Permit a
CITY OF TIGARD MECHANICAL PERMIT
114, .
g COMMUNITY DEVELOPMENT Permit #: MEC2010 -00630
TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Date Issued: 12/14/2010
Parcel: 2S112DB00200
Jurisdiction: TIGARD
Site address: 15255 SW 72ND AVE
Project: Pittman & Brooks Subdivision: FANNO CREEK ACRE TRACTS Lot: 45
Project Description: Install new rooftop a/c unit.
Contractor: WINDRUSH CORP /AIR FLOW ENG. Owner: BROOKS & PITTMAN RENTALS
5687 SE INTERNATIONAL WAY 15255 SW 72ND AVE
STE #G PORTLAND, OR 97224
MILWAUKIE, OR 97222 -4645
PHONE: 503 - 786 -2899 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/14/2010 $285.89
Class of Work: ALT Type of Const: Plan Review 12/14/2010 $71.47
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/14/2010 $34.31
Stories:
Project Valuation: $7,800.00
Fuel Air Handlers
Fuel Types: 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 $391.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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
Utilit tfo Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or erect questions to ti N : • elfin. 503.232.1987 or 1.800.332.2344.
4 ueBy; Permittee Signature: dIdef
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
k • g ,,o
. A. ra'% - < r; 1
Mechanical Permit Applica a,CEIVE 0 � _ . FOR OFI ICE,USE ONLY
City of Tigard Received � ' / • permit No.: 61,2, _ IL l
C S
° 13125 SW Hall Blvd., Tigard, OR 97223D 7 2010 Date/By: : `- Q j n n` /0 - d L
PlanReview(�yJ( pig ( &YO`4 J 5
Phone: 503.639.4171 Fax: 503.598.1960 DateBy: ' �1y�, Other Permit:
. I . G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Read /B Juris: 2 for
Internet: www.tigard-or.gov Not if ied/Me thod: ®S Supplemental BUILDING DIV ISION 10 PP lement Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction XAddition /alteration/replacement 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, lab r, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $� G
RESIDENTIAL EQUIPME T / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder El Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
VS 5-5--- Aiq conditioning
Job site address:
S iA,J - -rZ /L d (requires site plan showing placement) 46.75
City /State /ZIP: 4 &A 6,72 1 za� Furnace 100,000 BTU (ducts /vents) 46.75
`� Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: r kg. 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: J Lot no.:
Other 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39 ii
1 NiS !./'E- p A-c-__ Flue vent for water heater or gas
fireplace 23.32
U L - 1VF /4-6-Al Log lighter (gas) 23.32
Wood/pellet stove 33.39
) Wood fireplace /insert 23.32
❑ PROPERTY OWNER I Chimney /liner /flue /vent 23.32
❑ TENANT Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: 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: ��(( �,,� y �
l"i' //��wf ( $6 OviA/an. ecis Fuel piping
Contact name: / % t V € � `f 5,3 g17- O ' L ' ,1) $14.15 for first four; $4.03 for each additional
"T C
Furnace, etc.
Address: �, '?C7
�`� / Gas heat pump
City /State /ZIP: - eq 6 7 Wall /suspended/unit heater
Phone: (�3) I Fax: : ( ) ST Z tsj 1_ Water heater
SA-Ail Fireplace
E -mail: V2,.-tic:j^/1C ,u Range
CONTRACTOR Barbecue
Business name f2ir ' - Other: dryer (gas)
`I �! Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: Gl ;r/�/_ State surcharge (12% of permit fee)
Z �/ TOTAL PERMIT FEE I
Thi permit application expires if a permit is not obtained within 180
Authorized signature:/ days after it has been accepted as complete.
�/ ������ Date: /2..- r• 0 *
Print name: �l/�� „` � Fee methodology set by Tri- County Building Industry Service Board
I:\Building\Permits\MEC - PermitApp.doc 10 /01/09 440- 44617T (11/02 /COM/WEB)
Mechanical Perlmit 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.
I: \ Building \Permits\MEC- PeimitApp.doc 10/01/09 2