Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Pe COMMUNITY MEC2012 -00187
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/17/2012
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7257 SW KABLE LN 300
Project: TRANE OF OREGON Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 5
Project Description: Installation of approximately 15' of 3/4" gas line for standby generator.
Contractor: ROBERT G DAVIS & ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES
7257 SW KABLE LANE #300 ATTN: N PIVEN
PORTLAND, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 620 -8031 PHONE:
FAX: 503 - 639 -1454
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/17/2012 $78.27
Class of Work: ALT Type of Const: Plan Review 04 /17/2012 $19.57
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04 /17/2012 $9.39
Stories:
Project Valuation: $800.00
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 $107.23
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 Notifica ••. enter. Th. e rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct • • estions to O b C - call ng • .232.1987 or 1.800.332.2344. �^
Issue. By: I i� 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 Application FOR OFFICE USE ONLY
Receive ff
Plan Review / /(( D/i �/ of Ti and Permit No.: GG
tY g Date /B : y
° 13125 SW Hall Blvd. Tigard OR 97223
Ci
� Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit:
TI G A R D Inspection Line: 503.639 Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notifted/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overheg, and profit.
Value: $ g00 •
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - 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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: --7 Z 5 7 ,5'L ./ 1< ct b 1 1_41 # 3 op (requires site plan showing placement) 46.75
a L Z� Furnace 100,000 BTU (ducts /vents) 46.75
City/State /ZiP:
Porgy-1 and eye h / 7 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: 7' - a n. e__ en era70 -- Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
t 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
-t T ax map / no.: _ Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Q Gas fireplace/insert 33.39
4
TJ� S' t� ii �Q tGL r�L G ccS Sk'f'd�T y Flue vent for water heater or gas
y t°N e �� t® � 17 �� l fireplace 23.32
V Log lighter (gas) 23.32
a. ( Wood/pellet stove 33.39
is/
A [, o� Wood fireplace/insert 23.32
❑ PROPERTY OWNER TENANT Chimney /liner /flue/vent 23.32
Other: 23.32
Name: T-rah ,o ( re f�10) Environmental exhaust and ventilation:
Address: 72-57 511 k et ,b le L a el e_ Range hood/other kitchen
equipment 33.39
ity/State /ZIP: / c d f-Ivri / ®/Q 9 7L L¢ Clothes dryer exhaust 33.39
P hone: (,! 03) �L p - Ira j/ Fax ( 6� p -Pit-54- Single -duct exhaust (bathrooms,
x � toilet comp utility rooms) 23.32
APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name:
Other: 23.32
Fuel piping:
Contact name: st N/) 'T L - e $14.15 for first four; $4.03 for each additional
Address: 7L S7 5 / w K� 6k 4 Furnace, etc.
/ q Gas heat pump
City /State /ZIP: PO � t l �h d' e2 / ,L L_¢ Wall/suspended/unit heater
C.-.4 Phone: (,5-O) 6L0 - 47031 Fax: : ( fop) 4 63/. , /,¢.5-1- Water heater
E -mail: Fireplace
i Range
CONTRACTOR Barbecue
Business name: R r)
` �
avl C o � j egr -a y4
�-(� O i 4 �(� Clothes dryer (gas)
% V v J Other:
Address: 7 2, 5 7 sw FLU 6 le, L aft . MECHANICAL PERMIT FEES*
City/State /ZIP: f & '-t( 4 d 02 7 7L z4 Subtotal 7�..?
.- Phone: ( 503) 62.0- 8'031 Fax: (503) 637 _ /44-4. Minimum permit fee ($90.00)
Plan review (25% of permit fee) /9.57
CCB lic.: 64_ q- 5' ? 7/ State surcharge (12% of permit fee) 9, g
TOTAL PERMIT FEE /07 .it 3
_ i Y accepted complete.
permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been acce ted as corn lete.
Print name: Date: • -- - M -/z., • Fee methodology set by Tri -County Building Industry Service Board
1:\ Building \Permits\MEC- PennitApp.doc 03/07/12 440. 46171(11 /02/COM/WEB)
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