Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00369
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/17/2011
Parcel: 2S 101 BB01500
Jurisdiction: Tigard
Site address: 12232 SW GARDEN PL, BLDG# 1
Project: Apex Laboratories Subdivision: Lot:
Project Description: Install new gas pack on roof
Contractor: DURAMAX HEATING & COOLING INC Owner: WALTON CWOR PARK BC 8 LLC
25027 SE HWY 224 BY CTMT - WALTON RE TAX
BORING, OR 97009 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503 - 969 -3432 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/17/2011 $235.31
Class of Work: ALT Type of Const: VB Plan Review 08/17/2011 $58.83
Occupancy Grp: F-1 Occupancy Load: 12% State Surcharge - Mechanical 08/17/2011 $28.24
Stories: 1 Info Process /Archiving - Sm Sheet (up to 08/17/2011 $3.00
11x17)
Project Valuation: $6,000.00
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 $325.38
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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You ma obtain a copy of the rules
L:: n1 dit estios to OU by calling 503.232.19: •
u /� • • rmittee Signature: —ja,
Call 503 = ' :00 a.m. for the next available in ction date.
This permit card shall be kept in a conspicuous place on the job site til completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatioRFCEJ V ED •. FOR OFFICE USE ONLY
Received n ^
City of Tigard Date /By: S I� Permit No.: `� / /_� /
Q
III il
13125 SW Hall Blvd., Tigard, OR 97223 AUG -5 2010 Plan Review ��� m
Phone: 503.718.2439 Fax: 503.598.1960 Date /By: I r G/l I
�v(r ✓w
Other Permit.
TIGARD Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: . El See Page 2 for
/a/r Internet: www.tigard or.gov BUILDING DIVISION Notified/Method: r Supplemental Information
TYPE OF WORK V C (I OT IE RCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction rtion/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and r o t.
Value: $ tr®® 0
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling Qfctf mercial /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:
Air conditioning
2 . 2„, . Job site address: I 2 3 2 St... (c...-.ri �ec . P ( ,e_. (requires site plan showing placement) 46.75
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
Cit
y t 9 C r & cs t2_. T A 22,3 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: 60,1/42,,i � � ‘r) O s r . 5 Heat pump
(requires site plan showing placement) 61.06
Cross street/diredions 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:
DESCRIPTION OF WORK Water heater 23.32
J_ Gas fireplace 33.39
n e k- 5c P a.L.c 0 tr■ room Cc',, ecJ- %-o Flue vent for water heater or gas
6 S 4- nc. d L l igh 23.32
C Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: oc. r W t vs _C, Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 2. 2 Z S co C� er dP� ��L equipment 33.39
City /State /ZIP ' C, O eL • (A ', 2 3 Clothes dryer exhaust 33.39
J Single -duct exhaust (bathrooms,
Phone: ( 2) '7 / 8 ` egy3 ? Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address:
Fumace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
L trig (f QO�J A16 IN 'L, Clothes dryer (gas)
Business name: \ Inc►► €� �
1 Other:
2
Address: s 2
o-1 SE- � % (,J y 22- $`
22- �1 MECHANICAL PERMIT FEES*
City /State /ZIP: or i e 0 f 2 . 9 7� Subtotal
Phone: ( 63) 9 6 7.- ,3 3 2- Fax: ( ) Minimum permit fee permit fee)
Plan review (25% of permit fee)
CCB lie.: ) 6 7 (3 ® Ve, , 9--- State surcharge (12% of permit fee)
! TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name � Date: 5 =5. / * Fee methodology set by Tri- County Building Industry Service Board
I:\ BuildingTermits \MEC- PermitApp.doc .09 /09/10 440 -4617T (11 /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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