Permit CITY OF TIGARD MECHANICAL PERMIT
1114
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00233
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/27/2011
Parcel: 25101 DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 100
Project: Solutions Yes Subdivision: TECH CENTER BUSINESS PARK Lot: 2
Project Description: Adding (3) supply registers and (3) return registers.
Contractor: WILLAMETTE HVAC Owner: NORRIS & STEVENS
3075 SW 234TH AVE. #206 621 SW MORRISON
HILLSBORO, OR 97123 PORTLAND, OR 97205
PHONE: 503 - 628 -6841 PHONE: 503 - 223 - 3171
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/27/2011 $121.25
Class of Work: ALT Type of Const: Plan Review 05/27/2011 $30.31
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/27/2011 $14.55
Stories: Info Process /Archiving - Lg Sheet (over 05/27/2011 $2.00
11x17)
Project Valuation: $2,200.00
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 $168.11
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 o �� 4.
Issued By: - - .niittee Signature:
C . . 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 /B /
Permit No.:
- Phone: 503.711.2439 Fax: 503.598. 13125 SW Hall Blvd., Tigard, OR 9 ( � r .�1r� ` 1_ , 'if// _ 7;�� t J�� Plan Review
q
Date / Other Permit: .L / /`�
T I GARD Inspection Line: 503.639.4175 y V � �� 0 Date Read /B Juris. r• See Page 2 for
Internet: www.ti and -or. o Ready /By:
g g �� �� �1� ` , ` S� Notified/M � Supplemental Information
".770''' -a;:::•:: r �•a• HEDULE SE CHECws,Ti.
.; .... .:•..:•:�� „ � -, .,..,.,.; 1 �;;: ;� •�: MiVIEBCIAU °'F.E , SC �< .� ._ U ....r >.'�... ...M,. .,.....
., - -,. TYP -.WORK -; .,
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- , "��` � � ��`.% " "' � - " Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alterationIftplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $2,200.00
,' ;',' •. :;:.;s , CATEGORY OF: CONSTRUCTION ' . a• '" `
.... ;�BESTDENTIAL EQIjIPME FEES
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
O B E TN O N ti' Heating/cooling:
J SIT . FURMATION AND ° "(xiatI 'ki
,..;. ... . ..:.....:.:.: .... .:...: .: �.. .. A cond
Job site address: 7409 SW Tech Center Dr (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: Tigard OR 97224
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 100 Project name: Solutions Yes, LLC Heat pump
(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: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
Om—, ..., CRIP..TION:OF - URIC , -�.. �. - . ".?i ........ .... fireplace 33 39
' ,.� - Water heater
Add 3 supply registers and 3 return registers. Gas vent 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
,, ., „ .aA, ; ,, Chimney /liner /flue /vent 23.32
;r ' ®. 'PROPERTYF O W N ERF " - ' ' : -y ®:
T ; r,...,� ,� >. - -:•,.. 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
f` T,' "` \\< ®C6NTACj PER SON,: Attic /crawlspace fans 23.32
.....,.;; APPLIC� :'
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: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
<): '. CONTRACTOIZ Barbecue
.�.' - : -., .: -E, ::::.;,• ,;. `t4 -_
Business name: Willamette HVAC, LLC
Clothes dryer (gas)
Other:
Address: 3075 SW 234 Ave Suite 206 *', '%;y,:
;:;.� : `...., ,. .::;t£ ' 'NLECHANICAL PERMIT. FEES ".,,... ...,, ":s "= ` .:.
City /State /ZIP: Hillsboro, OR 97123 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 628.6841 Fax: (503) 848.2597
Plan review (25% of permit fee)
CCB lie.: 56951 State surcharge (12% of permit fee) '
r TOTAL PERMIT FEE ]�K � If
I This permit application expires if a permit is not obtain e� within 180
Authorized signature: 1 days after it has been accepted as complete.
Print name: Michael Malstrom Date: 5 /25/11 * Fee methodology set by Tri- County Building Industry Service Board
I. \Building \Perm its \MEC- PermitApp doe 09/09/10 440 -4617T (1 1/02/COM/WEB)