Permit II CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00099
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2011
Parcel: 1S136CA01600
Jurisdiction: Tigard
Site address: 11655 SW PACIFIC HWY
Project: Raz Transportation Subdivision: Lot: 0
Project Description: Install NG hot water washer tee into existing 2 lb NG piping, add 35' of black pipe and 8" Class B vent through roof.
Contractor: AMERICAN EQUIPMENT CO. Owner: RAZ TRANSPORTATION
89 NE COLUMBIA BLVD 11655 SW PACIFIC HWY
PORTLAND, OR 97211 TIGARD, OR 97223
PHONE: 503 - 283 -4011 PHONE: 503 - 684 -3322
FAX: 503 - 284 -4074
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/15/2011 $102.83
Class of Work: ALT Type of Const: Plan Review 03/15/2011 $25.71
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/15/2011 $12.34
Stories:
Project Valuation: $1,522.00
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 $140.88
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 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 OUNC by calling 503.232.1987 or 1.8
Issued By: Permittee Signature:
Call 503.• 39.4175 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.
Mar 09 11 04:52p Mark Hagg f {�i:>GZ0 ?,840* " p.2
Mechanical Permit Application tJ IC C FOR / OFFICE USE ONLY
3� i s/,
City of Tigard Received / QC�
`•r R Plan By ? f, . A Permit No.: N �f!( D 0 ` /
• 13125 SW Hall Blvd., Tigard,OR
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: M „� Other Permit:
TIGARD Inspecti Line: 503.639 MAR 9 2011 Date Ready/By: taris 121 See Page 2 for
Internet: www.tigard- or.gov Nctified/Method: Supplemental Information.
..:, >.. -:.. : s b � - r :goti Ito .P " 6 Et Sr
x. Mechanical permit fees* are based onthe value of the work
❑ New construction L Addition /alteration/replacement performed. Indicate the value (rounded tante MAreci dollar of all
❑ Demolition ❑ Other: mechanical material .1 . ov . profit
# ,� $ j � -. . i � _ l fi 4 Value $
❑ 1- and 2- family dwelling ommercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
= : -: JOB L ' 4 { x' Hg;
. _ : :. S t 1 � • ° -• -~ J • _- A earin cond 'cooliag:
Job site address / ` �4"` J � (requires snc plan showing placement) 46.75
� i/ ` �E1� !L �� Furnace 100,000 BTU (duets/vents) 46.75
City /Sta te/ZIP: r 77:6 4 , e e . 7 43-,2-.7 Furnace 100,000+ BTU (dues/rents) 54.91
Suite/bldg./apt. no.: Project name: R / � � y Heat pump
(� A �/� (requires site plan showing placement) 61.06
Cross street/directions to job site: 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: I it no.: Flue /vent for any of above 23.32
Other: _ 23.32
Tax map /parcel no.: Other fuel appliances:
i_ a , _ x4, r ��; IllAlitIWOR ' 2 :4 .. 1: i.= qu. v i Water heater 23.32
f �/ / Gas fireplace 33.39
/it/.f 7.�1 f 4 (7 / A -T / 1 41x_r _ Flue vent for water heater or gas
Jil/(o �. g /_i�w/ c 2 La ,f L T-� Jvf. fireplace 23.32
Log lighter (gas) 23.32
'4' c .44,1 .4,� 1I 3S_/ J,l/ B4�v- , - ,-f � Wood/pellet stove 33.39
Wood fireplacciinsert 23.32
... : 1Lt : „ ”. .1 ,_ . 1. 5, a Chimney/liner/flue/vent Other: 23, 32
'
- :�_ 112'''
f �._
Name: / 7 /�A r a .� 47.-.,,,A& Environmental exhaust and ventilation:
Address: / f / Range hood/other kitchen
/ l (O .r �� equipment 33.39
City /State/ZIP: j J 69 ,� i , C. 7 2 a Clothes dryer exhaust 33.39
6' Single -duct exhaust (bathrooms,
Phone: (L 3' ) 4 ms (✓ 3 22_ Fax ( ) toilet compartments, utility rooms) 23.32
4: 5. = L Attic/crawl ace fans 23.32
_ Other: 23.32
Business name: r,02..f /Cq�1 .e n �,� /:., / rc Fuel piping:
Contact name: ��.��� l /� -r'� �J / 514.15 for first four; 54.03 for each additional
Address: tC / C ,war/A, , Furnace, etc.
City/State/ZIP: �" Gas heat pump
t�� ?l . t/��/ � � '�� / / Wall/suspended/unit heater
Phone: ( ,,2 �/ ,'/ Fax: : (S' ) , 3_ // f/ Water heater
E -mail f T T Fireplace
/.i • L .. n«/ c, I /i _AI" :%/ Range
. - .. , .r _e Y 1 14_ 0 Y _'__ ._. ;._ '1 _._ _. f -_ ; 'ill Barbecue
Business name: /IL- ,r A�yj Clothes dryer (gas)
r Other:
:�_.... itA3��' 11T,�'E1yS* is �
Address: a.; , ;
City /State /ZIP: . Subtotal
Phone: ( ) I Fax: ( ) Minimum permit fee (590.00) '. > -
Plan review (25% of permit fee) -
CCBlic.: t G . S / / State surcharge (12% of permit fee)
TOTAL PERMIT FEE 1,1(,-,-hg
Authorized signature: This permit application expires if a permit is not obtained within 18O
days after it has been accepted as complete.
I Print name: ( `(/ J gy
1 Date: �/, * Fee methodolo set by Tri- County Building Industry Service Board
r / /
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