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Permit CITY TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00265 I' DATE ISSUED: 5/24/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DC -04602 SITE ADDRESS: 07337 SW TECH CENTER DR ZONING: I - SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Warehouse exhaust. Value: $5850.00 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: 1 GAS OUTLETS: Owner: FEES MCCORMACK, WILLIAM L + DARLENE T Description Date Amount 7190 SW SANDBURG ST [MECH] Permit Fee 5/24/200` $86.18 TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/24/200; $6.89 [MECPLN] Plan Rev 5/24/200E $21.54 Phone: 503 - 624 -2090 Total $114.61 Contractor: REITMEIER MECHANICAL INC 7051 SW SANDBURG ST STE 400 REQUIRED ITEMS AND REPORTS TIGARD, OR 97223 -8011 Phone: 603 -0205 Reg #: LIC 153770 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: 7.c�Gt,�ihe{S�C �h � PermitteeSignatur 1/ 4, Call 503 - 639 -4175 by 7:00 a.m. for inspections that buss day. This permit card shall be kept in a conspicuous place on the job site untmpletion of the project. Approved plans are required on the job site at the time of each inspection. .;FORp'OFFICE USE ONLY ' Mechanical Pern tAppl �ca�:lion i ll 1 L. fed' t= u v Received Mechanical , Tigard Date/B : 1 Ap Permit No.: A . / _Q ` al City Of A 1�r `s(lyd Planning A.prov. Buil ding Y g MAY 2 4 2005 Date/B : Permit No.: / ..p s� , ,- jd 13125 SW Hall Blvd. Plan Review Other Tigard, Oregon 97223 CITY OF TIGAP Dat 'B : Permit No.: Phone: 503 - 639 -4171 Fax: 50 upi2J1�. 9 / Y��� �l 3&�i�6u0DIVI. Post- Review Land Use U Date/B Case Internet: www.ci.tigard.or.us f �1 Contact Juris.: ® See Page 2 for 24 -hour Inspection Request: 503- 639 -4175 '`'''" P Q Name/Method: Su .IementalInformation. ;; ` : -St& W ,;,, iAYPE`,OF° WORKm ,. I i t , COMMVIERCIAL,FEE *:SCHEDIII.£ USE CHECKLIST,; ' ❑ New construction ❑ Demolition Mechanical permit fees* are based on the total value of the work Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all mechanical materials equipment, labor, overhead and profit. . ,,� „ >�,� ;�` „,„ �CATEG®RY;OFCOIVS # RUCTION;,,, ��,,�,:� .:,, . _ Page 2 for Fee Schedule V alue: $ ©. CV ' See Pa ❑ 1 & 2- Family dwelling �ommerclal /Industrial 5 g ❑ Accessory Building ❑ Multi- Family , :RESIDENTIAL EQUIPMENT /SYSTEMS FEE *4SCFIEDULE Description I Qty I Fee(ea.) I Total ❑ Master Builder ❑ Other: : ;,, _ He . iS” JOBSITEINFORIYIATIONland TOCATION . _ ,: 2 Furnace - add -on air conditioning** 14.00 Job site address: 7337 SW t) .... Q4 Tg .t4 x T 7 as heat pump 14.00 Suite #: Bldg. /Apt. #: Duct work 14.00 Project Name: Rac�(•T,t,� Hydronic hot water system 14.00 Cross street/Directions to job site: (orid radiator boiler hydronic system) 14.00 ler rJ (for radiator or 7 2 , IcGbl, Ca.WrE - DA . Unit heaters (fuel, not electric) (in wall, in -duct, suspended, etc.) 14.00 Flue /vent (for any of above) 10.00 Subdivision: Lot #: Repair units 12.15 F OtherFiielAppliances. .s."s`:: _ - . Tax map /parcel #: Water heater 10.00 ilel „ > ; ,,,,gil ;DESCRIPTI®N OF. WORK` , - _ Gas fireplace 10.00 I T try t,Vik(L,ai4-00c, £ Kxfhd is i Flue vent (water heater /gas fireplace) 10.00 P ( T- 356 t-135 ) Log lighter (gas) 10.00 Wood/Pellet stove 10.00 Oa) Rep r Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 (PROPERTY`OWNER ,` , ., ,._ E TENANt ,` ! - , .,' Other: 10.00 Name: /III - 6,kt4,I ACLU (i) t”` t„ - ` DAral—� l= o . /o •:, eod/other ki egtal EXh3USt 4 :Ventila`tion =:. , " _. . , 1 Range hood/other kitchen equipment 10.00 Address: 7 (g 0 5W s 64(3 ce_C7 CJc-" Clothes dryer exhaust 10.00 City /State /Zip: "F A. laM o(_ ." 7` 23 Single duct exhaust Phone: f; . - (2.4 -- 2.00 0 F (bathrooms, toilet compartments, NIVITOM i <. ,' : ICONTACT :PERSON utility rooms) 6.80 Name: Attic /crawl space fans 10.00 Address: Other: moo City /State /Zip: * *($5.40 for first 4, $1.00 each additional) Phone: Fax: Furnace, etc. ** Gas heat pump ** E-mail: Wall /suspended/unit heater ** v t. ; ik... ,, la ..' 9 CONMCTOR. �;S..& :2: „ , ,:: Water heater ** Business Name: W tTA4.€l e2 . M c...;1FA.o I CA t., Fireplace ** Range ** Address: ' 7 0 5 j i Sc() S d i24 A1 0 r s - --o Ran o Ran ** City /State /Zip: I t 4A/2-0 Clothes dryer (gas) ** Phone: 501' (O 3--o pS Fax: 5D? -6 -0 I5 0 Other: ** CCB Lic. #: ( � � 7 7 0 Total: • 'Mechanical' PerinitrFees *� ir-.' Authorized f _ Signature: 1 ., /z • Date: j / l t/ ©S Subtotal: $ —�' Minimum Permit Fee $72.50 $ � 6 ip . IV S '1-74\ f v P ' 111 I411/4-) S Q w. ) Plan Review Fee (25% of Permit Fee) $ a4 , 64 (Please print name) State Surcharge (8% of Permit Fee) $ g' TOTAL PERMIT FEE $ I ' I , I Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri -County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. i:\Dsts\Permit Forms\MecPermitApp.doc 01/03 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information 50 , Commercial Fee Schedule: '7.; • . $1.00 to $5,000.00 Minimum fee $72.50 $5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and $1.52 • 50 for each additional $100.00 or fraction / - q thereof, to and including $10,000.00. $10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and $1.54 for each additional $100.00 or fA /19 fraction thereof, to and including $25,000.00. $25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and $1.45 for each additional $100.00 or fraction thereof, to and including cA/ 1 $50,000.00. $50,001.00 and up $742.00 for the first $50,000.00 and $1.20 for each additional $100.00 or (0) fraction thereof. Value Total Description: Qty (Ea) Amount Furnace to 100,000 BTU, including 955 ducts & vents Fumace > 100,000 BTU including ducts 1,170 & vents Floor furnace including vent 955 Suspended heater, wall heater or floor 955 mounted heater Vent not included in appliance permit 445 Repair units 805 <3 hp; absorb. unit, 955 to 100k BTU 3-15 hp; absorb. unit, 1,700 101k to 500k BTU 15-30 hp; absorb. unit, 501k to 1 mil. 2,310 BTU 30-50 hp; absorb. unit, 3,400 1-1.75 mil. BTU >50 hp; absorb. unit, 5,725 >1.75 mil. BTU Air handling unit to 10,000 cfm 656 Air handling unit >10,000 cfm 1,170 Non-portable evaporate cooler 656 Vent fan connected to a single duct 446 Vent system not included in appliance 656 permit Hood served by mechanical exhaust 656 Domestic incinerator 1,170 Commercial or industrial incinerator 4,590 Other unit, including wood stoves, 656 inserts, etc. Gas piping 1-4 outlets 360 Each additional outlet 63 TOTAL COMMERCIAL $ ;: VALUATION: „ i:\Dsts\Permit Forms \MecPerrnitAppPg2.doc 01/03