Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00337
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/28/2012
TIGARD 9 Parcel: 1 S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY Z
Project: Petco Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: (1) water heater; (1) flue vent for water heater and gas piping
Contractor: TAPANI PLUMBING Owner: PACIFIC CROSSROADS PROPERTIES IN
PO BOX 2350 BY WYSE INVESTMENT SERVICES CO
BATTLE GROUND, WA 98604 1501 SW TAYLOR ST STE 100
PORTLAND, OR 97205
PHONE: 360 - 687 -3983 PHONE:
FAX: 360 - 687 -4494
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/28/2012 $99.76
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/28/2012 $11.97
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $1,500.00
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 $111.73
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 11/4Aidal e J Permittee Signature: OILL A iP PL e_41 i'T7(ma
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.
From: 06/28/2012 13:25 #189 P.001/003
Mechanical Permit ApplicatioRECEIVE i FOR OFFICE USE ONLY •
,i
City of Tigard • . Received 4
• 13125 SW Hall Blvd., Tigard, OR 97223
2 - Phi:me: • 503.71824N Fax: 503.598.1960
:11, Date:By:
JUN S 8 2012 "na a/B eview
Dtey: /- - 1 "'"" Permit N1 Et AM ,2
Other PennieL,C, iX 1 A
Inspection Line: 503.639.4175
TIGARD Date Ready/By: kris: HI See Page 2 for
Internet: www.tigard arf 05 rag.-D Notified:Method: 1 cl Supplemental Information
pitrl ANn,tr., PT.,7:',\7417,11
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- Mechanica pemi thmiasedOn the value of the work
1:1 New construction ca Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
12 Demolition 0 Other mechanical materials, equipment .. , t -, : -. : , :.- ! • .. It.
v. e: $ 1 ctro
tkiiier.iSiiii'.=:Oiitbiiiiii0afibi'V ;in ----. - - - --- , - - , -
0 1 - and 2-family dwelling 1$1 Commercial/industrial 0 Accessory building For special Information use checklist.
0 Multi-family 0 Master builder CLI Other: Description I Qty. I Ea. I Total
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:-.*:;'- '' ' ... : : ::-'40 ** 0‘: : -R * * * *1-i- ' il49 ": 4 Y : Ai
Job site address: 11705 SW Pacific Highway (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts, vents) 46.75
City/State/ZIP: Tigard Oregon 97223
Furnace 100,000+ BTU (ducts'vents) 54.91
Suite/bldg./apt. no.: I Project name: Petco 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:
Flue/vent for any of above 23.32
Lot no.:
Other. 23.32
Tax map/parcel no.: Other fuel appliances:
* Water heater 1 23.32 23.32
Gas fireplace/insert 33.39
Add two gas out lets at a existing Petco store
Flue vent for water heater or gas
fireplace I 23.32 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
t Chimney/liner/flue/vent 23.32
-c - Other: 23.32
Name: Petco Animal Supplies Stores, Inc. . Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 9125 Rehco Road
equipment 33.39
City/State/ZIP: San Diego, CA 92121 Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms.
Phone: (858)909-4612 Fax: (858)909-2738 toilet compartments, utility moms) 23.32
1gVAiPiiCk4;':U.':?'Z'': ' Attickrowlspace fans 23.32
Other: 23.32
Business name: Tapani Plumbing Inc.
Fuel piping:
Contact name: Kurt Schmeusser $14.15 for first four; $4.03 for each additional /DO
Address: PO Box 2350 Furnace. etc.
Gas heat pump
City/State/ZIP: Battle Ground, WA 98675 Wall/suspended/unit heater
Phone: (360) 772-2032 Fax: : (360) 687-8147 Water heater I 14.15 14.15
Fireplace
E-mail: kurts@tapaniplumbIng.com
Range
gOit04tOCK'A'V`- Barbecue
Business name: Tapani Plumbing Inc. Clothes dryer (gas) I 14.15 14.15
Other
Address: PO Box 2350 0:'':%13i::-7V6:1$04i00*00i00.f..kgs*:-.:-..--;221.:;',....,:-.,
City/State/ZIP: Battle Ground WA 98604 Subtotal
Phone: (360) 687-3983 Fax: (360) 687-4494 Minimum permit fee (590.00)
Plan review (25% of permit fee)
,6CB lic.: 60958 State surcharge (12% of permit fee) . ....1.0.,scr - j131,......
TOTAL PERMIT FEE l 1,111)10trj (1 • 13 ,
This permit application expires if a permit is not obtained e thin 180
Authorized signature: days after It has been accepted as complete.
Print name: Kurt Schmeusser Date: 6-28-12 • Fee methodology net by Tri Building Industry Service Board
I.. kluilding Permits MEC•PenniiApp.doc (1:4 07 4404017f (11 02 COM WEB)
From: 06/28/2012 13:25 #189 P.002/003
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Ttal" aluation?`' : >Pe tr `"
$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.
l: \Building\Permits\MEC- PennitApp.doc 03/07/12 2