Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00120
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2007
PARCEL: 2S 102 BA - 00304
SITE ADDRESS: 09826 SW TIGARD ST ZONING: I -P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 021 JURISDICTION: TIG
PROJECT: TRYE ELECTRONICS
Project Description: Replace HVAC unit. Value: $3000.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS: •
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
TIGARD INDUSTRIAL LLC Description Date Amount
11336 SW BULL MOUNTAIN RD #103
TIGARD, OR 97224 [MECH] Permit Fee 2/26/2007 $95.50
[TAX] 8% State Surcha 2/26/2007 $7.64
Total $103.14
Phone:
Contractor:
WILLAMETTE HVAC SERVICE
PO BOX 23334
TIGARD, OR 97281. REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 628 -6841 •
FAX 503- 848 -2597
Reg #: LIC 56951
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: Azotite4.14- 411.41-4— Permiftee Signature: .41;f1
Call 503.639.4175 by 7:00 a.m. for inspections 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.
r
Mechanical Permit Applicatio IE / ED FOR OFFICE USE ONLY �� F.J �/ Receive ,A i 4 /5/ �E %�r/11t�f /' .004 City of Tigard Re eiv , Permit No.
114 n 13125 SW Hall Blvd., Tigard, OR 97223 FEB plan Re ew
C : Phone: 503.639.4171 Fax: 503.598.1960 F B 2 ; 2007 p��g Other Permit:
Ins Line: 503.639
T I G A It D Date Ready/By. Jars: UI See Page 2 for
. Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK 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 dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, ov g
ernd profit.
CAT GORY OF CONSTRUCTION Value: $ 3Of.
ID and 2 family dwelling Commercial/industrial ❑ Accessory building
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: Q L Q fi �p � Q �7 /' t() 71 t'/l Air conditioning or heat pump
(requires site plan showing placement) 14.00
City / State/Z1P: Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: Project nam
J G e-t_' k/ssr Gas heat pump 14.00 .
Cross street /directions to job site: Duct work 14.00
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. 10.00
Flue /vent for any of above 10.00
Subdivision: . Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
�' t-� v �'r,./ Gas fireplace 10.00
CYf;� 1 A-c- Z.1 ✓stt n � &k Flue vent for water heater or gas •
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue/vent 10.00
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: _
Business name:
Fuel piping
Contact name: / $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: 10 Wall/suspended/unit heater /
Phone: ( ) If Fax:: ( )
Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: e 7 /(4.5‘.L.." t tee /14./ACC----
Clothes dryer (gas)
Other:
Address: /3 tK a 33,3 `•( MECHANICAL PERMIT FEES*
City /State/ZIP: G G.. Q -2 al Subtotal
Phone: ( )G,p 8 - g LL Fax: ( ) ce8 -a s / Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: ,54 4 =t Si / - / ,, # State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
�
Print name: A , 9,,,i/7/
6 . .. , C.AVI Date: a — 6" ` (57 • Fee methodology set by Tri- County Building Industry Service Board ��
I:\Building\PemnitsVMEC- PermitApp.doc 04/06/06 440-4617T(II /02/COM/WEB) •
Mechanical Permit Application - C ity of Tigard
Page 2 - Supple Information P
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC- PermitApp.doc 12/30/05 2 "
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00120
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7I'017007
Phone: (503) 639 -4171 L ID, - 1 A A
Inspection Requests (24 Hrs.): (503) 639 -4175 V ��II �
INSPECTION WORKSHEET FOR DATE: 2/28/2007 TIME: 7 :02AM PAGE: 27
SITE ADDRESS: 098 :.6 SW TIGARD S1 ' O a T CLASS OF WORK:
SUBDIVISION: Nth. . -, -- - '.. -DDIT1ON AMEND. LOT #: 471 TYPE OF USE:
PROJECT NAME: FRYE ELECTRONICS
DESCRIPTION: Replace WAG unit. WIua: $3000.00
OWNER: TIGARD INDUSTRIAL LLC, PHONE #:
CONTRACTOR: WLLAMETTE HVAC SERVICE PHONE #: 503.62116w
Inspection Request Scheduled For: Date: 2/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me . • -
699 Mechanical final 044082 -01 503 - 752 -4885 f'J2(01(
Corrections /Comments /Instructions: 7 p d
4 NP
i /iii 4■ .rr___i. V _-
C
rV PASS MI r . RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• • L M A FOR INSPECTION ❑ ADDITION ' L FEES ' SSESSED
Inspector: — ■A■ Date: Z 0 Phone #: (503) 718- ge
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