Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00558
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2012
Parcel: 25101 DD00800
Jurisdiction: Tigard
Site address: 14020 SW 72ND AVE
Project: United Rentals Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Auto exhaust system.
Contractor: PACE HEATING & AIR Owner: I S PROPERTIES LP
1884 FESCUE ST SE ATTN: UNITED RENTALS LEASE ADMIN
ALBANY, OR 97322 BY FISCHER & COMPANY URI
13455 NOEL RD, STE 1900
DALLAS, TX 75240
PHONE: 541 - 926 -4328 PHONE:
FAX: 541 - 926 -4543
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/06/2011 $550.91
Class of Work: ALT Type of Const: VB Plan Review 12/06/2011 $137.73
Occupancy Grp: S-1 Occupancy Load: 12% State Surcharge - Mechanical 12/06/2011 $66.11
Stories: 1 Info Process /Archiving - Lg $2.00 (over 01/05/2012 $8.00
11x17)
Project Valuation: $17,966.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
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: 4 Vent Systems: Total $762.75
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
issuanc=, .r if wo suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utif ' Notification Center. Thos- rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -61 You may obtain a copy of the rules
o direct questions to OUNC . callin. 03.•32.1987 or 1.800.332.2344. 4111111111k ssued By: Permittee Si. nature: - /,
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 FOR OFFICE USE ONLY
City g
Ci of Tigard J Permit No
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13125 SW Hall Blvd., Tigard Olt 97 ++
III
O�\ Plan Date/By: Re\iew ``I (( Other Permit
.: Phone: 503.718.2439 Fax: 503.5 (i �, ( ` `
V Dalcf By: l
Inspection Line: 503.639.4175
TIGARD � �1 _` Date Ready/13) El See e2 for
Interne( www.tigard - ocgov � � C
` s- O `` Notified /Method ; �V Juris Page
�7 Supplemental Information
- ' 'T.'PE OF WO ��� COMMERCIAL FEE* .SCHEDULE -_USE , CHECKLIST
\S Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteratiwreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
. . Value: $ 17,966.
. CATEGORY OF CONSTR[1CT;ION RESIDENTIAL EQUIPMENT I-SYSTEMS FEES*
❑1- and 2-family dwelling ® Commercial /industrial 0 Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
. - ' JOB SITE INFORMATION ,AND LOCATION . Heating /cooling:
- Air conditioning
Job site address: 14020 SW 72 Avenue (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: Tigard, OR 97224 Furnace 100.000+ BTU (ducts /veins) 54.91
Suite /bldg. /apt. no.: Project name: United Rentals Heat pump
(requires site plan showing placement) 6I .06
Cross street/directions to job site: SW Bonita Rd Duct work 23.32
1- lydronic 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
Add auto exhaust system Gas fireplace 33.39
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, 0 "TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: United Rentals Environmental exhaust and ventilation:
Address: Ranee hood /other kitchen
equipment 33.39 .
City /Slate /ZIP: Clothes dryer exhaust • 33.39
Single -duct exhaust (bathrooms.
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑..CONTACT PERSON ' Attic /crawlspace fans 23.32
Business name: Pace Heating & Air Other: 23.32
Fuel piping:
Contact name: Trisha Marshall 514.15 for first four; 54.03 for each additional
Address: 1884 Fescue St. SE Furnace, etc.
Gas heat pump
City /State /ZIP: Albany, OR 97322 Wall /suspended /unit heater
Phone: (541) 926 - 4328 Fax: : (541) 926 - 4543 Water heater
Fireplace
E -mail: trisham @pacecomfort.com • Range
CON'TRAC'TOR. Barbecue
Business name: Pace Heating & Air Clothes dryer (gas)
Other:
Address: 1884 Fescue St. SE MECHANICAL PERMIT FEES*
City /State /'ZIP: Albany, OR 97322 Subtotal 550.91
Minimum permit fee ($90.00)
Phone: (541) 926 - 4328 Fax: (541) 926 -4543 Plan review (2 5% of permit fee) 137.28
CCB lie.: 7713 State surcharge (12% of permit fee) 66.11
��r /7/ TOTAL PERMIT' FEE 754.75 et Authorized SIg1781,
�tJ {� 1 \ \/ ��� ///111 y This permit application expires if a permit is not obtained within ISO
k� (Y(n r ( 1 J days after it has been accepted as complete.
Print name: Trisha Marshall Date: 11/30/2011 * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits\.MEC- PermitApp.doc 09/09/10 440 -4617T ( 1 1 /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:A Building A Permits \M[C- PennitApp.doc 09/09/10 2