Permit CITY OF TIGARD MECHANICAL PERMIT
3 . • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00499
Date Issued: 10/08/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Project: Plaza West Subdivision: ASHBROOK FARM Lot: PTS 5 &
Project Description: Replace (2) rooftop HVAC units: reconnet existing piping and ductwork.
Contractor: HUNTER DAVISSON INC Owner: SUN LIFE ASSURANCE CO OF CANADA
1800 SW PERSHING ST BY NORRIS BEGGS & SIMPSON
PORTLAND, OR 97202 121 SW MORRISON ST #200
PORTLAND, OR 97204
PHONE: 503 - 542 -3628 PHONE
FAX: 503 - 542 -3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/08/2012 $830 31
Class of Work: ALT Type of Const: IIB Plan Review 10/08/2012 $207 58
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 10/08/2012 $99.64
Stories: 5 Info Process /Archiving - Sm $0.50 (up to 10/08/2012 $7 00
11x17)
Project Valuation: $29,000 00
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 $1,144.53
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 -0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232 1987 or 1 800 332.2344.
Issued By: Permittee Signature: T—
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'Applicatioa,, � �_ .., Foa oFF1cF usEoNLV
_ — City of Tigard ^� R ece i Yd / 02.. /_ PemutNo f 2 w �D 999
13125 SW Hall Blvd., Tigard, OR 97223 s . fl Da te/B lf oc (/
/2
': c ... O CT 0 1 2012 Date/By: By: ► 3 (V/U
Phone: 503.639.4171 Fax: 503.598.1960 DBy: �� / l 1 Other Permit:
T I GA R D
Inspection Line: 503.639 Date Ready/By: f G Juns: El See Page 2 for
Notifi ed/Method:4
Internet: www.tigard or.gov 2 r OF 15: a ; , RD /1A. ; r 7 ° r
�;� � Supplemental Information
CITY d ur eii4 .. s ' i.1 t;�7L—
�6 eta , ri / .r e r°ttr` IZ.1 �1 /' /
T YPE OF W ` " -- -' � t '' - l'' COMMERCIAL FEE* "SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction 13
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION ' Value: $ Z9 ) 000
El 1 - and 2 dwelling CommercialIindustrial RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ❑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: 9 (000 SW Q . S . (requires site plan showing placement) 46 75
City /State/ZIP: T, d I (fig cl 7-7.:5 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: p 1.6,.. r� L).€/ t Heat pump 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
Flue /vent for any of above 23.32
Subdivision: Lot no.:
er 23.32
Tax map /parcel no.: Other fuel appliances '
DESCRIPTION OF WORK Water heater 23 32
Gas fireplace 33.39
V .e rtiG t c (Z) . ;_roC 'to ism N L U in A.6 VA S . Flue vent for water heater or gas
t fireplace 23.32
Ze_c.oto vie ckty\r er.■Sit.�q -?tptv.o MJ w0 - 4 - Log lighter (gas) 23.32
J J Wood/pellet stove 33.39
Wood fireplace /insert 23.32
ID PROPERTY OWNER El 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: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
X APPLICANT ❑ CONTACT ' PERSON Attic/crawlspace fans 23.32
Other: 23 32
Business name: i t tr l.
per, - 'o' • V"S5crvl. 1 V.G Fuel piping
Contact name: wN - 0 owl ele.ln $14.15 for first four; $4.03 for each additional
Address: p Furnace, etc.
1i S PAAr5`n`` ` Gas heat pump
City/State /ZIP: - 7 0. ,, f kX ci.1/4AAa1/4_ ONZ q - 9 - ZO2 Wall/suspended/unit heater
' 1 t Water heater
Phone: ( 5O s) 5 j - -s C a ;Z ■ Fax:: (' y ) r j 1- k - r , - 3 Co 5 ii Fireplace
E - mail: TVaA&owteke.A Vw)vt` Aa.vt SSOVl . trig Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: 4A.o.-∎. 5 ,Inc' -V Q
Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: , (0 IZ State surcharge (12% of permit fee)
TOTAL PERMIT FEE
T This permit application expires if a permit is not obtained within 180
Authorized signature:' v days after it has been accepted as complete.
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