Permit - tl
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00475
TIC 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/23/2009
-
Parcel: 1S126DC04800
Jurisdiction: Tigard
Site address: 9495 SW LOCUST ST
Subdivision: Lot: 0
Project: Oregon Medical Research
Project Description: Gas line to new generator. Generator cannot be placed in a parking space, nor in the front yard.
Unit must be screened from right - of - way.
Owner: FEES
BAKER, JAMES & Description Date Amount
MATHESON, ROBERT T &, BAKER, DIANE R,
9495 SW LOCUST ST STE G Permit Fee 09/23/2009 $72.50
Plan Review 09/23/2009 $18.13
PHONE: 12% State Surcharge - Mechanical 09/23/2009 $8.70
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
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: 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 $99.33
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 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 obt,.f a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: Permittee Signature:
J
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 Application c F OR OFFICE USE ONLY
G • Q � Received 9
`J g `' Plan Date/t Dat eBy: �� t�
IN " / Permit No.: G� &Z Z i d g "l
Cl of Tl and
13125 SW Hall Blvd., Tigard, OR 3c EIV Y.
//i n 4_
Phone: 503.639.4171 Fax: 503.598. 60 : Review s, or /- ( Other Permit
. T,IGARD Inspection Line: 503.639.4175 SE 0 9 2009 Y
Date Read:(: / � orris: EA See Page 2 for
Internet: www.tigard - or.gov Notified ‘, d.' a d( / v p " . f / , Supplemental Information
• TIGARD MAtid . rit lAfW
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'a Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
❑ New construction performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition • Other: mechanical materials, equipment, lab overhead, and profit.
,Naga r;,.o,:.^ s= =' , � -s.,k a:, e�+.. ». °�:rr., ,.. - :;:_ }'.:�.r:=.;-. k .y�
' ; w : f GO i;:tWaNgiiitef ON t- y Value $ 11 /
'� 3 ' .,. � *.v :� ±: t... .. _ ._ - ,,... .d... . , .... ..:._ ur m.• ,m.�4 ., . n , w ., " ` a � ay c <� .t .�s'5,�. r ?�'i�2r .
b• d
ltAO UEN TPAIL EQ ; F/ SYSTEMg ,O *
❑ 1- and 2- family dwelling /[Commercial /industrial ❑ Accessory building
For special information use checklist. .
❑ Multi- family '❑ Master builder ❑ Other: Description I Qty. I Ea. I total
-" .,hq ); } :} JOE iE��,INFQRI„,,,,,TI ,,,, AND C„ ON , o _ Heating /cooling
Job site address: 9 t/94 ir conditioninr heat pump � ��_• 5 (requires site plan showing placement) 14.00
City /State /ZIP: � //AA., /,,9� / . Fumace 100,000 BTU (ducts /vents) 14.00
Suite /bldg. /apt. no.: / Project name: �j1
� Furnace 100,000+ BTU (ducts /vents) 17.90
6 Gas heat pump 14.00
Cross street/directions to job site: 1 ) �j 2Iu - Duct work 10.00
d 9 ., . Hydronic hot water system 14.00
�i'"!�'` 1i 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 '
' "3a - -as s t :`' 'a' ,.t, ` „a"`)DESC ,,' '1Y OF WO K` `1$4 1,01Me 3094, Water heater 10.00
/ Gas fireplace 10.00
a S , I i) ( .me. 7/' 4 t n Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
: .: li ; - I . ° a - : .,?:4 ,:1.--A* I Chimney /liner /flue /vent 10.00
,fit ,, PROPERTY bar ' .. ,r1R- N rt-W .a, . - TENANT ' , ..., -r. 44
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
4
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
.• «.::<:.....:.-.:.,x, «. „ ...rae;?".r . )• NSF•,".+ 9' H ``?V'S " .,^,+..,e.:�,:;::es,: s... = .:x:: ^ ,w - :.r. > ^:. +.,'.,:
u' =: y 4 .. 1 IGA Tp S2 r 1 , ” M: a CONTAC , PERSON " „z Attic /crawlspace fans I0.00
fff'' d Other: 10.00
Business name: �' Fuel i io
PP g Ci.
Contact name: (4...„...) l_. $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( A ) Vi q j 1, ` f Fax: : ( ) Water heater
• / / ' L'�,.� -' , / ) L2. Fireplace •
E -mail: (' . /, %t /� G 7 ; ('S�'7 Range Q
® , 1 ,... �� " ,...,. ONT i4cTO � r r P M" Barbecue
%! A � � ; Clothes dryer (gas)
Business name: (5
44 6^` t /1 - Other:
..;„� ?y�`.� �..,.�'y.'n v`L.'i ^.x}.,S'�.;'.....:a: -* � �.5'
Address: 7/ . , _ r � y MECHaIVIC 'PERMIT F ES *� ` ,
City /State /ZIP: ir/2/44.9...et/,"• /'f /� Subtotal
Phone: (1 ` Minimum permit fee ($72.50)
gf� Fax: ( ) Plan review (25% of permit fee)
I
CCB lie.: , !1 �,/ ( State surcharge (12% of permit fee)
I 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: � r�L, ) // V-/ t ,,._. yer'i
D ate: t /n % * Fee methodology set by Tri- County Building Industry Service Board
1 \B ldin uig \Permits \MEC - PermitApp.doc 01/19/07 440- (1),/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information •
Commercial Fee Schedule:
.Total, aluati< n 3 Perm Fee . x 1: .
$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