Permit ,, CITY OF TIGA MECHANICAL PERMIT
` � F - '- ! 2:: COMMUNITY DEVELOPMENT Permit #: MEC2011 -00527
TICARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/23/2011
Parcel: 2S101AB00100
Jurisdiction: Tigard
Site address: 12023 SW 70TH AVE
Project: Red Rock Center, Phase II Subdivision: Lot: 0
Project Description: Mechanical for building shell.
Contractor: PYRAMID HEATING & COOLING Owner: FRY, DOUGLAS
9409 NE COLFAX 23077 SW NEWLAND RD
PORTLAND, OR 97220 WILSONVILLE, OR 97070
PHONE: 503 - 786 -9522 PHONE:
FAX: 503 - 786 -3432
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/23/2011 $1,811.91
Class of Work: NEW Type of Const: VB Plan Review 11/22/2011 $452.98
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 11/23/2011 $217.43
Stories: 1 Info Process /Archiving - Lg Sheet (over 11/23/2011 $2.00
11x17)
Project Valuation: $68,000.00 Info Process /Archiving - Sm Sheet (up to 11/23/2011 $15.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $2,499.32
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 8 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 -00•: ou may obtain a copy of the rules
or direct questions to OUNC b calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: /�
Call 503.639.4175 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 Appli yy e>� ENFD FOR OFFIC USE O.N_
0 Ll
i 5
City of Tigard Received Permit No.: �/ / n �/ —a, 5
2 Date/By: j 11 [ r o(Ky � 7
13125 SW Hall Blvd., Tigard, OR 974,180 v 2 Gt 211 Plan Review ' ( .
Phone: 503.718.2439 Fax: 503.598.1 6 Date/By: ' ! Other Permit:
Inspection Line: 503.639.4175 Tt(` ;� Date Ready/By: luris la See Page 2 for
TI GARD CITY OF IGA D Y Y �( I / B
Internet: www.tigard- or.gov DIVISION Notified/Method: ��� '1 ` ( Supplemental Information
BUILUNG TYPE OF WORK It
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
d New construction ❑ Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ o $ O
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling Di Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description • Qty. I Ea. Total
.. JOB SITE INFORMATION AND CAT; Air Heating/cooling: c diti
-_ Ai condit ioning •
i (requires plan showing placement)
yam z � s� ,;,------,,:r........--1 . _,;,------,,:r........--1 .! (
_
re wires site Ian showin 46.75
Job site address:
City /State /ZIP: �j Fumace 100,000 BTU (ducts /vents) 46.75
l t t e-(' Gj 7 7 7.."3 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: RE d r9A-e Heat pump
(requires P
(regwres site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: I 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
/ r f n n Gas fireplace 33.39
t2 I Wain, (C - ro. s Y l / F 1-1 i`F r6...41A 7;w< 27.2.40 iii Flue vent for water heater or gas
/ J fireplace 23.32
23.32
N � ~ 7 3 r s � r r l lC i :s �. C u n' 7� Log lighter (gas)
V Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood /other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) .toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans _ 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
p / J �v /y Clothes dryer (gas)
Business name:
6 ,.=‘,( d e I ,H1 / � `f'( ,„v/ 4 7:4 l Other:
Address: f gel jvv CL / - MECHANICAL PERMIT FEES*
City /State /ZIP: ,/i r, n 972z-.c' Subtotal
Fax: (s�3 ) 7� Minimum permit fee ($90.00)
Phone: 5 )
,� - s - 2. _ -z_____ G - 3Y �Z Pl an review (25% of permit fee)
CCB lic.: 513 Z 't\\ �ry State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized sign re: / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ��� Date: � / �
"' Fee methodology set by Tri- County Building Industry Service Board
iel,i 1_\Building \Permits \MEC- PermitApp.doc 09/09/10 440 -46t7T (11 /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.
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