17/2010 $204.14
4900 Plan Review 08/17/2010 $51.04
PHONE: 12% State Surcharge - Mechanical 08/17/2010 $24.50
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: VB
Occupancy Grp: A -2 Occupancy Load:
Stories: 1
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: 1 Vent Systems: Total $279.68
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 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
Utilit 'cation Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obt in a c y of the rules
or erect questions to OUNtk . a in. 03.246.6699 or 1.800.332.2344. 1 ,,
I sued By: — /3 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.
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Mechanical Permit A t t lication � Toll 011:1 CI; USF ONI 1 ,
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City of Tigaard If , tin , Received
11111111 1 h' � ° Date/B •� 7 to
Permit No.: Nt eAvo ^ 00%5 -
13125 SW HaII Blvd., Tigard, OR ' ' ' '° y
: q Plan Review .
' Phone: 503.639.4171 Fax: 503.598.19n 2010 Date/By: l ''' t' el to Other Permit: /' q
6NAdlD" e 506,2C 4
. ( ; R 1> Inspection Line: 503.639.4175 JU L Date ReadyBy: r Juris: ® See Page 2 for
Internet: www.tigard - or.gov sss r Notified/Method: fl 1)1; O Or �G Supplemental Information
CITY OF 7 i..�P''t�i'sJ
\\\l(L (I CI l L/t (11"
TYPE OitAblik, UN l'01�.+! ` 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, vt rhead, and profit.
CA EGORY OF CONSTRUCTION Value: $ 60T)
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
,, ❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family Master builder ❑ Other: Description 1 Qty. I Ea. I Total
I t JOB SITE INFORMATION AND LOCAT ON Heating/cooling
r
Q Job site address: Air conditioning
' ( 1 I - 5 6a / It i P (requires site plan showing placement) 46.75
\City /State /ZIP: fl r . co t ) ' Furnace 100,000 BTU (ducts /vents) 46.75
r
o (/ at/AZJI I Furnac e 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: ,- /i &p Heat pump 61.06
J
Cross street/directions to job site: Duct work 23.32
x f4 jy(,{ [ / , 13 ] Hydronic hot water system 23.32
Residential boiler (radiator or
l
Subdivision:
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
Other: 23.32
Tax map /parcel no.: I Lot no.: Other fuel appliances
I DESCRIPTION OF WORK Water heater 23.32
I Gas fireplace 33.39
}� ( fyyk+� I FS "tom Flue vent for water heater or gas
• i 2 j � p ���� fireplace 23.32
LL Log lighter (gas) 23.32
� t:�� T 1 id Vb Wood pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner /Flue /vent 23.32
❑ PROPERTY OWNER ❑TENANT Other: 23.32
1 t Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 33.39
I
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
one: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
t - APPLICANT /CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Oh r / ' 1��1 Other. 23.32
l/ Fuel piping
I Contact name: P wL $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: (4; 7 ) / Q-1 j - j Fax: ( ) Water heater
J►►%% �� [� Fireplace
E -mail: /t / 0 ',, �-/1 15 I L Range
(fir
CON Barbecue
i
A Z Clothes dryer (gas)
I Business name:
Q Other:
Address:
l/ a V .1 i MEGHANICA FEES *
i M City /State /ZIP: / 7 /1-.5 Subtotal
, �0/61/ �� a Minimum permit fee ($90.00)
N. Phone: (' ) / 7
-3i ,ot Fax: ( ) Plan review (25% of permit fee)
CCB lic.: /
7 2-1 ./L State surcharge (12% of permit fee)
I TOTAL PERMIT FEE „27 ?• 6if
attire: This permit application expires if a permit is not obtained within 180
Authorized Si
e I days after it has been accepted as complete.
(: - __.1 `C� ` QA. ' Date: / - /
I
• Fee methodology set by Tri -County Building Industry Service Board
Print name: :\Buildin \Permits\MEC -Pemut . doc 10/01/09 440-4 I�/ /
1I /O22COMWEB
B APP ( )
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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