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Permit CITY OF TIGARD MECHANICAL PERMIT I , COMMUNITY DEVELOPMENT Permit #: MEC2012 -00402 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2012 Parcel: 25101 BB01500 Jurisdiction: Tigard Site address: 12232 SW GARDEN PL, BLDG# 1 Project: Apex Lab Subdivision: CROW PARK 217 Lot: 3 Project Description: Lab expansion Contractor: DURAMAX HEATING & COOLING INC Owner: WALTON CWOR PARK BC 8 LLC 25027 SE HWY 224 BY CTMT - WALTON RE TAX BORING, OR 97009 4678 WORLD PARKWAY CIR ST LOUIS, MO 63134 PHONE: 503 - 969 -3432 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 07/31/2012 $1,361.17 Class of Work: ALT Type of Const: Plan Review 07/31/2012 $340.29 Occupancy Grp: B Occupancy Load: 12 % State Surcharge - Mechanical 07/31/2012 $163.34 Stories: Into Process /Archiving - Lg $2.00 (over 07/31/2012 $8.00 Project Valuation: . $49,875.00 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 $1,872.80 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: 5 Other Desc: Make Up Air Duct Work: 2 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: Permittee Signature: �f / Call 503.639.4175 by 7:00 a.m. for the next available inspection date. YY��II��JJJJ 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 RECEIVED OF I _ O N L Y FOR 01 11S14, Om,\ City of Tigard R 1 3 i [(2„ ..it Permit No,. ere, .1111 ' ° 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 JUL 3 1 2012 Plaan te/By: Review rilkiallE , , el . p ain; ; tt p d0 , 00 t g-i - i ci ,., i I InSpectionline: 503.639.4175 Date Ready/By. 1uris: , fil See Page 2 for Internet: www.tigard CITY OFTIGARD Notified/Method: --rt&o, Supplemental Information • BUILDING DIVISIO ' , - i . ,,.. yi:r ., i , i ..- ,,,.„•-- --;.,.,---- TYPE • - i v ' o pi : •ji-"- - •"- - K-... 0 ? ,- .:•:.`, - & - ., -, :e4.•':; - :,, ,, , Z-,..7,.,.: ,- -2',Jtommtitelit: 1 ****4 - 4* - --;.:0 - .t010 1, CHECKLIST ' '' ' ''L - '" 1: • - ---::-- : ' ---- ' . ' -4-- '''''' .': ''''' L': ' Mechanictil permit fees* ar e based on the value of the work Li New construction LS performed. Indicate the value (rounded to the nearest dollar) of all El Demolition 12 Other: mechanical materials, equipment, labor, overhead, and ret9.,.._ . t00'. '.:,.,: ,..:::- , _ ,--, ...:-:. "Rtsmoi,114'EOT4gi4t 0 1- and 2-family dwelling [ii Commercial/industrial 0 Accessory building For spedal Infonnation Use checklist El Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total -- - - - -....-.. - - • - , ;.-,---;---,, •..-,--.. , .e. Heating/cooling: ''':'-' -.•' :- ItilkSITE 4634:AWATItiWA140 ';i:OcX.Tiii5N.',••'' ,-".., .'.,,,,_ ,...,• .-''-' r••' , . - . .. . Job site address: 12 2.32 St.) 6 Plito2 (requires site plan showing placement) 46.75 " Furnace 100,000 BTU (ducts/vents) 46:75 City/State/ZIP: Tat aril, iv cryit3 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg./apt. no.: Project name: glee x L Evewviv in,4 Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: 0 B I s44 o p Hs ici 119 )0,„) Ruvi Duct work • 23.32 Hydronic hot water•system 23.32 (...)112t) utu Ai it li'.1% pivx 2,17 Residential boiler (radiator or - hydronic) . 23.32 - Unit heaters (fuel-type, not electric), in-wall, in-duct, suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: . I Lot no.: - Other: 23.32 Tax map/parcel no.: _ Other fuel appliances: -- ?,i, , ,.,•. -- _ , . , .., - iigg-tiiiiiii-os,c . 6e - ii,iiik - ;9,:•:::A -. .",:: - ./ ) =• , ,::-Nr . ,:.: ;::.' Water heater 23.32 . Gas fireplace/insert 33.39 1.4) "ek pew c to kr . Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 . - -- . .- - . ..- . •,-,-;.• . .. ..,...• -,,,-, flue/vent 23.32 ,::".'- : '--,,•"'-•: - ;= - tyiikiiiiitii - ioilN tit :: • ....7::: -s-',f::'• IDA.t.Tyleipi:y Chimney/liner/ ` +i,.',.;,:':- `,..' ' 23.32 Name: A f a ex Labs Environmental exhaust and ventilation: Range hood/other kitchen Address: i z23z Su.) , scec i o, ottc equipment 33.39 City/State/ZIP: 7 1.30 4 i o p 4? 727 Clothes dryer ethaust 33.39 Single-duct exhaust (bathrooms, Phone: (S3 ) - , 6 _ 7 3 ts Fax: (Sts ) 19 -o3.33 toilet compartments, utility rooms) 23.32 ' ',.APPLICANT -r''', 1 ''4. :: 61;tOki-Cf . Attic/crawlspace fans 23.32 Other: 23.32 Business name: A L • Fuel piping: Contact name: D eu j i w Pri lmva‘c $14.15 for first four; $4.03 for each additional Furnace, etc. Address: I . zr 3a sco Geta o Gas heat pump City/State/ZIP: ti3 oR ql 2-3 Wall/suspended/unit heater Water heater Phone: ( s ) .-/ 1 e Fax : ( So3 ) 7 1 A - 0:133 Fireplace. E-mail: c14.1. ibl_ppc t p • . - Range -",--:":;:-;•:";• ( f -,;- ." , "0": - ;:: , '• - tCONTRAC TOR ' r"'-''` - -, k ,,,5: . ; B ar b ecue •z:' 1:1--..-: .... - .. , --,. - .-.. - , ' :0: ',:" ,■.7. ! ,.1:,‘".; ' 1.-..' : , ,a, Clothes dryer (gas) Business name: , if , j . GD ,,,, t . .„ 5 a . v .,,,, , Address: 25 2_ 7 c2E. 1,-FLO 2_2114 ',- --, • •• ''. '' PERMIT FEES* City/State/ZIP: f2) ri,, OA, C 70 c,9 Subtotal Minimum permit fee ($90.00) Phone: (503)6, 7 Fax: 5 52: ) c. .1 I -5 9' ct Plan review (25% of permit fee). CCB lic.: /4 ( ? 7 c., - State surcharge (12% of permit fee) ' TOTAL PERMIT FEE / 87.2. WO This permit application expires if a permit is not obtained within 180 Authorized signature: C.,L7f days after it has been accepted as complete. Print name: u I • ." (..3 ,ik Crt....L... P Date: ' Fee methodology set by Tri-County Building Industry Service Board 1:\BuildinePerrnits\M:EC-PerrnitApp.doc 03/07/12 440-4617T (11/02/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 d 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. • I:1 Building \PennitsWlEC- PermitApp.doc 03/07/12 2 n Building Division T l c A Over - The - Counter (OTC) Mechanical Permit Check List Project Description: - `l . l a ` • . _ APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: k Occupancy Group: Type of Construction: *Type of Use: CCVA4 Oregon Specialty Code: Number of Stories: FUEL FURNACES Typc: Furnace < 100K BTU Furnaces >= 100K BTU Gas Pressure: Roof Top Unit (RTU) Tons Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units <= 10000 cfm Type 1 Hood Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler (BTUs) Vent Fans Gas Line ten Solid Fuel Fireplace/ Clothes Dryers Gas Outlets Woodstove Duct Work Gas Fire lace Fire /Smoke Dampers Other Mechanical Units — Describe: � PP Z Total Project Valuation: $ °498 , FEES DUE $ Mechanical Permit Fee $ /, "" Plan Review $ M 12% State Surcharge $ i ,Cr Info Proc /Arch, Lg (over 11x17 $2.00) $ Info Proc /Arch, Sm (up to 11x17 $0.50) • $ Misc. Admin Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ Other: • Building Staff:. Date /Time: $ 1 � j i Z SO TOTAL FEES DUE *OPTIONS: • • TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLAS &OF WORK ACS = accessory; ADD = addition; ALT = alteration;IND = foundation; DEM = demo; FND = foundation;"FPS = fire protection,system; NEW = new; OTR = other (use for,fences, decks, retaining walls, signs, awnings or- canopies); REP = repair. 1:\Building\Forms \OTC - MEC.docx 01/13/2011 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12232 SW GARDEN PL BLDG 1, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2012-00402 Jeff Grove Violation Summary: Inspector Contractor