Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2012 -00364
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2012
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Project: Plaza West Subdivision: ASHBROOK FARM Lot: PTS 5 &
Project Description: Install (1) 2 -ton and (1) 3 -ton cooling units for classrooms.
Contractor: OREGON AIRE INC Owner: SUN LIFE ASSURANCE CO OF CANADA
7715 NE 33RD DR STE A BY NORRIS BEGGS & SIMPSON
PORTLAND, OR 97211 121 SW MORRISON ST #200
PORTLAND, OR 97204
PHONE: 503 - 335 -2222 PHONE:
FAX: 360 - 423 -1978
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 07/31/2012 $576.31
Class of Work: OTR Type of Const: Plan Review 07/31/2012 $144.08
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/31/2012 $69.16
Stories: Info Process /Archiving - Sm $0.50 (up to 07/31/2012 $3.50
Project Valuation: $18,950.00 11x17)
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 $793.05
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 • - •btain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued 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 A licatio D FOR OFFICE USE ONL ��
City of Tigard RL n Permit N' . //
n 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: / / � / � ' ` 3 fo
- e .1111 1 201 D a t e / By: Review I I
Phone: 503.718.2439 Fax: 503.598.1960 ( Other Permit:
TI C A R D Inspection Line: 503.639.4175 ' Date Ready/By: - is /I El See Page 2 for
Internet: www.tigard-or.gov
CITYOFTIGARD Notified/Method:, /� 4,2_ 4 r If Supplemental Information
BUILDING DIVISION " 4, . Jar42 - A;r I
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: $ 18950
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: 9600 SW Oak St. .(requires site plan showing placement) 2 46.75
City/State/ZIP: 97223 Furnace 100,000 BTU (ducts/vents) 46.75
- • Furnace 100 • - 54.91
Suite/bldg. /apt. no.: Project name: Plaza West Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Greenberg and Oak 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 Mel appliances:
DESCRIPTION OF WORK Water heater 23.32
• Gas fireplacefmsert - 33.39
Install small cooling units in 2 classrooms. Flue vent for water heater or gas
•
st
( / 1 2 — TO A ` / ( � 3 -7 u A/ / T fireplace 23.32
•/ Log lighter (gas) 23.32 I
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER f ❑ TENANT . Chimney/liner/flue/vent 23.32
. . Other: . . 23.32 .. .
Name: C/O NAI Norris Beggs Simpson Environmental exhaust and ventilation:
• Address: 121 SW Morrison St. Suite 200 Range hood/other kitchen
equipment 33.39
City/State /ZIP: Portland / Oregon / 97211 • Clothes dryer exhaust 33.39
•
Single-duct exhaust (bathrooms,
Phone: (503)626 -0893 Fax: ( ) toilet compartments, utility rooms) 23.32 .
® .APPLICANT .. ❑ - CONTACT PERSON. - - _ _ Attic/crawlspace fans . 23.32 . .
Other: 23.32
Business name: Oregon -Aire Inc. Fuel piping:
Contact name: David DaCorte $14.15 for first four; $4.03 for each additional .
Address: 7715 NE 33 Dr. Suite A Furnace, etc. •
Gas heat pump
City/State/ZIP: Portland / Oregon 97211 Wall/suspended/unit heater
Phone: (503) 335 - 2222 Fax: : (503 - ) 335 - 9977 Water heater
Fireplace
E -mail: age
_ CONTRACTOR - . . _ .. . _ . , , . Barbecue .
Business name: Same Clothes dryer (gas)
Other:
Address: - ' MECHANICAL PERMIT FEES" -
City/State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
. Plan review (25% of permit fee)
CCB lie.: gt 35 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
� ��%/ 4/! (/(X di., J2 This application as if a permit is not obtained within 180
Authorized signature: l , I days after it t has s b been accepted as complete.
Print name: David M. DaCorte Date: 7 - - 2012 • Fee methodology set by Tri -County Building Industry Service Board
I:1 Building \Permits\MEC- PcmtitApp.doc 03 /07/12 440 - 4617[•(11 /02/COM/WEB)