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Permit CITY OF TIGARD MECHANICAL PERMIT `IA a COMMUNITY DEVELOPMENT Permit #: MEC2011 -00100 f G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/10/2011 T Parcel: 2S112DC00100 Jurisdiction: Tigard Site address: 15705 SW 72ND AVE Project: Bridgeport Distributing Subdivision: OREGON BUSINESS PARK III Lot: 2 Project Description: Relocate gas pack, duct modifications, raise unit heaters and extensive demo. Contractor: OREGON HEATING & AIR CONDITIONING Owner: PACIFIC REALTY ASSOCIATES PO BOX 241 15350 SW SEQUOIA PKWY #300 DUNDEE, OR 97115 PORTLAND, OR 97224 PHONE: 503 - 691 -9699 PHONE: 503 - 624 -6300 FAX: 503 - 691 -8556 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/10/2011 $398.51 Class of Work: ALT Type of Const: Plan Review 03/10/2011 $99.63 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/10/2011 $47.82 Stories: Info Process /Archiving - Sm Sheet (up to 03/10/2011 $3.00 Project Valuation: $12,000.00 11x17) 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 $548.96 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, . • • . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility N• ification Cen - T • - ules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may btain a copy of the rules or direc questions to OUNC call' g 503.232.1987 or 1.800.332.2344. Issued : c , / / i 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 Mil Ci of Tigard �� Dacei 13125 SW Hall Blvd. Tigard, OR 97223 t`, � � Si, �� 1. Phone: 503.718.2439 Fax: 503.598.1960 T j Plan Review Date/By: Other Permit: ' L, f-._... Y /_ T I G A R D Inspection Line: 503.639 0 %" Date Ready/By: El See Page 2 for ` Internet: www.tigard-or.gov 111 1 c L Notified/Method: Supplemental Information 1C \ EN TYPE OF WORK �Nt O '" ' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST �: Mechanical permit fees* are based on the value of the work El New construction A Addition/alteration/re�p1 performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: �� mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ j g- I'd RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- 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: Air conditioning Job site address: , (.. rJ S ' 51,1/ 2t 6i1 (requires site plan showing placement) 46.75 Z r � Furnace 100,000 BTU (ducts/vents) 46.75 City/ State/ZIP: aV �1dYd / 9 7 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: r ,e D ( S�'c 1 /�l./Ol- /� / C�T ` t ( Heat pump requires site plan sho pl 61.06 Cross street/directions to job site: Duct work 23.32 // / Hydronic hot water system 23.32 A /,Z,P 1 A/ 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 7 - �o/f /r �/ Gas fireplace 33.39 Flue vent for water heater or gas , - /1 _ G �/ 14 � O S fireplace 23.32 �[! Log lighter (gas) 23.32 5. /Zr(1 an /1 MCG kit Wood/pellet stove 33.39 y, exAee -r S /✓`G ,ae r 0 Wood fireplace/insert , 23.32 p PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 Name: ,�j 71-v /4 < i Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State /ZIP: Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: ( ) ( ) toilet compartments, utility rooms) 23.32 "APPLICANT CONTACT PERSON Attic/crawlspace fans 23.32 Business name: �( Other: 23.32 O r " Fuel piping: Contact name: (' L i L $14.15 for first four; S4.03 for each additional Address: Furnace, etc. Gas heat pump . City/State /ZIP: Wall/suspended/unit heater Phone: ( fol) vil O 7(, Fax: : ( ) Water heater /��' �j� Fireplace E -mail: /L,f a � " —/ /41 h, '" Range CONTRACTOR Barbecue Business name: ©p( A G Clothes dryer (gas) Other: Address: PP )Ni- -/.11 MECHANICAL PERMIT FEES* City/State/ZIP: / eye as/ G 7,/ S n,y Subtotal � Minimum permit fee ($90.00) Phone: ( 52J ') c � j `'7 I Fax: ( ) Plan review (25% of permit fee) CCB lic.: I -7 Z '7 /_ State surcharge (12% of permit fee) /y TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 • Zfr Authorized signature: days after it has been accepted as complete. Print name: �� j wr ') tA4 Date: 3 (d / * Fee methodology set by Tri County Building Industry Service Board l:\ Building \Permits\MEC- PermitApp.doc 09/09/10 440 4617T I 1 /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. I:\ Building \Permits\MEC - PermitApp.doc 09/09/10 2