Permit . CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00412
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 09/14/2011
Parcel: 25101 DC04602
Jurisdiction: Tigard
Site address: 7291 SW TECH CENTER DR
Project: Pacific Recreational Products Subdivision: Lot:
Project Description: New 3 -ton gas pack and ductwork modifications for TI.
Contractor: HVAC INC Owner: MCCORMACK PROPERTIES LP
5188 SE INTERNATIONAL WAY 7190 SW SANDBURG ST
MILWAUKIE, OR 97222 TIGARD, OR 97223
PHONE: 503 - 462 -4822 PHONE
FAX' 503 - 462 -6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/14/2011 $305.56
Class of Work: ALT Type of Const: Plan Review 09/14/2011 $76.39
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/14/2011 $36 67
Stories:
Project Valuation: $8,500 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 $418.62
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 Noti . .-nter Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. ou m -y obtain a copy of the rules
or direct uestions to O► C b ailing 503.232 1987 or 1.800 332.2344.
Issued B : Permittee Signature: N
Call 503.639.4175 by 7:00 a.m. for the next available inspection • .te.
This permit card shall be kept in a conspicuous place on the job site until compl- •.- of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatianC ' a r FOR OFFICE USE ONLY
'
y Q ^
City of Tigard D ate/By / •
f' .�� Permit No / / r
° 13125 SW Flail Blvd., Tigard, OR 97223 (C Plan Revie "I e
' - Phone: 503.639.4171 Fax: 503.598 1960 C 2 Q 1 Date/By t Other Permit
Inspection Line: 503.639.4175 /e �
T'1 GARD' P Date Rea.y :y: Juris El See Page 2 for
Internet: www.tigard- or.gov CITY t O F Tit % _ h ; i Notified/Method Supplemental Information
BUILDING nil /ic: c -1 At
' TY PE OF WORK .,�ti,�at COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction 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, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION ', Value: $ 1r' ob —
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2 family dwelling 1Z ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty.
Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: s� o _ ' j /� ,/� Air conditioning or heat pump
l a'a 1 S ` V V �� 1/V 1 � I J 1� r (requires site plan showing placement) 14.00
City /State /ZIP: 1 1 j7 1 a a-3 Furnace 100,000 BTU (ducts/vents) 14.00
I p a c; L. a ,, , , , U� % \ �v\ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14 00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
i I/A/ n p ctc 1 O _ I f/ Gas fireplace 10.00
\ � [/\ V� L ��/ Flue vent for water heater or gas
MI I �` (. 'CAA-CO/NS fireplace 10 00
1l ' , - j(� Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue /vent 10.00
H . ❑ PROPERTY OWNER ` ❑ TENANT
Other: 10.00
Name: Environmental exhaust and ventilation
1' Range hood/other kitchen
Address: equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00 _
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
4.\.) Other: 10.00
Business name: A L' SIn 1" Fuel piping
Contact name: V 1 0_P , ) V , j. $5.40 for first four; $1.00 for each additional
L
Address: `5S D 1.4. -\ v l 1 1N V\ (4 )� Furnace, etc
ln R.'1"3-0---).----' 4 Gas heat pump
(�
City /State /ZIP: t \/,) M ' l � U9_ R.'1 0- - Wall /suspended/unit heater
Phone: (5 qv)._ l %�---e--- Fax: : (Spy) 4 b k s- Water heater
a Fireplace
E -mail: '\ Q ck� A(e V\V UV /tOY P 1 M , Range
CONTRACTOR Barbecue
� 1 1 � Clothes dryer (gas)
i�t
Business name: \) R l-/ 10
\ Other
Address: f �/7 I v \ I/ i . MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: %Cf\ State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
1'n ature: l Pkt days after it has been accepted as complete.
Print name: J 0 m itA ' � q
1 ` Date: ' 15 I, 1 ' Fee methodology set by Tri -County Budding Industry Service Board
I \Building \Permits \MEC- Per p do i /19/07 440 -4617T (11 /02/COM/WEB)
Building Division
Over- The - Counter (OTC) Mechanical Permit
T [ GARD Check List
Project Description: Mme+ Ti •
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: j Occupancy Group: T .e of Construction: r
*T se of Use: rt Ore.onS•ecial Code:
Number of Stones: !MI
FUEL FURNACES
Type: Furnace < 100K BTU Furnaces >= 100K BTU
Gas Pressure: Roof Top Unit (RTU) Tons
L
Floor Furnaces Unit Heaters
Vents without Appliances Air Conditioning
Heat Pump
AIR HANDLERS HOODS
Units <= 10000 cfm Type 1 Flood Type 2 Hood
Units > 10000 cfm Grease Duct 1 Hour Shaft
Fire Wrap
APPLIANCES
Boiler (BTUs) Vent Fans Gas Line
Solid Fuel Fireplace/ Clothes Dryers Gas Outlets
Woodstove Duct Work Gas Fireplace
Fire /Smoke Dampers , Other Mechanical Units — Describe:
Total Project Valuation: $ 4 FEES DUE
$ � r Mechanical Permit Fee
$ 7C, . Plan Review
$ 451:3, 12% State Surcharge
$ 6 , Info Proc /Arch, Lg (over 11x17 $2.00)
$ Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Misc. Admin Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ Other: •
Building Staff:
Date /Time: $ 424. La.TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; END = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
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I. \Building \Forms \OTC - MEC.docx 01/13/2011