Permit CITY OF TIGARD MECHANICAL PERMIT
11 2 , COMMUNITY DEVELOPMENT Permit #: MEC2010 -00650
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010
Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6713 SW BONITA RD 206
Project: Thermal Supply Subdivision: NELSON BUSINESS CENTER Lot: 0
Project Description: Move (2) unit heaters and gas piping.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: WALTON CWOR NELSON 13 LLC
PO BOX 241 BY TTA/EPROPERTYTAX DEPT 735
DUNDEE, OR 97115 PO BOX 4900
SCOTTSDALE, AZ 85261
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/28/2010 $204.14
Class of Work: ALT Type of Const: IIIB Plan Review 12/28/2010 $51.04
Occupancy Grp: S-1 Occupancy Load: 12% State Surcharge - Mechanical 12/28/2010 $24.50
Stories: 1
Project Valuation: $4,900.00
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: 2 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $279.68
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. Special Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not s rted within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule / adapted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You ai J a copy of the rules
or d' questions • 'UN • c• • 503.232.1987 or 1.800.332.2344. /
Is• ued By: ..4 Permittee Signature: ]/
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.
Mechanical Permit Application voli oii io: t si.: ()Nis
City of Tigard 1 0EIVED Decei /�� Permit No.: (�� �
"� DateBy: �� r C ! �O S4
11111 • 13125 SW Hall Blvd., Tigard, OR 97223
• an ' eview ff `�
Phone: 503.639.4171 Fax: 503.598.196 Date/B i p l r 1
E C 14 2010 Other Permit:
r i � A it I > Inspection Line: 503.639.4175 Date Ready/By: "r--1-C. El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: -( !G Supplemental Information
CITY OF TIGARD
TYPE o Rl�a DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/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 Qroverh�ad, and profit.
CAE ORY OF CONSTRUCTION Value: $ g,
El
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
El I- and 2 - family dwelling Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 0 1 5/ nov Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: /1-- - Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: , ! Project name: S Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
7 j 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: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESC ION OF WORK Water heater 23.32
A/ (//) i Gas fireplace 33.39
e / Flue vent for water heater or gas
fireplace 23.32
L f < e/2- Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER l ❑ TENANT Chimney/liner /flue /vent 23.32
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: ( y toilet compartments, utility rooms) 23.32
APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
Business n e: Oh/A Other: 23.32
Fuel piping
Contact name: Cy/ /4 L $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall/suspended/unit heater
q Water heater
Phone: (.„ 3) t / (%& 'L I Fax: : ( )
J - / G> ,,� ,�,1 Fireplace
E-mail: / 7L 0 , /,( 1_ �� / l I , � Range
[[[ /� /� CONT Barbecue
Business name: a ' Clothes dryer (gas)
Other:
Address: IV try Z'1) MECHANICAL PERMIT FEES*
'/
City/State /ZIP: /�- / �,(�( 7✓ . it ( Subtotal —
Minimum permit fee ($90.00) �I"' r
..__ _
Phone: (y, Fax: ( ) Plan review (25% of permit fee) '51.
CCB lic.: /1/ ? ( 2, State surcharge (12% of permit fee)
TOTAL PERMIT FEE 2 G S
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete. ..
Print name: ( i / . / j ltir 4 . k . Date: { . 13 jv I • Fee methodology set by Tri- County Building Industry Service Board
I:\Building\Permits\MEC- PermitApp.doc 10/01/09 44 I7T( 1 /02JCOM/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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