Permit CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT Permit #: MEC2012 00455
T iGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/05/2012
Parcel: 2S101AB01604
Jurisdiction: Tigard
Site address: 7307 SW BEVELAND RD 110
Project: Welch Subdivision: HERMOSO PARK Lot: 16
Project Description: Installation of (1) furnace, exposed discharde and return air ducting.
Contractor: DOERING MECHANICAL CONTRACTOR LLC Owner: BEVELAND LLC
15648 SE 114TH AVE SUITE 104 7307 SW BEVELAND ST
CLACKAMAS, OR 97015 TIGARD, OR 97223
PHONE: 503 - 305 -6664 PHONE:
FAX: 971- 269 -2845
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/05/2012 $291.51
Class of Work: ALT Type of Const: Plan Review 09/05/2012 $72.88
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/05/2012 $34.98
Stories:
Project Valuation: $7,987.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 1 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 $399.37
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 • ' ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification =•ter. Tho e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or d ect questions to O C • calk g'503.232.1987 or 1.800.332.2344.
Issued By: .ermttee gnature: 1 L� Pi Si 1 / 1 i J.s�/ AL
Call 503.639.4175 by 7:00 a.m. for the next available inspection d •te. •
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 OFFICE USE ONLY
iv
� � City of Tigard RECEIVED Re Date lBy ed P S / � � ��/ /J � Permit No. � i �
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review /ll
• Phone: 503.718.2439 Fax: 503.598.1960 DatelRy. Other Permit: Z 4� /
Inspection Line: 503.639.4175 0 5
T [G ARD � SEP E O L I 2012 Date Ready/By lads: 0 P see age2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
CITY OFTIGARD
TYPE OF AgliilLDING DIVISION 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 p Other: mechanical materials, equipment, labor, overhead, and profit.
• Value: $ 7187
CATEGORY OF CONSTRUCTION RESIDENTIAL EQ/ SYSTEMS FEES •
❑ 1- and 2- family dwelling NI Commercial/industrial ❑ Accessory building For a! infomsaiwn use c/zeckJisa
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
736,7 JOB SITE INFORMATION AND LOCATION HeatinpJwollnQ
Air conditioning
Job site address: 5 v 7 ��,� 1 v 0 r �hl�'1 ' .,i� li J (requires uires site plan showing placement) 46.75
City/State/ZIP: ^ QS l 6 Q 7 7 3 Furnace 100,000 BTU (ducts) 46.75
"�' `� 1 li Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgiapt. no.: I I l(, Project name: H- Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Ductwork 23.32
/i: ati ?2vVd Awe 5 Hydronic hot war (system 23.32
f r K Q Residential boils (radiator or
ex 1 +, t {�► I - 0) I lot L 1 ll ►rf CAA 7 w hydronic) 23.32
I �+ V I T' / Unit heaters (fuel -type, not electric),
Q1/� t)euetet 6 e4 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
+ � b �� 'I ) ne cQ (� _ Flu vent fireplace/insert 33.39
1 r ant 9 6.6% C�'IA.Y'1/IC.CG a Flue vent for water heater or gas
L ► fireplace 23.32
et.tn 6 expase4 e(ts c Uict rase /� 44 1 C L'V4H di r Log lighter (gas) 23.32
d lAG+ N C o Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Nl
Other: 23.32
Name: I l S (D � Environmental exhaust and ventilation:
Address: 5 ) Range hood/other kitchen
_ equipment 33.39
City/State/ZIP`: r A 6 L 0 7 Z Clothes dryer exhaust 33.39
Phone: r g � ` C 2 Fax: �
6` �' �e Q2�J 8 Single -duct exhaust (bathrooms,
� { V 3 toilet compartments, utility rooms) 23.32
❑ APPLICANT aik CONTACT p,,` PERSON Attic/crawlspace fans 23.32
• Business name: 00 e r '% y � / � �l.T Vl L C� l Ca►� idc r �� Other: 23.32
I A I I ! ! Fuel piping:
Contact name: Ai gy , 1 1 N e0.\ $14.15 for first four; $4.03 for each additional
Address: ` 5 L j gam J LI f'A &
_ ' Furnace, etc.
Z Gas heat pump
City/State/ZIP: e 1 e kt was , i • CI 7O (Y 5 Wall/suspended/unit heater
Phone: (563) 05 _ 4,0006 [.I F ax:: (q'fl) 2t1 �7 `f _ A, i / r Water heater
`1 Fireplace
E Oe>erivIdt meet @ AOL, . GOIM Range
CONTRACTOR Barbecue
Business name: ,' 4 • Clothes dryer (gas)
a - g C . ! . I / .• Other
Address: 1 56 (4 48 6 E‘114 4ve, Set 1 4- k
e MECHANICAL PERMIT FEES•
City/State/ZIP: C(aCk4 weal / sash 970 Subtotal Aqj. 51
Minimum permit fee ($90.00) .�—
Phone: ( ?�, 5 - 6(06, Fay (C 171) C17r ) z 6q - 28Y 5 Plan review (25% of permit fee) '7a, gg
CCB lie.: { Cf 3 32-e, o �7 l / j State surcharge (12% of permit fee) 3 y .9 $
TOTAL PERMIT FEE , 0
This permit application expires if a permit is not obtained ed within 180
Authorized signature: days after it has been accepted as complete. ....._.e..../eCile........_,,
Print name: ' {/', Date: 9l 5/ i z . Fee methodology set by Tri- County Building Industry Service Board
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