Permit CITY OF TIGARD MECHANICAL PERMIT
. .. COMMUNITY DEVELOPMENT
Permit A: MEC2010 00433
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/01/2010
Parcel: 2S101 DCO3703
Jurisdiction: Tigard
Site address: 13500 SW 72ND AVE 250
Subdivision: BECK BUILDING Lot: 0
Project: Beck Group
Project Description: Replacing 5 -ton and 3 -ton RTU's.
Owner: FEES
BECK, TOM L Description Date Amount
13500 SW 72ND AVE Permit Fee 09/01/2010 $398.51
PORTLAND, OR 97223 Plan Review 09/01/2010 $99.63
PHONE: 12% State Surcharge - Mechanical 09/01/2010 $47.82
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE: 503 - 692 -1565
FAX: 503 - 691 -1879
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas 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 $545.96
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 Not - - '• - - - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or di - questions to OU ' • . fling 503.246.6699 or 1.800.332.2344.
sued By: , , 1, ' i _�-` Permittee Signature: AI
I
Call 503.639.4175 by 7:00 a.m. for an inspection that busine d.�(.
This permit card shall be kept in a conspicuous place on the job site until comp/- ion of the project.
Approved plans are required on the job site at the time of each ins . action.
x.
,
Mechanical Permit Application .
FOR 011 I( USE ()N 1.1'
City of Tigard ' 1 " , , • D Rece m iv , , ),G to , . cmg rognman,
• 9 13125 SW Hall Blvd., Tigard, OR 97223 ate
•
• t Phone: 503.639.4171 Fax: 503.598.1960 , Plan Rela ew „ e,' , In
re Other P ."nu t.
AW44111 ri IA . -
r 1 ci A k b Inspection Line: 503.639.4175 OCI 1
A:late Ready :y: ,..., Ilin ra See Page 2 for
Internet: www.tigard-or.gov
, t . Natific(VMethed: % h / lir iv , Supplemental Information
111 New construction ail Addition/alteration/replacement Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition El Other:
mechanical materials, equipment, labor, overhead, and profit.
• 4•104, itri:rdffer ...''. :321 12* ,4 44.Mil i rati •:,;:;; . -- - -, tr• • - •,;.• •-Value: $-,. ;6 ; a.; • in' - • - • •••■:,
..'-.S' rchateratanlartg=1"Li.
0 1- and 2-family dwelling gi Commercial/industrial 0 Accessory building
For special information use checklist.
El Multi-family 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
• .
1,- Q4141tatk.0.089*:,4AW e :' Ii4,-. IteelD4W4V1V-itiW ,,, .'' ?-iR'sN a ', Headnec09lint
Air conditioning
Job site '1'3 500 .5 ‘ 72, ' A}J . 6 ' - ' . ' " . '
(requires site plan showing placement) 46.75
City/State/ZIP: -7-11,4410 cliZ 6 /72 - z- Furnace 100,000 BTU (ducts/vonta) 46.75
Furnace 100,000+ BTU (ducts/vera) 54.91
Suitc/bIdg./apt. no.: I Project name: p p eoraem e ..
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
h dronic 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 n ppliances
; - !vcfrorogri
4A
vieva; . 'l'i` 1 7 7 Tik t ki . :`.,:41: e i Water heater 23.32
.::,•1:-'.'.:.'r;,-4,-P,%: ,,,,.: J, Ir, :‘,... w. 5f,:-/t,... .. . ,.,.. + - . .r. . .,=a2ma.. , , ivr . YP',' ,,-,• Gas fireplace
33.39
g (I) 5704 um ir Ax40 CO 3 ("AD cr Flue vent for water heater or gas
fireFilace 23.32
fu vix5-- (60T-5 aic-TvkivieW. AAU 64,483 Log lighter (gas) -
23 32
_ .
_ Wood/pellet stove 33.39
• Wood fireplace/insert 23.32
• ' - -(4 ,.- A, e ■ PP' ' . '. k•;,■': tgiett \' , e , '‘ . A.,.*: 6, ,,k,:; \ :,,, , , , Chimney/liner/flue/vent 23.32
?•'''' ' Tf.7410 i: 4 i'j, , . ,, t-'0-.:,q,'; r ;;Aidlo.4z' ?,,,, TX 0 3 - . .J . *A.>A7 .. '‘, " 0 other: 23.32
Name:
Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bedrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
., :-F , R",'1•.` --, • - i' -.': , r'e.,.31:ef1 IatiligArZ.•`PrZ5V.Mat alZW2e&goirmWiraiiiltriai-WW4W. Attic/crawlspace fans 2332
"i?'•Nt ... , " , "q", , Mq. , ; , ': , 02 4 1.-Iert.M1 - lerf$1, , MM'$ , .,;,hatir , sm14 , ,t;
Other: 23.32
Business name: i e l e, ,,, ge j 1 cA i
Fuel piping
Contact name: &rp" 11coy
$14.15 for first fowl 54.03 fOr each additional
3 --- 746e -
Furnace, etc.
ari
Address: j 3 6‘... .i IV A lit77.0 ed Gas heat pump
City/State/ZIP: -T A l icr i „.4 O4 q 7 Wall/suspended/unit heater
Phone: (593 )6€12 -1 5- I Fax: : (6 -,9 Water heater
Fireplace
E-mail:
. • Range
l
,, 4
4,qt . . ; ,:t. ,...P t.' 1i ' it ,' ii#,A;';',. „ 40 Visvei 1 lisp6 ,IVAS Barbecue
`g'..:Y.1, : > .g. 4'w..41,4... 6U.;00/ riA'A. N.4:i, . * ^,
Clothes dryer (gas)
Business name: A t ele c .,i r obv /
Other:
...',,, -, ••• I
.'", '' ,;7....
Address : i fa
LE? .?3a. 44/ "To Ai /Cri A/ Rd
.0*-4,4 '4.....A. 4,, 9,- -...; V. N 7 4 ASMAW0:
City/State/ZIP: - 1 11 A 147 C70 6 1 766 Z Subtotal
Minimum permit fee ($90.00)
Phone: 603) 692.-1566- Fax: (6)3 ) 6c/ i e , ,
Plan review (25% of pcnnit fee)
.
CCB lic.: 4 i cf 3 . State surcharge (12% of permit fee)
TOTAL PERMIT FEE --er
. Thi application expires if a permit is not obtained within 180
Authori s permit zed signatut::7 ''',._.....,--__
days after it has been accepted as complete.
1 p nramr.• 1 noto• ely, Affi 1 * Fee methodology set by Tri-County Building Industry Service Board
"Pt- i' be A.Pyte( D 4-7