Permit CITY OF TIGARD MECHANICAL PERMIT
" '! : COMMUNITY DEVELOPMENT Permit #: MEC2011 -00332
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/14/2011
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Parcel: 1S126DC04700
Jurisdiction: Tigard
Site address: 9575 SW LOCUST ST
Project: Phoenix Inn Subdivision: Lot:
Project Description: Push Pull split system air conditioner.
Contractor: ARJAE SHEET METAL CO, INC. Owner: PIH TIGARD LLC
5510 SE MCLOUGHLIN BLVD. ATTN: JOHN KATZ
PORTLAND, OR 97202 4 WORLD FINANCIAL CENTER
NEW YORK, NY 10080
PHONE: 503 - 231 -7717 PHONE:
FAX: 503- 230 -4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/14/2011 $176.51
Class of Work: ALT Type of Const: Plan Review 07/14/2011 $44.13
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/14/2011 $21.18
Stories: Info Process /Archiving - Sm Sheet (up to 07/14/2011 $3.00
11x17)
Project Valuation: $3,995.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $244.82
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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.;00.332.2344.
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Issued By: _ - rmittee Signature:
Call • .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
City of Tigard ..tA: Received -- -117M11„, JIM Date/By Permit No.:
: / "7/fAr
II q 13125 SW Hall Blvd., Tigard, OR 9722AN (...„. Plan Review . wa r im
,
.. Phone: 503.718.2439 Fax: 503.598 1Q.. 0, o f?' r\;') Date/By: Mg Other Permit:
Inspection Line: 503.639.4175 4 < t ";'' , tk.
T i G A R D ,z Date Ready/By: 0 See Page 2 for
Internet: www.tigard „," `,. '‘@ Notified/Method: lo p Supplemental Information
TYPE OF WORK . COMMERCIAL FEE* SCIIElitTLE. -
•
E] Addition/alteration repl eement Mechanical permit fees* are based on the value of the work
0 New construction
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
_ - Value: $ 3995.00
CATEGORY OF CONSTRUCTION ' ' , - ' - - ' 4
' ' RESPOT14.EPUIPkIENTIyitii4i,FEES*
El 1 - and 2-family dwelling IX] Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SiFE INFORMATION AND LOCATION
.. . ,. , . . , .. ...
, , . Heating/cooling:
Air conditioning
Job site address: 9575 SW Locust St. E11%0111 • • site plan showing 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.: Project name: Phoenix Inn Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
SW Locust and Greenburg Rd. 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRMTION OF WORK , ' , , . , . Water heater 23.32
. .. ,
Gas fireplace 33.39
Push /Pull existing split system air conditioner
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
g*Ii , , .-, 0 'TE:-N41.4- - - - , Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Phoenix Inn Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 9575 SW Locust St.
equipment 33.39
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single exhaust (bathrooms,
Phone: (503)624 Fax: (503)968 toilet compartments, utility rooms) 23.32
-", `, • --'
" 0 APPLIO:NT, , ,.., , , , '. :ID 'CONTACT PERSON, Attic/crawlspace fans 23.32
Other: 23.32
Business name: Arjae Sheet Metal Inc.
Fuel piping:
Contact name: Ken Klunder $14.15 for first four; $4.03 for each additional
Address: 8545 SE McLoughlin Blvd Furnace, etc.
Gas heat pump
City/State/ZIP: Milwaukie, OR 97222 Wall/suspended/unit heater
Phone: (503) 231-7717 Fax: : (503) 230-4888 Water heater
Fireplace
E-mail: ken@arjae.com
Range
, . .. - • ,, *
CONTRACTOR. . `, Barbecue
Business name: Arjae Sheet Metal Inc. Clothes dryer (gas)
Other:
Address: 8545 SE McLoughlin Blvd
"MECHANICALTERAUT FEES*
. . . .
City/State/ZIP: Milwaukie, OR 97222 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 231-7717 Fax: (503) 230-4888
Plan review (25% of permit fee)
CCB lic.: 60835 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: 1-k This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Ken Klunder Date: 7/12/11 * Fee methodology set by TriCounty Building Industry Service Board
I: )13uildingtPermits WEC-PermitApp.doc 09/09/10 440-4617T (11/02/COM/WEB)