The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT 111 1- • COMMUNITY DEVELOPMENT Permit #: MEC2011 -00268 Date Issued: 06/14/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S110AB00200 Jurisdiction: Tigard Site address: 14411 SW PACIFIC HWY Project: Rialto Subdivision: CANTERBURY SQUARE Lot: Project Description: Type I hood for pool room. Contractor: PROKITCHEN LLC Owner: KOLVE, G C 5591 SE DEL RIO CT 14389 SW PACIFIC HWY HILLSBORO, OR 97123 TIGARD, OR 97224 PHONE: 503 - 530 -6428 PHONE: FAX: • FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/14/2011 $333.66 Class of Work: ALT Type of Const: Plan Review 06/14/2011 $83.42 Occupancy Grp: A -3 Occupancy Load: 12% State Surcharge - Mechanical 06/14/2011 $40.04 Stories: Info Process /Archiving - Lg Sheet (over 06/14/2011 $4.00 11x17) Project Valuation: $9,500.00 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: Heat Pump: Appliances Vent Fans: Vent Systems: Total $461.12 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 obtai a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _....- — — °ermittee Signature: �� t Call 50 ••.. .y 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 Applicati ! a L.:, l' R ece i ve d City of Tigard y Date/By: ive ° 13125 S W H Blvd, Ti OR 97223 JUN 1 4 2 011 - r ' � I 'I / , ;: Fax Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: `C l c A R D Inspection Line: 503.639.4175 CITY p fl ��+ i Date Ready /By: Jwis: B See Page 2 for Internet: www.tigard- or.gov °��' r Notified/Method: f /,� Supplemental Information BUILDING y G GIVIBI I'' lY TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ;,` Mechanical permit fees' are based on the value ode ❑ New construction ® Addition / alteration /replacement performed. Indicate the value rounded to the nearest dollar all ❑ Demolition ❑ Other mechanical materia urpment, labor, oveillead, and profit. . Value: $ 01 . 5 O O , t, d CATEGORY OF CONSTRUCTIOI\ RESIDENTIAL EQ i _ YSTEMS FEES* ❑ 1- and 2- family dwelling 0 Commercial/industrial ❑ Accessory building For special information use checklist ❑ Multi- family ❑ Master builder ❑ Other Description I Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating /cooling: Air conditioning Job site address: 14411 SW Pacific Hwy. (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.: Project name: Rialto Pool Room Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 Canterbury Square 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 G fireplace 33.39 New, Type I Hood and Exhaust w /MAU Flue Flue vert for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ❑ PROPERTY OWNER Chimney /liner /flue /vent 23.32 ® TENANT Other: 23.32 Name: Rialto Pool Room Environmental exhaust and ventilation: Address: 14411 SW Pacific Hwy. Range hood/other kitchen equipment 33.39 City /State/ZIP: Tigard OR 97224 Clothes dryer exhaust 33.39 Phone: Fax: Single -duct exhaust (bathrooms, ( ) ( ) toilet compartments, utility rooms) 23.32 ►:�' APPLICANT ❑ CONTACT PERSON • - Attic/cr'awlspace fans 23.32 Business name: NW Precision Design er 23.32 Fuel piping: Contact name: Darin Bouska $14.15 for first four; $4.03 for each additional Address: 22605 SW Pinehurst Cr Furnace. etc. Gas heat pump City/State/ZIP: Sherwood OR 9'7140 Wall/suspended/unit heater Phone: (503) 680 Fax: : ( ) Water heater Fireplace E - mail: Darin@NW Precisioncom Range CONTRACTOR Barbecue Business name: ?p...0 "� . Clothes dryer (gas) �c4a4 Other: Address: S 5 cj 1 . 5 6 LDi -L tO c.-7 MECHANICAL PERMIT FEES* City/State/ZIP: 1 t_, • 5 f3 o 4-0 © 6L- c i D 2 2.'1 Subtotal Phone: (5,) 5 3 - G 4 2, S Fax: ( ) Minimum permit fee ($90.00) 3 . Plan review (25% of permit fee) CCB fie.: 1 al o 4 Z State surcharge (12% of permit fee) TOTAL PERMIT FEE Jry6 M. Authorized signature: I ature: - This permit application expires if a permit is not obtai d within 180 t days after it has been accepted as complete. I • Fee methodology set by Tri- County Building Industry Service Board 14 " Building Division Over -The- Counter (OTC) Mechanical Permit T[GARD Check List Project Description: APPLICATION SPECIFIC INFORMATION . GENERAL INFORMATION *Class of Work: AL r Occupancy Group: A- S Type of Construction: *Type of Use: • C Oregon Specialty Code: pialos/mL Number of Stories: FUEL FURNACES Type: N1■14 Furnace < 100K BTU Furnaces >= 100K BTU Gas Pressure: Roof Top Unit (RTU) Tons Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units <= 10000 cfm Type 1 Hood X Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler (BTUs) Vent Fans Gas Line Solid Fuel Fireplace/ Clothes Dryers Gas Outlets Woodstove Duct Work Gas Fireplace Fire /Smoke Dampers Other Mechanical Units — Describe: Total Project Valuation: $ R FEES DUE $ Mechanical Permit Fee $ 0 - 1 4A Plan Review $ ij , D`/ 12% State Surcharge $ y, IV— Info Proc /Arch, Lg (over 11x17 $2.00) $ Info Proc /Arch, Sm (up to 11x17 $0.50) . $ Misc. Admin Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ Other: Building Staff: Date /Time: $ f& ( 0-- TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. I:\Building\Eorms \OTC - MEC.docx 01/13/2011