Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00389
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/28/2010
Parcel: 1 S 127DD01200
Jurisdiction: Tigard
Site address: 10031 SW CASCADE AVE
Subdivision: LEVITZ BLDG Lot: 0
Project: Ultimate Electronics
Project Description: Replace (7) RTU's with new ductwork, gas lines and venting. Relocate (1) RTU and new
ductwork.
Owner: FEES
ULTIMATE ELECTRONICS Description Date Amount
321 W. 84TH AVE., STE. A
THORNTON, CO 80260 Permit Fee 09/28/2010 $3,192.71
Plan Review 09/28/2010 $798.18
PHONE: 303 - 412 -2500 12% State Surcharge - Mechanical 09/28/2010 $383.13
Contractor:
UNITED MECHANICAL LLC
4825 SW PACIFIC AVE
BEAVERTON, OR 97005
PHONE: 503 - 805 -8187
FAX: 503 - 389 -7956
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers 8 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: 4 Vent Systems: Total $4,374.02
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 . • . • wo • , be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issu • • -, or if work is suspen• : d fo • re the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
U ' ty Notification Center. Thos- l ules a - set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
, r direct questions to OUNC • - Ilin • 50 • 46.6699 or 1.800.332.2344.
Issued By: b Permittee Signature: 41 _d4
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 ApplicaU i of OFFICt: USE ONLY
City of Tigard A CI r, 0 4 2 010 Received Q
Date/By: U /0 Permit No.: H C 8 _ p Q g
13125 SW HaII Blvd., Tigard, OR 97223 y _ ••• v~
II Phone: 503.639.4171 Fax: 503.5 8< OF TIGARD Date/By: Ry / ' CP liZ71 Q Q�j r q 1 Other Permit: 6O 1,1 /D /�Q4
. 1 . 1(; I , ; ` RI , Inspection Line: 503.639.4175 Date Ready/By: 1 uds: ® See Page ( 2 for
—v!
. Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: / ,
Ca a ' ' L Supplemental Information
wir r^i
TYPE OF WORK 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.
Value: $ /20 000''
CATEGORY OF CONSTRUCTION /
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. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: I003/ 3(.4.) &Seadr Air conditioning
d{ (requires site plan showing placement) 46.75
City/State/ZIP:// /4O/ Furnace 100,000 BTU (ducts/vents) 46.75
��/ �[ c Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. n I Project name: /: ;m/a /[ L / Qj 2 �C /f/C.$ Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
f Q Hydronic hot water system 23.32
/r crt 10; t1q It Residential boiler (radiator or
o 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
� n Tu '/ !%Ill / Q �, Gas fireplace 33.39
O
n c ce_ 7 /t � 4, /era S a „t,P c cio)c�!(L Flue vent for water heater or gas
nn / d a fireplace 23.32
ai'aS 4;lC Y Log lighter (gas) 23.32
d enim , ,Q Wood/pellet stove 33.39
4 bat- - /Ala an Q � e� �uc / tc/ i Wood fireplace /insert 23.32
❑ PROPERTY O WNER / ) I Pi TENANT Chimney/liner /flue /vent 23.32
23.32
Name:
ei L O � Other: tea � rt /O:1 /G5 Environmental exhaust and ventilation
Address: 32/ ), gyr ni s/ Range hood /other kitchen
t/t: r! equipment 33.39
City /State /ZIP: /hvr,114i7 a g a Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (303) !/ /,. - 2505 I Fax: ( ) toilet compartments, utility rooms) 23.32
je APPLICANT l ja, CONTACT PERSON Attic /crawlspace fans 23.32
Business name: L///4 t �� ` // L Other: 23.32
t a /Ca Fuel piping
Contact name:���t /yNc / $14.15 for first four; $4.03 for each additional
Address: �} / � Furnace, etc.
fig/? 5 Sra Pa c i t/ /`J UC Gas heat pump
City /State /ZIP: pea v< /Ivy O4 77,005 Wall/suspended/unit heater
Phone: (503 ) SOS 8/87 I Fax: : (503 ) 389'_ 795, Water heater
/ / Fireplace
E -mail: a / /4 /C 0lieLa/// L • COfi'f Range
d CONTRACTOR Barbecue
Business name: J'�/ ` it n Clothes dryer (gas)
GGrl/ l ! C aat / L4 C. Other:
Address: J / �� f�l/C MECHANICAL PERMIT FEES*
City /State /ZIP: /g / . / / 0 /2 ,9 feV5 Subtotal
/ Minimum permit fee ($90.00)
Phone: (503 ) 305-8 / g7 Fax: (603) 3$1 -795, Plan review (25% of permit fee) _
CCB lie.: / X05115 ijtk ,, State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized sl atone' This permit application expires if a permit is not obtained within 180
!'� days after it has been accepted as complete.
/, Date: d h 6
8 „ 7 a _ 1 / • Fee methodology set by Tri County Building Industry Service Board
Print name����
1:\Building\Permits 7 � [NEC - PermitApp.doc 10/01 /09 440- 4617T(11 /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.
1:\Building\Permits\MEC- PermitApp.doc 10/01/09 2