Permit CITY OF TIGARD MECHANICAL PERMIT
' . COMMUNITY DEVELOPMENT Permit #: MEC2011-00320
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/14/2011
Parcel: 1 S126CA00100
Jurisdiction: Tigard
Site address: 9225 SW HALL BLVD F
Project: Ideal Image Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Replace (2) rooftop HVAC units; add (4) new ductless NC units; add (6) new exhaust fans; ducting.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: GREENBURG CORNERS LLC
PO BOX 241 BY MENASHE, R BARRY
DUNDEE, OR 97115 621 SW ALDER, SUITE 605
PORTLAND, OR 97205
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/14/2011 $1,236.71
Class of Work: ALT Type of Const: VB Plan Review 07/08/2011 $309.18
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/14/2011 $148.41
Stories: 1 Info Process /Archiving - Lg Sheet (over 07/14/2011 $4.00
11x17)
Project Valuation: $45,000.00 Info Process /Archiving - Sm Sheet (up to 07/14/2011 $14.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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: 4
Heat Pump:
Appliances
Vent Fans: 6 Vent Systems: Total $1,712.80
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. Speci.lty 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 folio he r l -s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. o m- - obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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 Applicatio FOR OFFICE USE ONLY
City of Tigard . Received / .. Permit No. �jr s� ' /t
IN
n Date/By: / / !C e e d V 3„_
13125 SW Hall Blvd., Tigard, OR 97223
' Phone: 503.639.4171 Fax: 503.598.1960 JUL ®8 2011 Plan Review I, ✓
Date/By: Other Permit
'f I G A R D Inspection Line: 503.639.4175 D ate Read y: ® See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGA �a Notified/Method: 7� ji g Supplemental Information
:i i 1' G DIVISION '1p. 1 .'
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction 51 Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, lab9r ov rhead, and profit.
CA GORY OF CONSTRUCTION Value: $ / /)
vr RESIDENTIAL'EQUIPMENT/ YSTEMS 'FEES*
❑ 1 - and 2- family dwelling W Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. i Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: , �� I 7 a ,, 4 Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: 1/11r1 Furnace 100,000 BTU (ducts /vents) 46.75
l� / Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: name: C....4-44.40-4„, Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
/,�J Hydronic hot water system 23.32
" :17 1, Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: 1 Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
� DESCRIPTION OF WOR Water heater 23.32
2j I� / p //W JJ Gas fire 33.39
Z/ Flue vent for water heater or gas
2 fireplace 23.32
I/ j ./ el Log lighter (gas) 23.32
/ Wood/pellet stove 33.39
6 6 , au �� / /Y `j < Wood fireplace /insert 23.32
,f7
❑ PROPERTY OWNER I Chimney /liner /flue /vent 23.32
0
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
�''% APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
Business AC: 0911l9( Fuel 23.32
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Zj/ lf� Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( i ) Fax:: ( ) Water heater a 4r
�� Fireplace
E -mail: L , / �� Fi Range
CONT' :. C OR Barbecue
�' 11 / Clothes dryer (gas)
Business name: ��/ / Other:
Address: /OP ''''` MECHANICAL PERMITFEES*
City /State /ZIP: , `/ �`i • �' Subtotal
Phone: / ) /.- %=� %7=" �n A� Minimum permit fee ($90.00) 4,2.n,-
( ) tC/ / r� %��� Fes ) �(!/ `�% Plan review (25% of permit fee) , j 0 9, '. 2
CCB lic.: b� j/ `z / , State surcharge (12% of permit fee) iy,, 59 TOTAL PERMIT FEE 1
Authorized signature: This permit application expires if a permit is not obtained within 180
)A / 0/0 days after it has been accepted as complete.
Print name: f t� ,/f Date: * Fee methodology set by Tri -County Building Industry Service Board
l I:\Building\Permits\NEC- PermitApp.doc 10/01/09 4/02/COM /WEB)
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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