Permit y'p CITY OF TIGARD MECHANICAL PERMIT
11 1
s COM MUNITY DEVELOPMENT Permit #: MEC2012 -00536
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/17/2012
Parcel: 2S 112AC01500
Jurisdiction: Tigard
Site address: 7319 SW KABLE LN 500 '''
Project: Quality Custom Distribution Services Inc Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2 1
Project Description: Remove and re- install rooftop refrigeration units for roof repair
Contractor: TEMP CONTROL MECHANICAL SERVICE Owner: PACIFIC REALTY ASSOCIATES
4800 N CHANNEL AVE ATTN: N PIVEN ,;
PO BOX 11065 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97211 PORTLAND, OR 97224
PHONE: 503 - 285 -6139 PHONE:
FAX: 503 - 735 -3690
FEES
Specifics: Description Date Amount
Type of Use: Permit Fee 10/17/2012 $474.71
Class of Work: Type of Const: 12% State Surcharge - Mechanical 10/17/2012 $56.97
Occupancy Grp: Occupancy Load:
Stories:
• Project Valuation: $15,000.00
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 $531.68
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
aces:
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 ob • a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �/� /�
Issued By: �1�� / / /9.'! Permittee Signature: ^ � V , �' V —
Call 503.639 .4175 by 7:00 a.m. for the next available insp tion date.
This permit card shall be kept in a conspicuous place on the job site u it completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application REcEiv . , - , FOR OFFICE USE ONLY , • City of Tigard sale /B 0 ('1 I 2,--- a Pennit No.:
7
- q 13125 SW Hall Blvd., Tigard, OR 97223 OCT 17 2 y ' �!� — �S3
Ian R eview
Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit: 6 i L ( D--- pt ( s -.
Inspection Line: 503.639.4175 c AC ; .e Ready /By: El See Page 2 for
Ti G A R tU 1 . Internet: www.tigard- or.gov IV r , ; ed /Method: supplemental lnformation
'.:0.:',,, ,
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: $ $15,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 7319 SW Kable Lane, Suite 300 (requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 300 Project name: repair Heat pump
(requires site plan showing placement) 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
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
Gas fireplace /insert 33.39
remove and re- install rooftop refrigeration units for roof repair 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: Pacific Realty Associates, LP Environmental exhaust and ventilation:
Address: 15350 SW Sequoia Parkway, Suite 300 Range hood /other kitchen
equipment 33.39
City/State /ZIP: Portland, OR 97224 Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Temp Control Mechanical Service Corp Other: 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: 4750 N Channel Ave Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, OR 97217 Wall/suspended/unit heater
Phone: ( ) Fax: : (503) 735 -3690 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Temp Control Mechanical Service Corp Clothes dryer (gas)
Other:
Address: 4750 N Channel Ave MECHANICAL PERMIT FEES*
City/State /ZIP: Portland, OR 97217 Subtotal
none: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 103165 -,3 ((v State surcharge (12% of pennit fee) 5 /, t,
TOTAL PERMIT FEE
Authorized sigma re: 7;2 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: f_ Date: /6-1 7- r Z * Fee methodology set by "Fri-County Building Industry Service Board
I: \Building \Perm s \MEC- PermitApp.doc 03/07/12 440 -4617T (11 /02/COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
'ommercial & Multi - Family Fee Schedule:
.dotal Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Pennits\MEC- PermitApp.doc 03/07/12 2