Permit r q CITY OF TIGARD MECHANICAL PERMIT
` COMMUNITY DEVELOPMENT Permit #: MEC2010 -00548
1 IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/16/2010
Parcel: 1S136CD00102
Jurisdiction: Tigard
Site address: 11681 SW PACIFIC HWY
Project: TCBY Subdivision: Lot: 0
Project Description: Replace existing RTU with same.
Contractor: FIRST CALL HEATING & COOLING CO Owner: MCGRATH, STANLEY R ET AL
1650 NE LOMBARD ST BY WILLIAM FLOBERG
PORTLAND, OR 97211 834 SW ST CLAIR
PORTLAND, OR 97205
PHONE: 503 - 231 -3311 PHONE:
FAX: 503 - 286 -5194
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/16/2010 $319.61
Class of Work: ALT Type of Const: VB Plan Review 11/16/2010 $79.90
Occupancy Grp: A-2 Occupancy Load: 12% State Surcharge - Mechanical 11/16/2010 $38.35
Stories: 1
Project Valuation: $8,955.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: 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 $437.86
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 Notification Center. Those rules are set forth in • e - ! _ -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.2 ! . . : 00.332.2344. • Issued By' / Permittee- Signature: .
Cal 9.4175 by 7:00 a.m. for the next available inspection i a
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 1r . FOR� USE ONLY ,
City Of Tigard Date /By // ,2 f� I Permit No.:
13125 SW Hall Blvd., Tigard,O'f. ` _..,' 1�,, 0/��,+
Phone: 503.639.4171 Fax: 50 15 `" a , E S U E D Plan Revte )
` , �" , Date/Sy: ! l ( � CO Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Rea. / kris: Internet: www.ti ard - or. ov 2 2010 Notified/Method: y II I 5)I0 S SeePent l Information
g g NOV <iV Y / Supplementallnformation
!. r TYPEOe ct TIGARU ; ..; � L-
"riN COMMERC .E FEE SCHED ULE USECHEckLIST `
❑ New construction ®AdditioNA e I�aNtg� fit" Mechanical 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.
, , •� •fl; i: r CATEGORY OFCONSTRUCTION I' �;�
Value $ $8,955.00
RES ENTIAL EQUIPMENT / SYSTEMSFEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building .
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION ANDLOCATION x n Heating /cooling
Job site address: 11681 SW Pacific Highway Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: I Project name: TCBY
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
Subdivision: I Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
D ESCRIPTION OF` WORK" Water heater
Gas fireplace 33.39
Replace existing 5 ton Gaspack with same. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
x Chimney /liner /flue /vent 23.32
D 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
❑_APPLIGANT ...... ,. ;,:,:.:=',: • , � - CO PER SON �> Attic/crawlspace fans
��r
�, Atti
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address:
— Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Fax::
Phone: ( ) ( ) Water heater
Fireplace
E -mail: Range
.
CO■TRACTOR', Barbecue
Business name: First CaII Heating and Cooling Clothes dryer (gas)
Other:
Address: 1650 NE Lombard street MECHANICAL° - PERMIT /FEES* '
City /State /ZIP: Portland, OR 97211 Subtotal 318.21
Minimum permit fee ($90.00) 318.21
Phone: (503) 231 - 3311 Fax: (503) 286 -5194
Plan review (25% of permit fee) 79.55
CCB lic.: 102030 State surcharge (12% of permit fee) 38.18
1 f TOTAL PERMIT FEE 435.94
,, / This permit application expires if a permit is not obtained within 180
Authorized signature: f 1 days after it has been accepted as complete.
r * t
Print name: Jerry Rudolf 4 Date: 10/24/2010 Fee methodology set by Tri- County Building Industry Service Board
1:\ BuildingWPermits \MEC- PermitApp.dac 10/01/09 440 - 4617T (11 /02 /CO\IWEB)