Permit e CITY OF TIGARD MECHANICAL PERMIT
11/ 1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00088
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03!02!2011
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 200
Project: Angel Vision Subdivision: Lot: 0
Project Description: Move grills for new office space created.
Contractor: RELIABLE MECHANICAL Owner: ROBINSON FAMILY TRUST
13215 SE MILL PLAIN BLVD C -8 21360 NW AMBERWOOD DR
VANCOUVER, WA 98684 HILLSBORO, OR 97124
PHONE: 360 - 693 -7379 PHONE: 503 - 645 -8531
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/02/2011 $84.41
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 03/02/2011 $10.13
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $1,000.00
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 $94.54
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
applicab - = . • work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
iss nce, or if work is spende. or more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
ility Notification Center. ...e ru -s . e set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain y of the rules
or direct que tions to OUNC b c. ling 03.1987 or 1.800.332.2344.
ssued By: /A 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 FOR OFFICE USE ONLY //
City of Tigard Date/By: Q �( Permit No.: ! I tG� �/ / / /?C g Received M 13125 SW Hall Blvd., Tigard, OR 97223 - Plan Review �+ l� t w✓ (l
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: � (/f / /M �� !
y: Other Permit:
T I G A R D Inspection Line: 503.639 Date Ready/By: luris: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ /
CATEG I RY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling /2 Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 7 3 _.;i-,./ HI- Zt Y ( 13 ( (requires site plan showing placement) 46.75
City/State /ZIP: 1 7�' "d .(:),q Fumace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: / 1 i ' e / Vf 5,c4rN / ,L Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: 7z yv, 2 t' vt r Ductwork 23.32
H /� �r /i Hydronic hot water system 23.32
I l' I��7 '� r S �J �.�?�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
i /� ,j , �L , �,()�' Gas fireplace 33.39
! ove 5 /\t //s V f Y N et t2 L/V - e .5 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
PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 23.32
Other: 23.32
Name: I 7/ 15C.{. cr Environmental exhaust and ventilation:
�
Address: 21 Cc) . )(1 4 e � G� / �„PJ � d t Range hood/other kitchen
` equipment 33.39
City /State /ZIP: ,l'u15 w O� Clothes dryer exhaust 33.39
� � Single -duct exhaust (bathrooms,
Phone: ('9. ) ( (f 07 _ y Fax: ( ) toilet compartments, utility rooms) 23.32
a APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: g 44 L, /c Me 4 t.,. CG', r L c Other. piping: 23.32
Contact name: of i m $14.15 for first four; $4.03 for each additional
Address: / 3 2/5 5E 137• 1 p n /'J /r(J � 5 is C -0 537 Fumace, etc.
ty lV�� cz r e,-) / 6 Gas heat pump
City/State/ZIP: C V "V !, ' '( Wall /suspended/unit heater
Phone: (3CC)) G - 7 37 ^ Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: l/tt1A v' )- - r'+z. p ip ; c t/ PG .. 17 v-)5 (-c-5 Clothes dryer (gas)
Address: 3 /c ------ I J - L�/ 23 ypLL v � �— Other:
MECHANICAL PERMIT FEES* �� � /
City/State /ZIP: i% 7t 7/ ho f) / ?/2_ '5 Subtotal
....._____.
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: (� t ? 9.€(4 ' / /� State surcharge ge (12% of permit fee) /61. 3
� Y ( y TOTAL PERMIT FEE q� • 5 - 1 (
Authorized signature: , �� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: /7‘.,,,.., {'j) ci p- Date: 3/2_/// • Fee methodology set by Tri- County Building Industry Service Board
1:\Building\Permits\MEC- PermitApp.doc 09/09/10 440- 46177T(11 /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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