Permit CITY OF TIGARD MECHANICAL PERMIT
t .., COMMUNITY DEVELOPMENT Permit #: MEC2009 -00310
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/25/2009
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 300
Subdivision: Lot: 0
Project: Consumer Cellular
Project Description: TI - relocating (1) return and (5) ducts and gas line.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
ATTN: N PIVEN, 15350 SW SEQUOIA PKWY
Permit Fee 06/25/2009 $231.50
#300
Plan Review 06/25/2009 $57.88
PHONE: 12% State Surcharge - Mechanical 06/25/2009 $27.78
Contractor:
OHAC INC
PO BOX 241
DUNDEE, OR 97115
PHONE: 503 - 538 -2953
FAX: 503- 691 -8556
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
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: 1 Vent Systems: Total $317.16
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 5
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 -0100. You may obtain a py of the rules
or direct quest to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: \ � �y i►
A 1,U I . _ll Permittee Signature: b i
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.
Mechanical Permit AppliR FOR OFFICE USE ONLY
viii ' ' City of Tigard Received � j �, . y/ / ` g DatDate/By: y: .2S i permit No /r -r C. / 40 _ 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
Phone: 503.639.4171 Fax: 503.59811 34 2 5 2009 Date/By: Other Pennitidu /002009 OQ /0/
OE Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: _ /LCD Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, labor, o,�erJk profit.
CATEGORY OF CONSTRUCTION Value: $ �]7// tt � /�J nd ((//
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family - Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
�j �� Air conditioning or heat pump
Job site address: / � rj /� (requires site plan showing placement) 14.00
City /State /ZIP: � /AC. Furnace 100,000 BTU (ducts /vents) - 14.00
� „ l nO i � Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no.: }(,1 Project nafne: LAC lift? 4( Gas heat pump 14.00
Cross street/directions to job site: C+ A /s uME � Duct work 10.00
9 h 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
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
ji / g--1-74 Gas fireplace 10.00
Flue vent for water heater or gas
/ d_z_ fireplace 10.00
p t, ` Log lighter (gas) 10.00
g/i/A!( /14„', �y ��I Wood/pellet stove 10.00
/ 1 , 14 1, 4 p , f " / "'' /K/ �l ,3 Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
z A PROPERTY OWNER ❑ TENANT
Other: 10.00
Name: A6-h7/45-71-- 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
A / Other: 10.00
Business name: C-/
Fuel piping
Contact name: C� ) A $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
p Range
Fireplace
E -mail: a / / (Z�� 11 / 14] 1e_ ✓1
C CONTRAUTOR J Barbecue
Business name: ni Clothes dryer (gas)
1 ? 7< Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: . /�/I,/ U- 9 7G Subtotal
Phone: 0-171) i(/ � V r /,G, Q'1 /_ > Fax: 4 Minimum permit fee ($72.50)
JJ' 7 C� r/ Plan review (25% of permit fee)
CCB lic.: ( 7 Z / 7 7 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: l Date: a 7,5) e7 7 * Fee methodology set by Tri -County Building Industry Service Board
IA Building 01/19/07 440-4 7T (11 2 /COM/WEB)
Mechanical Permit Application - City of Tigard r r
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.
I: \Building \Permits \MEC- PermitApp.doc 01/19/07 2