Permit ,� CITY OF TIGARD MECHANICAL PERMIT
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'_, COMMUNITY DEVELOPMENT Permit #: MEC2011 -00317
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/08/2011
Parcel: 2S101 DC04601
Jurisdiction: Tigard
Site address: 7409 SW TECH CENTER DR 100
Project: Solutions Yes Subdivision: Lot:
Project Description: Replace (1) 4 -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 07/08/2011 $283.08
Class of Work: ALT Type of Const: Plan Review 07/08/2011 $70.77
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/08/2011 $33.97
Stories: Info Process /Archiving - Sm Sheet (up to 07/08/2011 $7.00
11x17)
Project Valuation: $7,700.00
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 $394.82
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 No cation - • er. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direc questions to OU by calli • 503.232.1987 or 1.800.332.2344.
Issued �/ I ` 1 1 �_ ' 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 ApplicaI • FOR OFFICE USE ONLY • 14 City of Tigard 1 DateB 7 �Armr Penmt No.: M ge,ge ���,Jt' 7
'" 13125 SW Hall Blvd., Tigard, OR 9722 p y
g Plan Review
Phone: 503.718.2439 Fax: 503.598.1 o U 2011 Date /By: AMP 4F Other Permit: .
TIGARD BUILDING DIVISION
Inspection Line: 503.639.4175 CITY Date Ready /By: Ju s: 0 See Page 2 for
Internet: www.tigard- or.gov
OF Notified/Method: Supplemental Information
TYPE OF W UiiK ,, .. COMMERCIAL. FEE * S CHED 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.
CATEGORY OF
Value: $ N S7,700.00
V
. : ,�.rr . . �"s y. ., ,6e6 ,, -.. ,b ,, . .�r „�,. - '-:; RESID ENTIAL EQUIPMENT / SYSTEMS F EE S *
. ' ... ,
CI I - and 2- family dwelling ® Commercial /industrial CI Accessory building For special information use checkl
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
,.� ..`� ` ,«. .. Pl eating /cooling:
.
JOB`-SITE ;INFORMATION_ AND LOCA7 I.O1V
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A cond
Job site address: 7409 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.: 8100 Project name: Solutions Yes 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:
DESRIPTIONOFWURK ' Water heater 23.32
Push/ pull 4 ton RTU Gas fireplace 33.39 •
p 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
°'� PROPER i" Chimney /liner /flue /vent 23.32
❑ m OWNER ' .. ❑``TENAN f P...;• °
,;_ Other: 23.32
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
A:',1:11; ❑ APPI ICANT ❑CONTACT PERSON "` Attic /crawlspace fans 23.32
Other: 23.32
Business name: same as below
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 ""'' ""
MECHANICAL PERMIT FEES N „
City /State /ZIP: Hillsboro OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee )
Plan review (25% of permit rmit fee fee)
CCB lie.: 56951 State surcharge (12% of permit fee) 9A
TOTAL PERMIT FEE 3 •
Authorized si nature: 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: 7/7/11 * Fee methodology set by Tri- County Building Industry Service Board
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