Permit sipi''' a CITY OF TIGARD
MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00419
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/12/2008
PARCEL: 2 S 113AA - 00400
SITE ADDRESS: 16240 SW 72ND AVE B2 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT: 018 JURISDICTION: TIG
PROJECT: PRODUCTION TOOLS
Project Description: Replace existing RTU with like kind. Project Value: $3,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WMI
PORTLAND, OR 97224 [MECH] Permit Fee 8/12/200E $95.50
[TAX] 12% State Surch 8/12/200E $11.46
[MECPLN] Plan Rev 8/12/200E $23.88
Phone: Total $130.84
Contractor:
OREGON HEATING & NC
PO BOX 397. -
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503- 691 -8556
Reg #: LIC 172126
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
C I / O
Issued / A Permittee Signature: 4-7
Call 503.639.4175 by 7:00 a.m. for inspections 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 OFFICE USE ONLY
~l
City of Tigard Date/By: � ' �' " 13125 SW Hall Blvd., Tigard, O Per No.: f / • «1?
)i'�
F J \J R
: I C Plan Review
Phone: 503.639.4171 Fax: 503.9:.Lt. ,1'; Date/By: Other Permit:
T I G A R D Inspection Line: 503.639 AUG Date Ready/By: BE SI See Page 2 for
Internet: www.tigard- or.gov G 1 1 • Notified/Method: Supplemental Information
TYPE OlIRIN ► ,1 C I (�� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ esiO fa K y l; t ` P Mechanical permit fees* are based on the value of the work
New construction Addition tion lacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, oxerhhe ,a and profit.
C RY OF CONSTRUCTION
Value: $ � bl4'!/g',
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: 6.2,Lj e n Air conditioning or heat pump
1 (requires site plan showing h placement) 14.00
City /State /ZIP: ir037X ✓ Fumace 100,000 BTU (ducts/vents) 14.00
_l ' t
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: � /2/"I'")/ l ? J Gas Gas h heat pump 14.00
Cross street/directions to job site Duct work 10.00
Hydronic hot water system 14.00
/ / �t Residential boiler r (radiator or
l� (' hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
��.9 // 4'4 4 - � f Gas f vent water heater or gas
fireplace 10.00
!
`/ !/ le-)-2/1 Flue vent for
Q�GOG 2 / �� .11b J � 1 A 1 JT L l igh 10.00
Vc.- J� U Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
PROPER OWNER ❑Np Chimney/liner /flue /vent 10.00
Other: 10.00
Name: // � Environmental exhaust and ventilation
Address: v Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT CONTACT PERSON Attic /crawlspace fans 10.00
10.00
Business name: Other:
, Fuel uel piping
Contact name: /' �J 1 $5.40 for first four; $1.00 for each additional
Address: � V Fumace, etc.
Gas heat pump
City /State /ZIP: WaWsuspended/unit heater
rrli j// r / Water heater
Phone: ) O -! �S L(/ !/ Fax: )
am /� �,, / �// ,, / Fireplace
E -mail: 7 /1i�T" / !��if ,. (' t,4 Range
CONTR f Barbecue
Business name: j l�f Clothes dryer (gas)
(/ T Other:
Address: ,- , MECHANICAL PERMIT FEES*
City /State /ZIP: FJ /i��� / / / J / �f ?A-( Subtotal
CS/ / / Minimum permit fee ($72.50)
Phone: (,.&-i 5 it ,l Fax: ( co, 53' 2/ Plan review (25% of permit fee)
CCB Iic.:: ( 7--/ 7.---/40 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: C days after it has been accepted as complete. .7,
Print name: - C--/1 1 14 Date: T 61 ) �j �� � • Fee methodology set by Tri-County Building Industry Service Board
t:t Building \Permits\MEC- PermitApp.doc 01/19/07 44 7T 1 /02/COOM/WEB)
Mechanical Permit Application - City of Tigard
•
•
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and •
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD v .
BUILDING DIVISION PERMIT #: MEC2008.00419
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/20013
Phone: (503) 639- 4171aggV
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/14/2008 TIME: 7 :OOAM PAGE 9
SITE ADDRESS: 16240 SW 72ND AVE B2
CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT # : 018 TYPE OF USE:
PROJECT NAME: PRODUCTION TOOLS
DESCRIPTION: Replace existing RTU with like kind. Project Value:: $3,000
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: OREGON HEATING & NC PHONE #: 503-538 -2963
Inspection Request Scheduled For: Date: 8/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074196.01 503.849 -8162 N
Corrections/Comments/Instructions:
, A S e` rov� cA..- S
1
L S a - P, na-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 5 Date: /Yt4. -s 0 '5 Phone #: (503) 718- -123