Permit .1 n CITY OF TIGARD MECHANICAL PERMIT
1 1 COMMUNITY DEVELOPMENT Permit #: MEC2012 00387
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2012
Parcel: 25101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: Triangle Point Subdivision: VARNS ACRES Lot: 9
Project Description: 3rd & 4th floor elevator lobby, moving duct work, adjusting grilles and installing exhaust fans in bathrooms.
Contractor: TRI TECH HEATING INC Owner: TRIANGLE POINTE LLC
6603 NE 137TH AVE 901 NE GLISAN ST, #100
VANCOUVER, WA 98652 PORTLAND, OR 97232
PHONE: 360 - 891 -2002 PHONE: 503- 297 -8791
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/25/2012 $271.84
Class of Work: ALT Type of Const: Plan Review 07/25/2012 $67.96
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/25/2012 $32.62
Stories:
Project Valuation: $7,300.00
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 $372.42
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
Utili otification - • -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or rect questions to OU • ' cling 503.232.1987 or 1.800.332.2344.
sued By: t, �L / Permittee Signature:
9 , 4 42 1a t._
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 hole OFFICE USE ONLY
City of Tigard Received 70 I Permit No.: Wff /P-d 3g
.111 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 6.410490/P.40/40/
1 ' C D
Date/By: Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
TIC; A IZ D Inspection Line: 503.639 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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: $ 1 00, (Do
CATEGORY 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: 13333 9.A ( ¶k W,i (requires site plan showing placement) . 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: T� prJ •92 2 (ducts/vents) Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.:,, t, e Project name: Heat pump
l (requires site plan showing placement) 61.06
Cross street/diredions to job e: �A-N L c p0 1 t J1 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
vtlN Cl! t L‘ 14. P o � Fictjk. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Ml 5. CIJi. C,,f CIrcP GNJ 3rd FIQ)R Wood/pelletstove 33.39
1)4441147. A-1■1 Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ 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: 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: ( ) I Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: ` •` `Eck , 4 1-6_ Clothes dryer (gas)
Other:
Address: (,Q3 N z_-- r ^1T' � e, MECHANICAL PERMIT FEES*
City/State/ZIP: U t/� l w& q Subtotal
Phone: (` I _ p[co2 I Fax: (.2 SR [ - f c((C7 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: ICA L2( State surcharge (12% of permit fee) 41
TOTAL PERMIT FEE ,37"
Authorized signature: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name 1 /f■.. 1o1 t.fR�� Date: 0 S- fl. * Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \PermitsNEC- PennitApp.doc 03/07/12 440-4617T(1I /02/COM/WEB)
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 C_
fraction thereof, to and including
$50,000.00. r -,
$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.
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Note: All new commercial buildings require 2 sets of plans.
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1:\Building\Permits\MEC- PermitApp.doc 03/07/12 2