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Permit CITY OF TIGARD MECHANICAL PERMIT ' _:. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00001 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/26/2010 . Parcel: 2S 102AA03903 Jurisdiction: Tigard Site address: 8861 SW COMMERCIAL ST Subdivision: Lot: 0 Project: Spec Space Project Description: Replace roof top unit. Owner: FEES NW URBAN DEVELOPMENT INC Description Date Amount PO BOX 230307 TIGARD, OR 97281 Permit Fee 01/26/2010 $145.81 Plan Review 01/26/2010 $36.45 PHONE. 12% State Surcharge - Mechanical 01/26/2010 $17.50 Contractor: HOMEMASTERS INC PO BOX 230207 TIGARD, OR 97281 PHONE: 503 - 639 -7700 FAX: 503 - 639 -5060 Type of Use: COM Class of Work: ALT Type of Const: VB Occupancy Grp: B Occupancy Load: Stories: 2 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressue: 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 $199.76 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire /Smoke Dampers: This permit is issued subject to L regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be dbne in accordance with approved plans. This permit will expire if work is not started within 180 days of issu.. - or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility • Tice is • Center. Those kules are set forth/in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions . OUNC by ca lin• 503.246.66:9 or�1.800.332.2344. � Ys11{`b�� \ W _ P IINEK___ . Ibi alilll C)4t),SILD Call 503.639.4175 by 7:00 a.m. for an inspection that 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. Mechancal Permit Applicatio FoR USE ONLY Received / City of Tigard EG E 11P E D Date/By: `�� / D / Permit No.: Mtle1 /D —°4049 11111 _ L. ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I - /�_ _�Q� Phone: 503.639.4171 Fax: 503.598.1960 C I r 1 Other Permit:a f(d i00 .. e a/ Inspection Line: 503.639.4175 JAN 5 2�1U Date/By: (� / T I GA RD p Date Ready/By: ( , '^ See Page for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: 1 d: Y - Oct < \ Supplemental Information TYPE OF WOW COMMERCIAL DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST CI New construction ddition/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. I 1'6035) CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling Iommercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Q " " � Air conditioning Job site address: (i I % (,4) CD v t,tf ( J'- . ti I S, (requires site plan showing placement) 46.75 City /State /ZIP: "1.,_ 1 6 C ? 2, 2_ 1 Furnace 100,000 BTU (ducts /vents) 46.75 _ Furnace 100,000+ BTU (ducts/vents) 54.91 ' i Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street/directions to job site: Duct work I- 23.32 , 'A � �. -yam / Hydronic hot water system 23.32 v �c i; A. J V ` 6 4.1..v. (14., ` 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 Gas fireplace 33.39 T q ►t tx C4.-t T--. fro v w�4• 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 PROPERTY OWNER ❑ TENANT Ch�ir mey /liner /flue /vent 23.32 • Other: 23.32 Name: ,/..,3 c.ti) k b .. oQ.e Uo 1 o ) - Ar _ - Environmental exhaust and ventilation Address: // o Range hood /other kitchen �V ( 5 �- Co . mar CI 4 I Cl equipment 33.39 City /State /ZIP: `. e sfr- f7 1 7 2 2_ 3 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: 9)3 ( Fax: ( ) toilet compartments, utility rooms) 23.32 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 r Other: 23.32 Business name: Dpi bl/ (et '''� ` G.l+ttic.-. Fuel piping Contact name: ,M�e v _'d C, CA, fi . $14.15 for first four; $4.03 for each additional Address: 5 -, g_ Go /e Q fct� r Furnace, etc. e —e Gas heat pump City /State /ZIP: ,() .•C 3402_° -) ' rj) 2.-- Wall /suspended/unit heater Phone: (5 3) 001S- (,,,; j ,2 J Z `'� Fax :: (S j 6 i,_ S') 6D Water heater J Fireplace E -mail: r I G `t�c,r-. h -C) t Y4 i f✓ti(-Q St vS © y Ofti t . (.0 Range CONTRACTOR of Barbecue Clothes dryer (gas) Business name I/h p we $ Q , v S ._tA C Other: Address: gi . C 0_3 °'....,_ t ttJtn-4`4- (, I MECHANICAL PERMIT FEES* _ City /State /ZIP: -r 44 _6.4 CD CZ C -1 , . Subtotal D3) pci �I —6 32.5 Fax: ) 6 D 6, 0 Minimum permit fee permit fee) Phone: ( �03 � _5 Plan review (25% of permit fee) _ . CCB lic.: (' d (12% of permit fee 7t �D State surcharge ( p ) 1,1" TOTAL PERMIT FEE , 740 Authorized signature.. �' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: * 1 G - (A- 'G L wt 5�ro Date: ` -5- * Fee methodology set by Tri- County Building Industry Service Board Ct.0 P\Building \ Permits \MEC- PermitApp.doc 10/01/09 440 -4617T (I1 /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. I: \Building\Permits\VIEC- PermitApp.doc 10/01/09 2