Permit CITY OF TIGARD MECHANICAL PERMIT
0, COMMUNITY DEVELOPMENT Permit #: MEC2010 -00371
T i G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2010
Parcel: 2S102BD00701
Jurisdiction: Tigard
Site address: 12785 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Spec Space
Project Description: RTU replacement.
Owner: FEES
THE HOLLAND INC Description Date Amount
109 WEST 17TH STREET Permit Fee 08/18/2010 $263.41
VANCOUVER, WA 98660 Plan Review 08/18/2010 $65.85
PHONE: 12% State Surcharge - Mechanical 08/18/2010 $31.61
Contractor:
PORTLAND MECHANICAL CONTRACTORS
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222
PHONE: 503 - 656 -7400
FAX: 503 - 655 -0620
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: Vent Systems: Total $360.87
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 copy of the rules
or direct questions to e-. C by calling 503.246.6699 or 1.800.332.2344.
AIF
Issued B' / Permittee Signature: ._ 7 ` r
Call 503.639.4175 by 7:00 a.m. for an inspection that b iness day.
This permit card shall be kept in a conspicuous place on the job site ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
07/27/2010 1i:39 5036550620 PMC GROUP PAGE 02/03
Mechanical Permit Application FOR OFFICE liSE ONLY
City of Tigard
. 13125 SW Hall Blvd., Tigard, OR 97223 - RECEIVE b :atemivedy: zffliffflan Permit No: EC i • _ ,• 37
1 1 11
: Ili Phone: 503.639.4171 Fax: 503.598.1960 Plan Review , rig
DateRly; IF,Arimmi Other Permit: g v • io - oc to .
Inspection Line: 503.639.4175
TIGARD JU 1 2 7 ' 71r1 Date Ready 7.: „, „ijr, BM El re 'age 2 for
Internet: www.tigard-or.gov .
1 ' `• Notified/Methoder a /0 " Supplemental information
....-...:
• ' .' . ' '''.. ' "'''' •'"" ' .:-.' .'. ".''''' ' '" wt ifffiLDINr ijiVIS'64" ' ' '''' ' '' °.t431t*ktIAL '' lit .1"
Mechanical permit fees* are based on the value of the work
0 New construction 10 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
O Demolition 0 Other: mechanical materials, equipment, labor, overhead, ad profit.
''.:'''.;'., :' : .: !:.-:::-;:', i:si;' l'ii !:'etitdoitV.4ifiq4fild'effer4i !:, ' :. . ' i; : -.. 'El'...',. :• . :' .] Value:
..'
0 1- and 2-family dwelling E] Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder D Other: ' Description 1 Qty. 1 Ea. 1 Total
. .
49BilOilt " 1 • '. ::: : :i ' ' '."-' HeatinWcoolina .
Air conditioning
Job site address: 12785 SW Pacific Hwy (requites site plan showing placement) 46.75 ,
City/State/ZIP: Tigard, OR 97223 Fumace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt, no.: Project name: Burgerville #45 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 _
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other. 23.32
Tax map/parcel no Other fuel appliances
::.:1; i; .•:.; v, :!ri od i onumsot.., 1 4,00 , ..,:, :. . , . i , : :. „. :: .:: i Water heater 23.32
Gas fireplace 33.39
.
Replace existing RTU w/7.5 ton gas package RTU. Plans on file w/City of Tigard. Flue vent for water heater or gas _
Attached to permit riBUP2010-00106. c)(, \043 , fireplace 23.32
Log lighter (gas)
23.32
A
Wood/pellet stove
33.39
s , /
0‘ et Ir 6 . Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
:PROPERIVOWNER ,.:.:.,, 1 ,''',.,' • IS1:: TENANT': , ' • " Other: 23.32
Name: Burgerville #45 Environmental exhaust and ventilation
Range hood/other kitchen
Address: 12785 SW Pacific Hwy equipment 33.39
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 -
_,,_ 23.32
OPUPAIST;: ;', , .: . 1, iF.:;. :i; ! i ::::::,:i' PERSON ' .: AnicicrawilsPace fans
Other: 23.32
Business name: Portland Mechanical Contractors Fuel piping
Contact name: Dave Brannon 514.15 for first four; 54.03 for each additional
Furnace, etc.
Address: 2000 SE Hanna Harvester Drive
Gas heat pump
City/State/ZIP: Milwaukie, OR 97222 Wall/suspended/unit heater
Phone: (503) 656-7400 Fax: : (503) 655-0620 Water heater
. Fireplace
E-mail: davidb@pmc-g.com Range
CONTRACTOR : :: : :: . . - - B ar b ecue _
Clothes dryer (gas)
Business name: Same as above. ,
Other:
Address: ' - • wcitiivitk
City/State/ZIP: Subtotal 6/ (Q% 141
Minimum permit fee (590.00)
Phone: ( ) Fax: ( ) Plan review (25% of pennit fee) 71-
CCB lic.: 151807 toil State surcharge (12% of permit fee) •4 • ( I
TOTAL PERMIT FEE
This permit application expires if a permit is not obtalwithin 180
Authorized signatur days after it has been accepted as complete.
ry
Print name:Ator i--adota/P7 Date: 747Xc') • Fee methodology set by Tri-County Building Industry Service Board
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