Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00267
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/28/2011
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 150
Project: Acceleration Chiropratic Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: Duct and gas modifications.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: PACIFIC REALTY ASSOCIATES
PO BOX 241 ATTN: N PIVEN
DUNDEE, OR 97115 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 691 -9699 PHONE: 503 -624 -6300
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
•
Type of Use: COM Permit Fee 06/28/2011 $398.51
Class of Work: ALT Type of Const: IIIB Plan Review 06/28/2011 $99.63
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/28/2011 $47.82
Stories: 1 Info Process /Archiving - Sm Sheet (up to 06/28/2011 $1.50
Project Valuation: 11x17)
Project $12,000.00
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 $547.46
•
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 N. ation - -r. The e 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 • cal ng 13.232.1987 or 1.800.332.2344. / A //,/
Issu =d By: I /� � / � Perm ittee Signature'ir�1, i i �LT�'
T
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 Applicatiot COVED FOR OFFICE USE ONLY
1 Received �/^
City of Tigard Date/By: l.P /% // Permit No.:M fly
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liq
'//l --eiQ „267 13125 SW Flail Blvd., Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 4 201 Plan Re y: 7 A , h I -47 I t Other Permit: � u & -6 � //l
Pl R B� `
T 1 G A R D Inspection Line: 503.639 IG� RD Date Ready y: Juris: ® See Page 2 for
T
Internet: www.tigard- or.gov CITY OF D NISI0 .1 Notified/Method: Supplemental Information
RUILDI�I
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ /2) 4
CA OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use check list.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: /-5"9/54-. 5 J 50#101,0 p /� i/ v (requires site plan showing placement) 46.75
lA Furnace 100,000 BTU (ducts /vents) 46.75
/ /
City/State/ZIP: i�vl 0 r , ,) Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: I Project name: a(C'a /�// 41.1 Heat pump
` (requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
N j Hydronic hot water system 23.32
r� Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended etc. 46.75
Subdivision: I 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
e ' / Gas fireplace 33.39
>/r�f �%�� Flue vent for water heater or gas
9W< A d S fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
n 146' A /u Other: 23.32
Name: O / Th Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Phone: Single -duct exhaust (bathrooms,
( Fax: ( ) toilet compartments, utility rooms) 23.32
APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
Business na . (/ i QQQ Other: 23.32
(/ Fuel piping:
Contact name: /� C . / )17-- ' , $14.15 for first four; $4.03 for each additional
Address: (l Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: (j ) n I g71, 7i I Fax: : ( ) Water heater
/� , ,q Fireplace
E -mail:
(ik f ' C` I > (/ / �1 b/ 1 b5VA Range
CONTRACTOR Barbecue
Business name:
/f r f Clothes dryer (gas)
C/ ;r`I L/
& � `1 MECHANICAL PERMIT FEES*
Other:
Address:
City /State /ZIP: 0// �/Lee� 7// Subtotal
Phone: <34 l✓ v `I C Fax: Minimum permit fee ($90.00)
4 ) 7 4 > ( ) Plan review (25% of permit fee)
CCB lie.: / 7 2-1 State surcharge (12% of permit fee) U/
TOTAL PERMIT FEE �
Authorized signature: 41' This permit application expires if a permit is not obtained within 180
d after it has been accepted as complete.
Print name: �J 77 /_/ y7, Date: €,01 * Fee methodology set by Tri- County Building Industry Service Board
I:\Building\Permits\MEC - PermitApp.doc 09/09/10 4/WEB)
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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.
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