Permit CITY OF TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT Permit #: MEC2010 -00633
TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2010
Parcel: 2S112DA01200
Jurisdiction: Tigard
Site address: 15060 SW SEQUOIA PKWY
Project: Office Depot Subdivision: Lot: 0
Project Description: Replacing (8) existing RTU's - like for like. •
Contractor: AMERICAN REFRIGERATION INC Owner: PACIFIC REALTY ASSOCIATES
575 MARKET ST 15350 SW SEQUOIA PKWY #300
EUGENE, OR 97402 PORTLAND, OR 97224
PHONE: 541 - 688 -0939
PHONE: 503 - 624 -6300
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/17/2010 $1,896.57
Class of Work: ALT Type of Const: VA Plan Review 12/17/2010 $474.14
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 12/17/2010 $227.59
Stories: 1
Project Valuation: $71,380.00
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 $2,598.30
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Curbs
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 OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to 0 C by calling 503.232.1987 or 1.800.332. = 34 .
Issued By: `—� ermittee Signatu ^ l�
mp
Call 503.63• - . :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.
Mechanical Permit Applications FOR OFFICE USE ONLY
�
City of Tigard 0 � Date/By: d 7 PermitNo.: 3
II q 13125 SW Hall Blvd., Tigard, OR 97223 �� f/�>^car+ -clGtG
Phone: 503.718.2439 Fax: 503.598.A C� ' Plan Review
I` Date/By: i Q 1✓ l t^ / I jo Other Permit:
Inspection Line: 503.639.4175 ((( Page 2 for
T I G A R D Date Rea /B y: Juris: ®See P a g
Internet: www.tigard- or.gov ^ Q 1� Notified/Method: I!7) J q 7);: , Supplemental Information
( 1 6 ,to f Y�
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
y � j� ®F � ,,, q � � ®� M echanical permit fees* are based on the value of the work
❑ New construction - ddition/alter giS5 performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: lL• mechanical materials, equipment, labor, overhead and profit.
CATEGORY OF CONSTRUCTION —7 ( Value: $� � -
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwellin Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: / p c ,._� (requires site plan showing placement) 46.75
S� G _ s t� �� r
City /State /ZIP: �-y-° Furnace 100,000 BTU (ducts /vents) 46.75
/ � t � ( J �- n Furnace 100,000+ BTU (d ucts /vents) 54.91
Suite/bldg. /apt. no.: v Project name: 0 f Le 1� 1 4" Heat pump
v`�1"' (requires site plan showing placement) 61.06
Cross street/directions to job site: k5 va 4- r7 2 �, 644 s Duct work 23.32
r O Hydronic hot water system 23.32
L.F 2 . S--e- Cy U- y v 1:‘ Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: 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
.� aa )] I � Gas fireplace 33.39
�. y (-,c e _. v Jr t /4 u'Gr_.e____ erLu_ p •rw•a Flue vent for water heater or gas
1 fireplace 23.32
QL\ / — k` J e Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
ROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: a"t. _ c f t „ Environmental exhaust and ventilation:
Range hood/other kitchen
` `� �
Address: ! 5 . 5 c . ' 1t c r. / t� w � equipment 33.39
City /State /ZIP: -ll-) � 0 / Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
G I „'APPLICANT ❑ •CONTACT PERSON Attic /crawlspace fans 23.32
• Other: 23.32
Business name: A.y,,„ <P,,e-ail4r„--_
Fuel piping:
I Contact name: P__e v` 1.4c, . $14.15 for first four; $4.03 for each additional
r--
l 4 Address: 5 7 5 /2c' -/ .....4- Fumace, etc.
t/� s ( Gas heat pump
City /State /ZIP: l _ / cf� Wall /suspended/unit heater
Phone:
($t ff ) ( _ 0 9 Fax:: (5'7 q3 1 - 02 S 7 Water heater
'V y /� Fireplace
E -mail: ' 3_aN , � f-t f( 0.___ Gt "t " � - t ( (ivy , - Range
..----- -:;`,N CONTRACTOR Barbecue •
�� 1 Business name: ilj yA, N C ��� ■ . O( -±.�_ Clothes dryer (gas)
� c c.,,,,, ___ Other:
Address: 6 7 $ rno ,- MECHANICAL PERMIT FEES*
City /State /ZIP: C,L .�ti / e.." 7 74/0 L Subtotal
/ Minimum permit fee ($90.00)
j Phone: (5 t f O 6,s-s-_ p ` °t Fax: ( ) Plan review (25% of permit fee)
CCB lic.: J / `a,? 3 C of fi (I State surcharge (12% of permit fee)
/ t TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
11 * Fee methodology set by Tri- County Building Industry Service Board
Print name: �/�_ Date: f - 7- v 2 0/ o
1:\ Building \Permits\MEC- PermitApp.doc 09/09/10 / 440 -4617T (I I /02/COM/WEB)
Mechanical Permit 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.
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