Permit CITY OF TIGARD MECHANICAL PERMIT
2 • COMMUNITY DEVELOPMENT Permit: MEC2009 -00261
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06(04!2009
Parcel: 2S102BA00304
Jurisdiction: Tigard
Site address: 9826 SW TIGARD ST
Subdivision: Lot: 0
Project: Frye Electronics
Project Description: Replace 5 ton condenser RTU.
Owner: FEES
TIGARD INDUSTRIAL LLC Description Date Amount
5805 JEAN RD
LAKE OSWEGO, OR 97035 Permit Fee 06/04/2009 $95.50
Plan Review 06/04/2009 $23.88
PHONE: 12% State Surcharge - Mechanical 06/04/2009 $11.46
Contractor:
WILLAMETTE HVAC
3075 SW 234TH AVE. #206
HILLSBORO, OR 97123
PHONE: 503 - 628 -6841
FAX: 503- 848 -2597
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $130.84
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
o ttLe j_ r r erir\
Issued By:
V(25) l � ' ( n Permittee Signature:
" ►� L � Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Mecha!ical Permit Applica" FOR OFFICE USE ONLY
� \ �� "` �� Received `'
li City of Tigard Date/B : o� PetmitNo.:ry112 7�f1- . n0 . 2 .1
° 13125 SW Hall Blvd., Tigard, OR 97223 - Date/B �^^�� ��
lUN 0 4 2009 y \ — f l 1
Phone: 503.639.4171 Fax: 503.598.19601 /ByReview Other Permit: Fke t1^lf- 6o 0(
Da
T I GA RD Inspection Line: 503.639 OF TIGARD Date Ready/By: Sufis: ® See Page 2 for
Internet: www.tigardor.gov CI L 1 Notified/Method: Supplemental Information
BuG DIVISION
�`�
TYPE OF W K Supplemental
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition /alteration /replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dolla0 of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
•
CATEGORY OF 'CONSTRUCTION Value: $ $3,000.00
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. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 9826 SW Tigard St Air conditioning or heat pump
g (requires site plan showing placement) 14.00
City /State /ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Frye Electronics Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Replace 5 ton condenser like for like Flue vent for water heater or gas
fireplace 10,00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert Id.00
❑ PROPERTY OWNER Chimney /liner /flue /vent 10.00
❑ TENANT. Other 10.00
Name: Environmental exhaust and ventilation
• Address: Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans _ 10.00
Other: 10.00
Business name: Same as below
Fuel pi in
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
-
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Willamette HVAC Clothes dryer (gas)
— Other:
Address: 3075 SW 234 Ave Ste 206 MECHANICAL PERMIT FEES*
City /State /ZIP: Hillsboro OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB tic.: 56951 State surcharge (12% of permit fee)
ro TOTAL PERMIT FEE IC) .814 Authorized si nature: This permit application expires if a permit is not obtained within 180
g i days after it has been accepted as complete.
Print name: Michael Malstrom Date: 6/4/09 • Fee methodology set by Tri-County Building Industry Service Board
I \Buildineermits\MEC- PermitApp doe 01/19/07 440.4617T (II /02 /CObt/WEB)