Permit , r „ CITY OF TIGARD MECHANICAL PERMIT
II
r COMMUNITY DEVELOPMENT Permit #: MEC2011 00315
13125 SW Hall Blvd Tigard OR 97223 503 Date Issued: 07/06/2011
�° Parcel: 25101 DC04603
Jurisdiction: Tigard
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Site address: 7405 SW TECH CENTER DR 120
Project: National Maintenance Contractors Subdivision: Lot:
Project Description: Replace (1) 3 -ton RTU
Contractor: WILLAMETTE HVAC Owner: WPC TIGARD LLC
3075 SW 234TH AVE. #206 307 LEWERS ST 6TH FL
HILLSBORO, OR 97123 HONOLULU, HI 96815
PHONE: 503 - 628 -6841 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/06/2011 $257.79
Class of Work: ALT Type of Const: Plan Review 07/06/2011 $64.45
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/06/2011 $30.93
Stories: Info Process /Archiving - Sm Sheet (up to 07/06/2011 $5.00
11x17)
Project Valuation: $6,775.00
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 $358.17
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 No' -: enter. Those 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 aUNC ailing 503.232.1987 or 1.800.332.2344.
Issue. = : / a......t4tel.k.ri 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 FOR OFFICE USE ONLY
Received �� t
City of Tigard Date /B : , Permit No.:
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13125 SW Hall Blvd., Tigard, OR /4# � O /
Plan Review / I . Other Permit Phone: 503.718.2439 Fax: 503.598.19 Date /By: „ `� `r�� �
TIGARD Inspection Line: 503.639.4175 JUL o Date Reary :y: luris: ® See Page 2 for
Internet: www.tigard 2011 Notified /Method: Supplemental Information
CITY ,1 r , , ' 1 ., .
l � " . ■ v , I / '... 1 �' M
4 COMERCIAL zFEE , DU
S CHELI+.�., -USE CHEC KLIST,," '
Er., TYPE;,0 Y Mechanical permit fees* are based on the value of the work
El New construction ® Addition /alteration /rep a U performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: 5
C AVE ORY :ci CONSTRUCTIONAi % °RESIDENTIAL E / SYSTEMS F"7� ES* ,
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
x. "( �, J QB SIT 1NFORMAND LOCATION ,
, r_ _ ,-
Heating /cooling:
r � •r• T::!.91: A °�•• ,.u,` Air conditioning
Job site address: 7405 SW Tech Center Dr (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: Tigard OR 97223
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: 120 Project name: NMC 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:
y R Water heater 23.32
" , AESCR[P OF, WORK,
Gas fireplace 33.39
Push/pull 3 ton RTU
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 •
' - Chimney/liner/flue/vent
,� " ❑. PROPERTY OWNER b TENANT, ; coney lm 23.32
1
Oth
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
' ',_84--', Attic/crawlspace ,, ;� ®'APPLICANT .� � �,,., D' CO NTACT PERSON � a ace fans 23.32 P
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
, .,„ ,::: ,CONTRACTOR, .,, �.: € ' -, <... Barbecue
Business name: Willamette HVAC, LLC Clothes dryer (gas)
Other:
Address: 3075 SW 234 Ave Ste 206 ' PERMIT FEES*
City /State /ZIP: Hillsboro OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 56951 State surcharge (12% of permit fee) -7
TOTAL PERMIT FEE g.4 . /L
Authorized si nature: I This permit application expires if a permit is not obtained within 180
g / days after it has been accepted as complete.
Print name: Michael Malstrom Date: 7/5/11 * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits \,MEC- PermitApp.doc 09/09/10 440 -4617T (11 /02 /COM /WEB)
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Building Division
Over- The - Counter (OTC) Mechanical Permit
TIGARD Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: i 1T Occupancy Group: Type of Construction:
*Type of Use: COAit Oregon Specialty Code:
Number of Stories:
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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:
Total Project Valuation: $ lsq - , FEES DUE
$ Mechanical Permit Fee
$ Plan Review
$ 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:
Date /Time: $ 5s-g st 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.
1: \Building \Forms \OTC - MEC.docx 01/13/2011