Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00467
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2010
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 110
Subdivision: Lot: 0
Project: Spec Space
Project Description: Mechanical for TI.
Owner: FEES
G &S FC LLC Description Date Amount
16850 SW UPPER BOONES FERRY RD STE A Permit Fee 10/08/2010 $269.03
PORTLAND, OR 97224
Plan Review 10/08/2010 $67.26
PHONE: 503- 693 -0108 12% State Surcharge - Mechanical 10/08/2010 $32.28
Contractor:
JNB MECHANICAL INC
1304 NE 125TH AVE
VANCOUVER, WA 98684
PHONE: 360 - 433 -9067
FAX: 360 -433 -9439
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: B Occupancy Load:
Stories: 3
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $368.57
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 . • ' spended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No cation Center. • ose - • are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire- questions to OUNC • • •Ilin• 513.246.6699 or 1.800.332.2344.
Issue. By: ` _ /• I / ' 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.
Mechanical Permit Application FOR ()I••ICI.: USE (,!N1,\
City of Tigard Received
11 q Date/By: °t - Permit No.: u -- _ • , -
13125 SW Hall Blvd., Tigard, OR 97_ - C 1 0 ,1C) Plan Review �/ p Phone: 503.639.4171 Fax: 503.59SQ'i. c. Date/By: 4 f / , 7 (0 Other Permit: PfilAavi a( 7
T i G A R n Inspection Line: 503.639 • Q 'l� \O Date Ready By: I t Juris: El See Page 2 for
Internet: www.tigard-or.gov ��p p Notified/Method: 10 I '7 (fl 7.-x-62 Supplemental Information
p,RVIA, & L-vin fir R
TYPE OF WO1( ,( �F O`\0_ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ll�' Mechanical permit fees' are based on the value of the work
® New construction ❑ Addition/alterati . ent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: �`' mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $7,150.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 16083 SW Upper Boones Ferry Road
(requires site plan showing placement) 46.75
City/State/ZIP: Tigard, Oregon 97224 ii0 Fumace 100,000 BTU (ducts/vents) 46.75
Fumace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: (ltd I Project name: Spec Offic,111rPM Office 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: I Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Re -Duct the SA Distribution of two (2) existing fan Powered Boxes. Flue vent for water heater or gas
Install one (1) existing zone damper box and duct out the SA distribution fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT
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 (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
0 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: JNB Mechanical Inc. Fuel piping
Contact name: Jason Ellis $14.15 for first four; $4.03 for each additional
Address: 1304 NE 125 Ave Fumace, etc.
Gas heat pump
City /State/ZIP: Vancouver, WA 98684 Wall/suspended/unit heater
Phone: (360) 433 -9067 Fax: : (360) 433 -9439 Water heater
Fireplace
E -mail: jason@jnbmech.com Range
CONTRACTOR Barbecue
Business name: JNB Mechanical Inc. Clothes dryer (gas)
Other:
Address: 1304 NE 125 Ave. MECHANICAL PERMIT FEES*
City/State/ZIP: Vancouver, WA 98684 Subtotal
Minimum permit fee ($90.00)
Phone: (360) 433 -9067 Fax: (360) 433 -9439 Plan review (25% of permit fee)
CCB lic.: 176150 State surcharge (12% of permit fee)
• TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized f Q days after it has been accepted as complete.
o - r c rt....... 0111 1 • Fee methodology set by Tri- County Building Industry Service Board