Permit CITY OF TIGARD MECHANICAL PERMIT
8: - COMMUNITY DEVELOPMENT P ermit #: MEC2012 00379
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18!2012
Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8001 SW HUNZIKER RD
Project: Tigard Distribution Center Subdivision: Lot:
Project Description: Relocate gas lines to new meter location. Reinstall grilles.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: TIGARD DISTRIBUTION CENTER
PO BOX 241 8001 SW HUNZIKER
DUNDEE, OR 97115 TIGARD, OR 97223
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/18/2012 $99.76
Class of Work: ALT Type of Const: Plan Review 07/18/2012 $24.94
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/18/2012 $11.97
Stories:
Project Valuation: $1,490.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Fumaces < 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 $136.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, • • • • suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ru -s adopted by the Oregon
Utility , otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You ma obt•'n a copy of the rules
or • • ect questi • ns to OUNC • - - in • 503.232.1987 or 1.800.332.2344.
Is ued By: /// i/ / Permittee Signature: /
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
Mechanical Permit Applica I .'1 Gt FoR OrrlcE USE UNI.Y
II City of Tigard 1$ 2012 DDate/By: 7 l $ )a Permit No.: H 0 1 f ,i-66 3 7?
a 13125 SW Hall Blvd., Tigard, OR 97223 JU Received - Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 O � T �n (t�D Date/By: Other Permit:
�/ 1 1 �
T 1 G A K D Inspection Line: 503.639.4175 C� yy,,!!t ( �l Date ReadyReady/By: kris: 0 See Page 2 for
Internet: www.tigard-or.gov e��jl10l��D`tli9 Notified/Method: Supplemental Information
C !
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: $ i i f 7,0
CAT G RY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 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
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning
Job site address i(�1 l 4 . . ) �1 (requires site plan showing placement) 46.75
, / Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: - v
4�/ 1 OV Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: /1 a 51- Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
/
7 1 4l� • ` Hydronic hot water system 23.32
/- r� I / 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
61"( `�
VA/) i/ 1 1.e Flue vent for water heater or gas
fireplace 23.32
/�,p � 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
Fa Single -duct exhaust (bathrooms,
Phone:
( ( ) toilet compartments, utility rooms) 23.32
APPLICANT PERSON Attic/crawlspace fans 23.32
Business name: Oii A >E(CONTACT
Other: 23.32
Fuel piping:
Contact name: r /� /.47 GA , 1 � $14.15 for first four; $4.03 for each additional
Address:
/ Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: C15) ��j�� Fax:: ( ) Water heater
CJ
E -mail G lit'r C Orirt� _Fireplace
l . Range
CON RACTOR Barbecue
Business name: V (� Clothes dryer (gas)
PV Other:
Address: P--2L 2%-t I MECHANICAL PERMIT FEES*
City/State /ZIP: , ,A ,4,e-4._ 0, 9 `7 // S Subtotal 9 F. 70 Phone: (0 ) 4 "''�'� `� Minimum permit fee ($90.00) - --
7� - G 77 Fes' ( ) Plan review (25 %of permit fee) 4 2 4 /.9f
CCB lic.: / 7 P / 2 iv State surcharge (12% of permit fee) // • 4'7
TOTAL PERMIT FEE l f6Q•Co7
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
7 Print name: ' ( mil y� j 7') !o'Z. b— I Date: 911(/ Z.,....--"" • Fee methodology set by Tri - County Building Industry Service Board
1:\Building\PermitsV�C- PermitApp.doc 09/09/10 440-4617T (1 /02/COM/WEB)
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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 si 1 • .
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.
•
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