Permit p CITY OF TIGARD MECHANICAL PERMIT
1 1 s ' COMMUNITY DEVELOPMENT Permit #: MEC2012 -00505
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/03/2012
Parcel: 2S 102AA03000
Jurisdiction: Tigard
Site address: 8740 SW SCOFFINS ST
Project: Cosale Office Subdivision: TIGARD HIGHWAY TRACTS Lot: 24
Project Description: (1) duct work to reroute and add ducting to new and altered spaces
Contractor: GRESHAM HEATING & AIR CONDITIONING Owner: LANSING, ROB
1560 NW 3RD ST 17237 KELOK RD
GRESHAM, OR 97030 LAKE OSWEGO, OR 97034
PHONE: 503 - 667 -7594 PHONE: 503 - 544 -4673
FAX: 503 - 667 -3769
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/03/2012 $297.13
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 10/03/2012 $35.66
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $8,167.08
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $332.79
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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 ork rrot�a within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you follow the rules• adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0 Y-ou_may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
) t l
Issued By: \d��`-fit Permittee Signature:
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 completio .f . • .reject.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio N FOR OFFICE USE ONLY
City of Tigard ; Date/By: lob Pennit No. 6G
-+'
1111 • ° 13125 SW Hall Blvd., Tigard, OR 97223 y 3 �� a` ��
Phone: 503.718.2439 Fax: 503.598.1960 O C T 0 3 2012 Plan Review
Date/By: Other Permit: - ipi n. o0I3
TI G A R D Inspection Line: 503.639 Date Ready /By: RI See Page 2 for
Internet: www.tigard �l , � t 4��1ik1 I - Notified/Method: Supplemental Information
>� !Il � ; .e� I ; /tOrr+
TYPE OF WORK 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $8,167.08
CATEGORY OF CONSTRUCTION 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. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 8740 Sw Scoffins Rd (requires site plan showing placement) 46.75
City /State /ZIP: Tigard, Or 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite /bldg. /apt. no.: Project name: CoSales NW Remodel Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work d ote 23.32 2.
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: 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
reroute and add ducting to new and altered spaces Gas fireplace /insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Rob Lansing Environmental exhaust and ventilation:
Address: 17237 Kelok Rd Range hood /other kitchen
equipment 33.39
City /State /ZIP: Lake Oswego, Or 97034 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)734 -8910 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Lansing Design Construct Other: 23.32
Fuel piping:
Contact name: Greg Lansing $14.15 for first four; $4.03 for each additional
Address: 7409 SW Tech Center Dr # 135 Furnace, etc.
Gas heat pump
City /State /ZIP: Tigard, Or 97223 Wall /suspended/unit heater
Phone: (503) 734 -8910 Fax: : ( ) Water heater
Fireplace
E -mail: greg.lansing @gmail.com
Range
CONTRACTOR Barbecue
Business name: Gresham Heating and Air Clothes dryer (gas)
Other:
Address: p.o. box 1320 MECHANICAL PERMIT FEES*
City /State /ZIP: Gresham, Or 97030 Subtotal agI .
Minimum permit fee ($90.00) 296.20
Phone: (503) 667 -7594 Fax: ( ) Plan review (25% of permit fee)
CCB lie.: 81491 (kt ft State surcharge (12% of permit fee) 38 6.4
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Greg Lansin Date: 10/3/12 • Fee methodology set by Tri -County Building Industry Service Board
33,2.. ?9
I \Building \Permits \MEC- PermitApp.doc 03/07/12 440-46I7T (I I /02/COM/WEB)