Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00254
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/07/2011
Parcel: 1 S134BC00100
Jurisdiction: Tigard
Site address: 12100 SW SCHOLLS FERRY RD
Project: 7- Eleven Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Replace (1) condenser unit and (3) cooler coils with like kind.
•
Contractor: SOURCE REFRIGERATION Owner: GREENWAY CENTER LLC
5506 SE INTERNATIONAL WAY ANA KALAKAUA CENTER
MILWAUKIE, OR 97222 2155 KALAKAUA AVE #602
HONOLULU, HI 96815
PHONE: 800 - 677 -2688 PHONE:
FAX: 503 - 652 -0449
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/07/2011 $277.46
Class of Work: ALT Type of Const: Plan Review 06/07/2011 $69.37
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/07/2011 $33.30
Stories: Info Process /Archiving - Sm Sheet (up to 06/07/2011 $1.00
11x17)
Project Valuation: $7,500.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $381.13
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 'cation - 'ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir ct questions to O C b 'ng .:3.232.1987 or 1.800.332.2344.
Iss ed By: 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 • ' RIV ,- F(>12 USE O
`J Tigard Date/By:
/ - - Q �� I
City of 'Ti and Permit No.:
- q 13125 SW Hall Blvd., Tigard, OR 97223 !lig Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 7 2011 Date /By: Other Permit:
T I GA R D Inspection Line: 503.639 Date Ready/By: Juris Vi See Page 2 for
Internet: www.tigard or.gov J iGAR tl, Notified/Method: Supplemental Information
ki UILDI i DIVIst
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
r � Mechanical permit fees* are based on the value of the work
❑ New construction bl Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $1 5M
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEN SYSTEMS,FEES*
❑ 1- and 2- family dwelling U Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: \ - - ) . , \ O t Q " A l . C;,\,, c C 4 ; ; 4 l `( (requires site plan showing placement) 46.75
City /State /ZIP: ,( �+` Furnace 100,000 BTU (ducts /vents) 46.75
\� it�l f� ,olt Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: 'le- \\ 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
hydrohic) 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
\4•R- } U t Gas fireplace 33.39
C sor \'s ��. I\& C.�. O rx ✓ t1;\ O t G4 n.kyJ Flue vent for water heater or gas
`,lo\ Cc�t 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: '\ \\ Environmental exhaust and ventilation:
Address: \ Pt . c...\ \S C y \
Range hood/other kitchen
�{ t `�C equipment ment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
"J I Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
oo (� tt �r
C Other: 23.32
Business name:
�1.'(( C. '�c('t �Gtcs ";:1 Fuel piping
Contact name: 1Q,\N. `! � (,, N , 1 \ $14.15 for first four;'$4.03 for each additional
Address: � Furnace, etc.
7JJ C .Nk ' Y t�{h�xzlv1I\ 1,
i Gas heat pump
City /State /ZIP: 1H A1J,`I.iL t v n (k a. Wall/suspended/unit heater
Phone: ( C.\-V 1_51,, c Fax: : (CA As,(1 04ue Water heater
c Fireplace
E -mail 9 `( *,( KWZ \\ �Slov� Cc & r \ . (0% . MoY+a ( 10tH Range
CONTRACTOR Barbecue
Business name: Q�� Clothes dryer (gas)
L� ����� J" Other:
Address: JW1 trh ‘ \ 11/44\ C MECHANICAL PERMIT FEES*
City /State /ZIP: W \ \,4)���,,�� Cy- 0k"11'IL Subtotal 07. t/6
t \U Minimum permit fee ($90.00)
Phone: (Cd�)Ci. , 4�9'L. Fax: (V) )'Cj °2, -q Plan review (25% of permit fee) . 37
CCB lic.: \\e\� 14J � State surcharge (12% of permit fee) II.
E i•ofJ
Authorized signature: kid ) This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Tfil'l�� u ,.. 0 Date: 6'l..? — * Fee methodology set by Tri- County Building Industry Service Board
1:\Building \Permits \MEC- PermitApp.doc 09/09/10 440- 4617T(l1/02/COM/WEB) 0 — /rf c- g *367 `
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\PermitsWEC- PermitApp.doc 09/09/10 2