Permit 4 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00551
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/9/2006
PARCEL: 1 S135BC -00700
SITE ADDRESS: 10795 SW CASCADE AVE ZONING: I -P
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: (2) grilles and (1) fan relocated.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: C ODSTOVE
FURN < 100K BTU: AIR HANDLING UNITS LO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC
8930 SW GEMINI DR [MECH] Permit Fee 11/9/200€ $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surcha 11/9/200€ $5.80
Total $78.30
Phone:
Contractor:
OREGON HEATING & AC(125185)
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
j/17
Issued By: 9 / , Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections thaf business day.
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 App1i ?Ai. R i ELVES FoR OFFICE USE .ONLY
Rece
Ci of Tigard b Permit N. 6 L , bS ! 7
tY g Date/By. 4 6 �/ .' - d
'1 13125 SW Hall Blvd., Tigard, OR 97 . t 1t 0 a 2006 Plan Review
III C ' " Phone: 503.639.4171 Fax: 503.598. .. 1 0 -
- Date/By Other Permit:
T I G`A R D Inspection Line: 503.639 CITY OF TIGARD Date Ready /By: luris: El See Page 2 for
Internet: www.tigard or.gov Notified/Method: • Supplemental Information
• BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ID 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.
, CAT EGORY OF CONSTRUCTION Value: $ f . 20,,/
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling , Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. Total
JOB SITE-INFORMATION AND LOCATION n Heating /cooling
(9 795 9 C /'� �Q Air q conditioning or heat pump
Job site address: e
1 7 /'{� �J�l�r+"r j (requires site plan showing placement) 14.00
City /State /ZIP: 1 j� 1r19 CV/ Furnace 100,000 BTU (ducts/vents) 14.00
' "° Project name: / II Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.:
�d 1�v `/1 /a Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00
• Hydronic hot water system 14.00
6 Residential boiler (radiator or
hydronic) 14.00
• Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
• Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater 10.00
gi -- n Gas fireplace 10.00
/1✓ 1 - Flue vent for water heater or gas
�//
fireplace 10.00
2 q v l/i ,kli _c Log lighter (gas) 10.00
( r � //-i'(& L i 7 "d Wood/pellet stove 10.00
( 7 Wood fireplace /insert 10.00
❑ PROPERTY .OWNER " ❑ TENANT Chimney /liner /flueivent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
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
Other: 10.00
Business name: Fuel piping
• Contact name: $5.40 for first four; $1.00 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
04/149„) /�j Jn,� j
� Clothes dryer (gas)
• Business name: 1 ( / Other:
Address: j'
,/J 7 MECHANICAL.PERMIT FEES*
City /State /ZIP: / � (, � ?f15 Subtotal
(/ ) ec t ak, Z f Fax: d "3) 5 '24 7 Minimum permit fee ($72.50)
Phone: 7' Plan review (25% of permit fee)
CCB lic.: / L _ , (J 402-/".3 /0S/ State surcharge (8% of permit fee)
7/
/J / TOTAL PERMIT FEE ', 3(�
Authorized signature: / C e. l This permit application expires if a permit is not obtained within 180
1, LL days after it has been accepted as complete.
Print name: G Ll J� L , Date: (t 9 U, • Fee methodology set by Tri- County Building Industry Service Board
l:\ Building \Permits\MEC- PermitApp.doc 04 /06/06 44 -461 T(11 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2- 'Supplemental Information '
Commercial Fee Schedule: •
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
•
1: \Building\Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&00551
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2006
Phone: (503) 639 -4171 A v m�m l�'t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: .7 :00AM PAGE: 49
SITE ADDRESS: 10796 SW CASCADE AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND VINEYARD CHURCH
DESCRIPTION: (2) grilles and (1) fan relocated.
OWNER: AMB PROPERTY L P, PHONE #:
CONTRACTOR: OREGON HEATING & AC(125185) PHONE #: 503-538 -2953
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039860 -01 503 - 849 -8162 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
(l
Inspector: Date: kto Phone #: (503) 718 -
•