Permit CITY OF TIGARD f' � MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00561
T i TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2011
Parcel: 2S101AB00100
Jurisdiction: TIGARD
Site address: 12025 SW 70TH AVE
Project: Dr. Sunil Thanik Subdivision: 1996 -024 PARTITION PLAT Lot: 2
Project Description: Duct work and (8) exhaust fans for new tenant. 4/10/12, adding fireplace.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: SUNIL THANIK
PO BOX 241 470 SW 6TH ST.
DUNDEE, OR 97115 LAKE OSWEGO, OR 97034
PHONE: 503 - 691 -9699 PHONE: 503 - 699 -6628
FAX: 503 - 691 -8556
FEES
Specifics: Description • Date Amount
Type of Use: COM Permit Fee 12/06/2011 $398.51
Class of Work: ALT Type of Const: Plan Review 12/06/2011 $99.63
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/06/2011 $47.82
Stories: Additional Plan Review 04 /11/2012 $90.00
Project Valuation: $12,000.00
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: 8 Vent Systems: Total $635.96
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, • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • •tification Cen Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir: t questions to OU • l' • g 503.232.1987 or 1.800.332.2344. ���
Issue • By: / Permittee Signatute: C ._
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.
, r
iii n
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00561
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/06/2011
• Parcel: 2S101AB00100
Jurisdiction: TIGARD
Site address: 12025 SW 70TH AVE
Project: Dr. Sunil Thanik Subdivision: 1996 -024 PARTITION PLAT Lot: 2
Project Description: Duct work and (8) exhaust fans for new tenant.
Contractor: Owner: SUNIL THANIK
470 SW 6TH ST.
LAKE OSWEGO, OR 97034
PHONE: PHONE: 503 - 699 -6628
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/06/2011 $398.51
Class of Work: ALT Type of Const: Plan Review 12/06/2011 $99.63
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/06/2011 $47.82
Stories:
Project Valuation: $12,000.00
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: 8 Vent Systems: Total $545.96
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 arted within 180 days of
issuance • • work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rul • adopted by the Oregon
Uf • Notification - 'ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. Y• . may ',btain a copy of the rules
.r direct questions to O C • . t 03.232.1987 or 1.800.332.2344.
I /
Issued By: , 0 r / ' Permittee Signature: ir
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.
This form is recognized by most Building Departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
III City o f Tigard
Buildin g Division
TIGARD
TRANSMITTAL LET . R
TO: / DATE P: w,i ( ►` a ' ► ED
DEPT: ' BUILDING DIVISION
APR 5 2012 .
CITY OF TIGARD
FROM: 0-#1,7 ' - n l , v
BUILDING DIVISION
COMPANY: OW A
PHONE: 63 9-°j' 0 By: •
RE: /{i q Sul . -70 /I — j'f . G )-O /l - oe) t4
ite ress) (Permit Number)
if
(Project name or subdivis" . n name and lot number)
•
ATTACHED ARE THE FOL ' OWING ITEMS:
Copies: I Description: I Copies: I Description:
Additional set(s of plans. Revisions:
Cross section( and details. Wall bracing and/or lateral analysis.,
Floor /roof fr.. ing. Basement and retaining walls.
Beam calcu}.tions. Engineer's calculations.
----- Other (ex ain):
REMARKS: ire ih (-4,- / V/ ST 4& add 4 / . (ea_ h,t
/ •
FOR OFFICE USE ONLY
Routed to erm chnician: Date: - 4/(0 (� Initi, ° -=
Fees Due: es ❑ No Fee Description: ' , ouut Due:
1)T t ricyz?a4-c__R,04u.9 1<[ t- 7 . 6 0.60
$
Special '
• Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
- Applicant Notified: (_;Q, -- Date: 7/0 ) Initials: '
I:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011
Mechanical Permit Application FOR OFFICE USE ONLY
City �� Permit No.:
`J of Tigard Received
IIII4 g Date/By: 7, .i i � / �� /
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date Ready/By. Juris. ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
\ 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, overhead, and profit.
Value: $
CA EGORY OF CONSTRUCTION RESIDENTIAL ,EQUIPMENT / S STEMS FEES*
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: /c7),0---
c7) 6J� v f- d' (requires site plan showing placement) 46.75
6, `� Furnace 100,000 BTU (ducts /vents) 46.75
City/State /ZIP: -/�0(/
' � 1 , . Furnace ' Furnace 100,000+ BTU (ducts /vents) 54.91
U
Suite/bldg. /apt. no.: Project name: /9 -, v`, t ,vl / [ Heat pump
X/ / (requires 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: 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
ajf Gas fi replace 33.39
�j -) k' Flue vent for water heater or gas
l/ fireplace 23.32
L 6n5 Log lighter (gas) 23.32
/<7/ Wood /pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER ❑ 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
Ail APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
Business name:]l,q�f Other: 23.32
(/ r l Fuel piping:
Contact name: (Ii ) of 7 0 $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: // Wall /suspended/unit heater
Phone: (5 ) 0 , 7, Fax: : ( ) Water heater
E- mail: !! UUUU � '/e _ / Fireplace
��l% / C=/ , f: (/ t Range
CONTRACTOR J Barbecue
Business name: (A4/14'
/ C /1 v . Clothes dryer (gas) -
r Other:
Address: r� .� "Z� �l MECHANICAL PERMIT FEES*
City /State /ZIP: /��if �� 0 f � 77/) Subtotal
Phone: l �j// Fax: Minimum permit fee ($90.00)
(J U�) �/ ! v ( ) Plan review (25% of permit fee)
CCB lie.: 2_, State surcharge (12% of permit fee) ,'//
TOTAL PERMIT FEE 1 4
TOTAL
Authorized signature: C 4,77" This permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
Print name: GC / o(_,7-- C' /,, U�_, Date: Jlj j/ ,* Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 09/09/10 440 -4 17T (II 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.
C\ Building \Permits \MEC- PermitApp.doc 09/09/10 2