Permit •
•
CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT Permit #: MEC2012 -00450
T [GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/11/2012
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address:. 16083 SW UPPER BOONES FERRY RD 300
Project: Therapeutic Associates Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Install (9) VAV boxes, ductwork with SA and RA grilles. Install (1) ductless split in IT room.
Contractor: JNB MECHANICAL INC Owner: G &S FC LLC
3315 NE 112TH AVE A40-41 16083 SW UPPER BOONES FERRY RD,
VANCOUVER, WA 98684 STE
TIGARD, OR 97224
PHONE: 360 -433 -9439 PHONE:
FAX: 360 -433 -9439
FEES
Specifics: Description - Date Amount
Type of Use: COM Permit Fee 09/11/2012 $916.67
Class of Work: ALT Type.of Const: •IIB Plan Review 09/11/2012 $229.17
Occupancy Grp: B Occupancy Load: r 1 . 2% State`Surcharge - Mechanical - 09/11/2012 $110.00'
Stories: 3 Info Process /Archiving -. Lg $2.00 (over 09)11/2012 $4.00
- 11x17)
Project Valuation: $32,378.00 Info Process /Archiving - Sm $0.50 (up to 09/11/2012 $1.00
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: 1
Heat Pump:
Appliances •
Vent Fans: Vent Systems: Total $1,260.84
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces: .
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV's
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, 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 1.8 0.332.2344.
•
Issued By: jatA Permittee Signature: I
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 heat' I]1 FOR OFFICE USE ONLY
iii,q City of Tiga � � ` ` Date/By: .'p�g / Permit No.- /p��,
° 13125 SW Hall Blvd., Tigard, OR 97223
Plan Revie� '
C . Phone: 503.718.2439 Fax: 503.598.1960 `) r 2 8 2012 DatcBy or,,, ! �' r Other Permit:
T I G A It D Inspection Line: 503.639 Date Juris: ® See Page 2 for
Internet: www.tigard- or.gov CiTYOT1 Notified/Method:,X'_. 111 Supplemental Information
I�LDINGDIVISIDN —iv _ ?
TYPE OF RK / ig OMMERCIAL FEE* SCHEDULE — USE CHECKLIST
hanical 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: $ $32,378.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For spedal 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: 16083 SW Upper Boones Ferry Rd (requires site plan showing placement) 46.75
Fumace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: Tigard Ore. 97224 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: ,50 Project name: ffieftflettr Heat pump
�t /1 � u i C � (requires site plan showing placement) 61.06
Cross street/directions to job site: /' 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: I 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
Install (6) new VAV fan powered boxes, Install (3) new VAV cooling only boxes Gas f
insert
33.39
Flue vent fireplace/ water heater or gas
Ductwork, SA & RA grills for above systems fireplace 23.32
Log lighter (gas) 23.32
Install (1) Ductless Split A/C "cooling only" in IT room Wood/pellet stove 33.39
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
Single -duct exhaust (bathrooms,
Phone: ( ) I Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Business name: JNB Mechanical Inc. Other: 23.32
Fuel piping:
Contact name: John Wright $14.15 for first four; $4.03 for each additional
Address: 3315 NE 112 Ave ST # A40 -41 Furnace, etc.
Gas heat pump
City /State /ZIP: Vancouver Wa. 98682 Wall /suspended/unit heater
Phone: (360) 721 -7039 Fax: : (360) 433 -9439 Water heater
Fireplace
E -mail: john @jnbmech.com Range
CONTRACTOR Barbecue
Business name: JNB Mechanical Inc. Clothes dryer (gas)
Other:
Address: 3315 NE 112 Ave ST# A40-41 MECHANICAL PERMIT FEES*
City /State /ZIP: Vancouver Wa. 98682 Subtotal
Phone: (360) 433 -9067 Fax: (360) 433 -9439 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 176150 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
T his permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: John Wright Date: 8/28/2012 • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits\MEC- PermitApp.doc 03/07/12 440-4617T (I 1 /02/COM/WEB)
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
UPI s . al Transmittal Letter
r I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: (_ i..v--d DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
- ��� 0 5 2012
FROM: i `w ^ v v• 1 \�
CITY UFTIGARD
COMPANY: M .6 t , �a\ �,-„� BUILDI�IGDNISION
PHONE: c L.0 �2 1 2c:A
7 C 1
RE: (loq IA PPt2 r dCa7ADEb e 7 , H € / - / 5 )
(Site Address) (Permit Number)
- - , L e ,
' roject name or u • •'vision name an u of num i er
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: I Copies: 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. Engineer's calculations. .
Other (explain):
REMARKS:
! 4(_ 6ILL -- 7, 1 A i_ ' P/ /.7;-,t)l.<6 '
FOI�QFFIICE USE ONLY
Routed to Permit Technic' ari./ Date: (/S ((2— Initials:
Fees Due: ❑ Yes ai<10 Fee Description: Amount l ue:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\ Forms \TransmittalLetter- Revisions.doc 05/25!2012