Permit • � CITY OF TIGARD ME CHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Perm it #: MEC201 - 002 76
TiGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/16/2011
Parcel: 2S101AB02000
Jurisdiction: Tigard
Site address: 7175 SW BEVELAND RD 215
Project: Shaw Development Subdivision: BEVELAND Lot: 4
Project Description: Replace 3 -ton gas pack, add economizer and CO2 sensor.
Contractor: PYRAMID HEATING & COOLING Owner: BERMAN, JOHN M &
5699 SE INTERNATIONAL WAY STE A SUMMERS, MICHAEL L
MILWAUKIE, OR 97222 7175 SW BEVELAND RD #210
TIGARD, OR 97223
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/16/2011 $246.55
Class of Work: ALT Type of Const: VB Plan Review 06/16/2011 $61.64
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/16/2011 $29.59
Stories: 1 Info Process /Archiving - Sm Sheet (up to 06/16/2011 $12.00
11x17)
Project Valuation: $6,397.00
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 $349.78
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 3 -ton RTU
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 No • ion - er. T .se 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 to OU C c.11in• 503.232.1987 or 1.800.332.2344.
lssu •d By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection ate.
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.
lftline Permit Application
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eviitiilai H Eelf-ti 0 i e.4- 4- — ii , : -,,-.. I 1 , :
• - FOR OFFICE USE ONLY . . ..
City of Tigard
" Hall Blvd., Tigard, OR 97223
i 13125 SW
..:..:
JUN 16 2011 Received /,.
Date/By: Ler /4' h
Plan RevilAij
Date/By: ., / Permit No.: c70N-- 60. 7 4'
6 ( I (
Phone: 503.718.2439 Fax: 503.598.1960 ( ( Other Permit:
TI GARD Inspection Line: 503.639.4175 CITY OF -:`1`,; Date Ready/By: Juns: Pi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
SU i LD1N C Li
! :::5,7, TNI.:04*OW ,,i1-",: ;01":',': ';1:ir:, rig illc*E7iii.='AP.ii*IrfrAiviOiiWg41:#n
Ill New construction ['Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
....k Addition/alteration/replacement 111 Other: equipment, materials, labor, overhead, and the profit for the
61:ri ,i,. :*::' . ,, , 41 ill work indicated on this application.
Valuation: $
111 1- and 2-family dwelling ..r.,commercial/industrial
12 Accessory building 0 Multi-family Number of bedrooms:
Number of bathrooms:
0 Master builder ['Other:
.161' 4fE' i1461Mar61074.46 .i.li6Aii614:r :: '''‘i" :' ' Total number of floors:
'M . :.;...:440 : i
Job site address: 7/ 75 5 i z/ 1q i/e d /_ i- New dwelling area: square feet
City/State/ZIP: OR , fr
3 9 7.2 Z.3' area: square feet
1.(bldg./apt. no.: Project name: 5 A v, Covered porch area: square feet
Cross street/directions to job site: - Deck area: square feet
7,2 h
Other structure area: square feet
REQUIRED P-NTA,ATMEK,A.A1/4,VSK91021.:(EIST,4
Subdivision: Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.:
equipment, materials, labor, overhead, and the profit for the
littir - 4 - 4 - 4 - 4 : ,.;:ri:orr*.iiii,6$i 471,40,f,' ,,,,I.--4,.; :',, ,,,,,,,,ii work indicated on this application.
0 P
Valuation: $ ,, 9 7--
, i iii• e e,v, • 1-7, my- 3 72, " g.in 5-25,tz A
GI ii /I ef d d ..0 c 0.,,, ,-,,, ,-z-e.,- ..t Ft. d c , sei-ie I.,' Existing building area: 75 square feet
New building area: 5,..my. ,e square feet
pit ,. APARrpgyiimETTv„-- -3:-----: s:;p; go pi Tn.:r inr*,424,, Number of stories: ..._
Name: J. A e _ .8. ,, , ,, m ,,,,,... Type of construction:
Address: 7, 75- 5t( ieLjzeLulcijzria__ Occupancy groups:
City/State/ZIP: 7- a ' d e -; 97-Z-2 3 Existing:
Phone: ( M i 1<€.. 05:100//1/ /..,aVek,ptil Alt.fL NO.- New:
Ot.',' • 1.Ap, '1, Liek■a: .1 10: 1 ..,„efi BU PEkstT,0E-Esni:e
6 - .z ,, ,;:ik.:: , , Vae . - ' Q6,h1::. , Rgr,'" ; " 't :' ',,' ',":' " `';
4 ':i„ :-1: - ':iileasieei.toYie'scis'eiliii0A '.'
Business name:
Structural plan review fee (or deposit):
Contact name:
FLS plan review fee (if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received: ' 7 g
Phone: ( ) Fax: : ( )
.' to ..4 4: a . ..F aWT
14 or SOLAR PANEUSYSTEIVITE.F.S*
E w; ,v m t, W! k ' .,..,, . , . . , <- -,,A,:wvT'm ,,; , :I.:Ai
Commercial and residential prescriptive installation f
t :Z"l'il(l''N' VR ''':- .::: :, ', , , „:,:, , '-p
--ro , = .:"... ',V 4'''•.1,,W0 roof-top mounte• ' otoVoltaic Solar Panelst m.
Business name: d
Submit two (2) sets o •.00f plan with c_gian ction details
/a)„,--,r .' /-1e.1-7)ii, and fire department acces- along„with the 2010 Oregon
Address: 5 - Z 529 ,5 7 A 7,0,r 74 7, pfri ) j/Z 5 ‘4,.1.:-.: 4 Solar Installation SpecialQ r ide checklist.
Permit fee (incl 'CS plaNview
City/State/ZIP: A ./ 14,,s ,, 0 ic, 97 22 an ministrative fees): $180.00
Phone: (505 ) .. _ 95- Fax: ( ) State sure arge (12% of permit fee • $21.60
CCB lie.: 538 -
Total fee due upon application: $201.60
Authorized signature:
This permit application expires if a permit is not obtained
, . ....
within 180 days after it has been accepted as complete.
Print name: c „ " Date:
* Fee methodology set by Tri-County Building Industry
-_,,,,, P r 4 405,-/j)
Service Board.
I:\Building\Peninits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
IN B uilding Division
Over- The - Counter (OTC) Mechanical Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: (.., Occupancy Group: Type of Construction: 251 e7
*T 'e of Use: ffal Oregon Specialty Code: 20 C3
Number of Stories:
• FUEL FURNACES
Type: 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 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: l' `"17(2) 0 %--;TIJ
Total Project Valuation: $ Ip 7 FEES DUE
$ ' (o ...5 Permit Fee
_ $ • ,y Plan Review
$ '2-- a 'S 12% State Surcharge
$ 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: �2� 7‘g Date /Time: $ • "_ 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\Forms \OTC- MEC.docx 01/13/2011