Permit CITY OF TIGARD j MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT
now Permit#: MEC2012 -00276
T I GAB. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2012
• Parcel: 25101 BC00201
Jurisdiction: TIGARD
Site address: 8255 SW HUNZIKER RD 201
Project: Prolink Solutions Subdivision: CROW PARK 217 Lot: 4
Project Description: Replace approximately (16) registers. 6/11/12, reprinted to correct project name.
Contractor: WILLAMETTE HVAC Owner: JOHANSON TRANSPORTATION SERVICE
3075 SW 234TH AVE. #206 5583 E OLIVE AVE
HILLSBORO, OR 97123 FRESNO, CA 93727
PHONE: 503 - 503 -3200 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/29/2012 $115.11
Class of Work: ALT Type of Const: Plan Review 05/29/2012 $28.78
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/29/2012 $13.81
Stories:
Project Valuation: $2,000.00
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: Vent Systems: Total $157.70
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 Notifi ter. Those 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 OU C b (ling 503.232.1987 or 1.800.332.2344.
Issued y: Permittee •
Call 503.639.4175 by 7:00 a.m. for the next available ins • ction 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.
II CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00276
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2012
Parcel: 25101 BC00201
Jurisdiction: TIGARD
Site address: 8255 SW HUNZIKER RD 201
Project: Johanson Trucking Subdivision: CROW PARK 217 Lot: 4
Project Description: Replace approximately (16) registers.
Contractor: WILLAMETTE HVAC Owner: JOHANSON TRANSPORTATION SERVICE
3075 SW 234TH AVE. #206 5583 E OLIVE AVE
HILLSBORO, OR 97123 FRESNO, CA 93727
PHONE: 503 - 503 -3200 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/29/2012 $115.11
Class of Work: ALT Type of Const: Plan Review 05/29/2012 $28.78
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/29/2012 $13.81
Stories:
Project Valuation: $2,000.00
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: Vent Systems: Total $157.70
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 • if work is - - •ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center. •ose - ar- set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or.dir-ct questions to OUNC by c- • g 503. .2.1987 or 1.800.332.2344.
Issu = . 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 AuplicatioRF I FOR OFFICE USE ONLY
Received
City of Tigard 5 oZ 9� Permit No.: I /a.�g 7a
13125 SW Hall Blvd., Tigard, OR 97223 MAY 2 9 2012 Date /By:
Plan Review
e ' - Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI G A R D Inspection Line: 503.639
CITY OF IG P1 D Date Ready /By: Juris: la See Page 2 for
Internet: www.tigard or.gov V ti Notified/Method: Supplemental Information
BUILDING DIVISION
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: $ $2,000.00
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: 8255 SW Hunziker St. (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: Tigard OR
Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. nc o/ I Project name: Johanson Bldg 2" floor
— Heat pump
(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
• Gas fireplace /insert 33.39
replace approximately 16 registers
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 ❑ 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: same as below 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
Business name: Willamette HVAC, LLC
Clothes dryer (gas)
Other:
Address: 3075 SW 234' Ave Suite 206 MECHANICAL PERMIT FEES*
City /State /ZIP: Hillsboro, OR 97123 Subtotal //3,1/
Minimum permit fee ($90.00) . —
Phone: (503) 259.3200 Fax: (503) 848.2597 Plan review (25% of permit fee) lllg 711
CCB tic.: 56951 • 'State surcharge (12% of permit fee) /5. $/
TOTAL PERMIT FEE /g � 7d
� This permit application expires if a permit is not obtain wIt2n 180
Authorized Signature:' days after it has been accepted as complete.
Print name: michael mal Date: 5/29/12 * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits \MEC- PermitApp.doc 03/07/12 440-4617T (1 I /02/COM/WEB)