Permit CITY OF TIGARD MECHANICAL PERMIT
Is • COMMUNITY DEVELOPMENT Permit #: MEC2010 -00465
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 130
Subdivision: Lot: 0
Project: State Farm
Project Description: Mechanical work for TI
Owner: FEES
G&S FC LLC Description Date Amount
16850 SW UPPER BOONES FERRY RD SUITE permit Fee 10/08/2010 $1,719.78
A Plan Review 10/08/2010 $429.95
PHONE: 503 - 639 -0108 12% State Surcharge - Mechanical 10/08/2010 $206.37
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: 21
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 $2,356.10
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
issu - - , or if wor ' • uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
U ity Notification Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
• r direct questions to OUN by G 503. 46.6699 or 1.800.332.2344.
I sued By: � ,�� / _ l Permittee Signature: I _ �■
���� Call 503.639.4175 by 7:00 a.m. for an inspection that business • - AO
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 RE + � °
, ' ; IO lz o r l� l (,1: u' FF: o N 1. V
City of Tigard Received Qa
a 13125 SW Hall Blvd., Tigard, OR 97223 S E P 3 2010 3 / o Permit No./VE-6,0/0m 0 y
III C '�
Plan Review ��
Ph one: 5 03.639.4171 Fax: 503.598.1960 Othe Perini
D ate /B y : i- � to to �3� - 00/efb
TIGARD Inspection Line: 503.639 CITY OF TIGARD Date ReadyBy: ^ rum 21 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO N°t'fiedimethod: 04, / /o( 116." Supplemental Information
`iiek& Ji...)(, J..y .... 04...."..--., TYPE OF WORK (C OMMERCIAL FEE* SCHEDULE — USE CHECKLIST
�
® New construction ❑ Addition / alteration /replacement Jtdechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $64,213.00
1- 2-family dwelling Commercial/industrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ y g ® ❑ A ccessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 16083 SW UPPER BOONES FERRY ROAD Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: TIGARD, OREGON 97224 f�R� Furnace 100,000 BTU (ducts/vents) _ 46.75
r"
Suite/bldg. /apt. no.: #130 I Project name: STATE F TI Furnace 100,000+ BTU (ducts/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: RIGHT OFF OF UPPER BOONES FERRY ROAD Duct work 23.32
BY BRIDGEPORT VILLAGE 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
Subdivision: I Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
INSTALL EXISTING FAN POWERED AND VARIABLE VOLUME DAMPER
Flue vent for water heater or gas
BOXES FOR THE FIRST & SECOND FLOOR OF THE STATE FARM TI. fireplace 23.32
Log lighter (gas) 23.32
INSTALL ALL SA & RA DISTRIBUTION. PLENUM RA NO DUCTWORK Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER 1 0 TENANT Chimney/liner /flue/vent 23.32
Other: 23.32
Name: STATE FARM TI Environmental exhaust and ventilation
Address: 16083 SW UPPER BOONES FERRY ROAD Range hood /other kitchen
equipment 33.39
City/ State/ZIP: TIGARD, OREGON 97224 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: _ 23.32
Business name: JNB MECHANICAL INC. Fuel piping
Contact name: JASON ELLIS S14.15 for first four; $4.03 for each additional
Address: 1304 NE 125 AVE Furnace, etc.
Gas heat pump
City/ State/ZIP: VANCOUVER, WA 98684 Wall/suspended/unit heater
Phone: (360) 433 -9067 f 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
Phone: (360) 433 -9067 Fax: (360) 433 -9439 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 176150 3/ State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized si This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
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