Permit u CITY OF TIGARD MECHANICAL PERMIT
1 COMM DEVELOPMENT Pe rmit #: MEC2011 -00101
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/10/2011
Parcel: 2S102AD02700
Jurisdiction: Tigard
Site address: 8970 SW BURNHAM ST
Project: NW Refinishing Subdivision: BURNHAM TRACTS Lot: 5
Project Description: Replace air handler, repair ductwork as needed and replace 2 existing unit heaters with 1 175BTU heater.
Contractor: WILLAMETTE HVAC Owner: DDM ENTERPRISES, LLC
3075 SW 234TH AVE. #206 19885 SW CAPPOEN RD
HILLSBORO, OR 97123 SHERWOOD, OR 97140
PHONE: 503 - 628 -6841 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/10/2011 $229.69
Class of Work: ALT Type of Const: Plan Review 03/10/2011 $57.42
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/10/2011 $27.56
Stories: Info Process /Archiving - Sm Sheet (up to 03/10/2011 $5.50
11x17)
Project Valuation: $5,750.00
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 $320.17
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
Utility Notif • n 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 dire questions t. • UNC • / calf .g 503.232.1987 or 1.800.332.2344.
Issu By: ��� / � _
y: , "` �/ � � _ =� - Permittee Signature: r
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 A lication FOR OFFICE USE ONLY
City of Tigard AVE Da ?tWar�� -`
" Permit No.:
DateBy: _ / / A / % l Q
. . 'I 13 125 SW Hall Blvd., Tigard, 7223 Plan Review
■ Phone: 503.718.2439 Fax: 503.59 1 0 0 2011 Date/By: Other Permiy4 f/ / / DQdo r
1 I i; n t� Inspection Line: 503.639 M ,1A601
Date Ready/By: Jas 0 See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
r.ITI, OF ,I . iG Ma
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"1`YPilithit-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: $ $5,750.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE IN RMATIIOI AND . 1t. AT4O x ` t i Air conditioning
Air conditioning
Job site address: 8970 SW Burnham St (requires site plan showing placement) 46.75
Furnace 100,000 BTU ( ducts/vents) 46.75
City/State/ZIP: Tigard OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Old miller auto space Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: A L4J 2 tom r /J /s e /fi t- 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
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
Gas fireplace 33.39
Replace air handler with same capacity, repair ductwork as needed, and
Flue vent for water heater or gas
replace two existing unit heaters with one 175k BTU heater. no additional load. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
ti I*l Wl4IIt a NT Chimney/liner /flue/vent 23.32
Y l
. ... ' '..;_ 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
Business name: same as below Other: 23.32
Fuel piping:
Contact name: $14.15 for first four, $4.03 for each additional
Address:
Furnace, etc.
Gas heat pump
City /State /ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( )
Water heater
Fireplace
E - mail: Range
CONTRACTOR Barbecue
Business name: Willamette HVAC, LLC Clothes dryer (gas)
Other:
Address: 3075 SW 234 Ave Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP: Hillsboro OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 64964– 5- 495– State surcharge (12% of permit fee)
TOTAL PERMIT FEE 3 A,. 17
Authorized si afore: This permit application expires if a permit is not obtained within 180
>' days after it has been accepted as complete.
Print name: Michael Malstrom Date: 3/9/11 I * Fee methodology set by Tri -County Building Industry Service Board
is\ Building \Permits\MEC- PermitApp.doc 09 /09/10 440- 46I7T(11 /02/COM/WEB)