Permit u CITY OF TIGARD MECHANICAL PERMIT
.111 : COMMUNITY DEVELOPMENT Permit #: MEC2012 -00380
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2012
Parcel: 1 S136DC04600
Jurisdiction: Tigard
Site address: 7255 SW DARTMOUTH ST
Project: Office Max Subdivision: 1995 -013 PARTITION PLAT Lot: 3
Project Description: Remove and replace existing 15 ton RTU
Contractor: TOTAL SYSTEM SERVICES Owner: COMMERCIAL NET LEASE REALTY, INC
1220 SW THIRD AVE B78 450 S ORANGE AVE, STE 900
PORTLAND, OR 97204 ORLANDO, FL 32801
PHONE: 503 - 227 -5955 PHONE:
FAX: 208 - 376 -1395
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/31/2012 $563.61
Class of Work: ALT Type of Const: VB Plan Review 07/31/2012 $140.90
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 07/31/2012 $67.63
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 07/31/2012 $27.00
1 $18,500.00
11x17)
Project Valuation:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 Compressors
Furnaces < 100K BTU: 0 - 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 $799.14
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.
____4/49kzA______
Issued By: Permittee Signature: /� I
% .
Call 503.639.4175 by 7:00 a.m. for the next available i F - pection 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 OFFR E l 5E ON IA
City of Tigard R i f
71
t ! 13125 SW Hall Blvd. ,Tigard, OR DDate/By: � � Permit No.: .- t go
RECEIVE
Phone: 503.7182439 Fax 503.598.1960 % P� ew /MOM Permit
1 , G A RID
Inspection Line: 503.639.4175 JUL 18 2012 '' �'
Internet www.tigard-or.gov
NotiS 9 Date ®See Page 2 for
,• :
M Y �. 1 y ARD /a ` / • / RI See Page Information
2
TYPE WI 1A ONG DIVISION � n'OMMEE FEE* SCHEDULE - USE CRECla.ISr
❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
❑ Demolition Other performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, •„ ment, labor, overhead, and , refit
CATEGORY OF CONSTRUCTION
❑ I -and 2- family dwelling RI Commercial mdustrial 0 Accessory building RESmENI1AL EQUIPMENT /SYSTEMS - xy,
❑ Multi - family ❑ Master builder ❑ Other: Forrpeda/injonaoumrraeydeddi
Description
JOB SITE INFORMATION AND LOCATION Reati coati : Qty. Total
•
Job site address: ...5/„ Air conditioning
'� s-T. wires site .Ian showin:.lacement 46.75
City/State/ZIP: •--; . , e. 02 . 9 z Furnace 100 000 BTU doersiveuts
Furnace 100 000+ BTU d / ymt _ 54.91
Suite/bldg./apt. no.: Project name: 54.91
�.r ; ✓er oft r V - Heat pump
Cross street/directions to job site 5 (,� -c res site -Ian showin : Iacement 61.06
II ,, � �/iuoil - f Sri 71..E Duct work M.
NP 0". Ski 71.t j 1 H dronic hot water 23.32
nn �l �1 a L' ' . • Residential boiler (radiator or
23.32
144,• i } e • SG tCCiR� ak� �ffloili c-4,1.---- Unit dronic . 2332
1
Unit heaters (fuel-type, not electric),
in -wall, in-du s , •graded, etc
Subdivision:
I Lot no.: Flue/vent for . 46.75
of above 7332
Tax map /parcel no.: Other. 2332
DESCRIPTION OF WORK Other fuel a , , !lances:
R Water heater 2332
ReM4i I S l 7/ (� P - J o GJ/Net./ . I ere) Gas lace/insert 33.39
Flue vent for water heater or gas �r -
- �rC fire , lace
I rq 23.32
� /
Lo: li _ .ter 23.32
Wood/. llet stove 3339 _
Wood --• la ermsert _ 2332
0 PROPERTY OWNER I Ck TENANT Chime- /linerfflue/vent
Other 23.32
e: i • J
2332
Nam -
amess: Environmental exhaust and ventilation:
�' S s t.1 sr
Range hood/other kitchen
City/State/ZIP: ' "mom 33.39
( ) � „,,, a t. 9 7)12, Clothes . , • exhaust 33.39
Phone: Fax: ( ) Single -duet exhaust (bathrooms, -
APPLICANT
toilet corn .anmen stilt rooms
❑ CONTACT PERSON Attic/craw 2332
fens 23.32
Business name:? , l 4s Sc7 / Fuel 2332
`' �`� �y :i�..
Contact name: ALA �.,eat S
Fuel piping:
Address: e� � S14.1S for first four; $4.03 for each additional
)2 ] . a D £ / / A ij I�.v Furnace, etc.
City /State/ZIP: / Gas heat • ..
Cif l �� D�_ .21 Y WaIU , ended/ttnitheater
Phone: - , .3 ) - 3 2 c Fax:: (51)3) _ - Q Z - Water hearer
E-mail:
'r . • • G . _ •,a
CONTRACTOR
Barbecue name: 'T f.�I Sy S{� S•� Clothes , _ ■.-
Address; Other
City/StatejLlp: MECHANICAL PERMIT FEES* .
Phone: ( )
I Fax ( ) Subtotal . �� 7
Minimum permit fee ($90.00)
Plan review (25% permit fee) ; (
CCB lie.: /53 , ( • i l3 /l Y .
State surcharge (12%ofpermit fee)
Authorized signature: TOTAL PERMIT FEE
/
This (,1
permi ap p l icat ion expires a permit is not obtained within 180
I Print name: days after h has been accepted as complete.
O i � I Date ' I7 -,1 I • Fee methodology set by Tri-Co®ty Building Industry Service Board
L1Building1Pem ,rsAMgc- aem,itApp.doe 03/07/12
440-96177 (t tro2/COMJWEB)
•
FOR OFFICE USE ONLY - SITE ADDRESS: -
, This form is recognized by most building departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard COMMUNITY- DEVELOPMENT DEPARTMENT IIN a Transm Letter
COMMUNITY-
I G A R r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
)� JUL 2 4 2012
FROM: . c r1 awYA 0(.✓c4 S CrW OF T4GARD
COMPANY: 1 5 S+ \. -Sz 'g'c.49,,s 1:44'c , M'1.ONG DW{NN
PHONE: So 3- fl / 383 B)' .
RE: 2,2 5 -sc./ Oa i4-i i 'L sr H >:C ,AO/ - Gv 3 FSd
(Site Address) (Permit Number)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Copies: I Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. n ineer's calculations.
Other (expla'; . _ n g REMARKS• f J & — , - — .
\heri(74--e., - .._ _,
FOR OFFIC USE ONLY
3 Routed to Permit Technician•- Date: 7 r Initial
Fees Due: ❑ Yes []'No Fee Description: Amount ue:
$
$
$
Special
Instructions:
$
Reprint Permit (per PE): ❑Yes El No ❑ Done
Applicant Notified: Date: Initials:
l:\ Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012