Permit CITY OF TIGARD MECHANICAL PERMIT
IIII 13 - COMMUNITY DEVELOPMENT Permit #: MEC2012 -00593
T f GA.:RE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2012
. Parcel: 1 S 135DC00200
Jurisdiction: TIGARD
Site address: 11845 SW GREENBURG RD 210
Project: Subdivision: TIGARDVILLE PARK Lot: 8
Project Description: 20 ft. of 2#, 1.5" gas line for 3 future gas funaces for suites #100, 110, 200, and 210
Contractor: LIVESAY PLUMBING Owner: MGC PROPERTIES LLC &
175 NE 5TH AVE JEN PROPERTIES LLC
CANBY, OR 97013 BY C&R REAL ESTATE SERVICES CO
1440 SW TAYLOR
PORTLAND, OR 97205
PHONE: 503 - 619 -7594 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/19/2012 $69.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 11/19/2012 $8.29
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $500.00
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 $77.35
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 . - is not started wi in 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you • ollow the rules a• _ • - • by the Oregon
Utility .Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 1090. • may • • - • of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: Permittee Signature: -/�
______ L / / � i
Call 503.639.4175 by 7:00 a.m. for the next available insp • n 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 Application FUIt OFFICI usl: o :N1.v
City of Tigard L� �VE Dat Received e / B y: e /(iQ /y - PermitNo.: g / ° 13125 SW Hall Blvd., Tigard, OR 97223 4 Rev
:� C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639 NOV 1 5 2012 Date Ready/By: RI See Page 2 for
Internet: www.tigard- or.gov NotifiecVMethod: M Supplemental Information
CITY OF TIGARD
TYPE OF wcIIVILDING DIVISION COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees' are b.. - . rte'• • • u • r f the won
❑ New construction ❑ Addition/alteration/replacement performed. Indicate the val - rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e . ipment, labor overhead, and profit.
, Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYST 6 . .. S
❑ I- 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
o Y
JOB SITE INFORMATION AND LOCATION Heating/cooling:
(� ` VVV Air conditioning
Job site address: 1 1 V"cQ�
1 �1IVK4 e \ (requires site plan showing placement) 46.75
City /State /ZIP :� Furnace 100,000 BTU (ducts/vents) 46.75
\C�q:r� J bGZq '7ZZ'3 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: AL/ Project name: Heat pump
(requires site plan showing placement) 61.06
Cross street/directions -- -
.' • , ���„,, , C w Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
- rd't/ ( ? hydronic) 23.32
t 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
-
i • 1 • : Gas fireplace/insert 33.39
Z��.L =lam "�►TViT�i����'
- -� Z =� Flue vent for water heater or gas
M1 , .. . , fireplace 23.32
�1 L 0 L I `L� - ._ A - • Log lighter (gas) 23.32
d FT n J _ , . oZ // let-•S / //J e- Wood/pellet stove 33.39
• I..' (J Wood fireplace /insert 23.32
J PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: _ 23.32
Name ty Q r C O.\ . '1 Z rQ LL_. Environmental exhaust and ventilation:
Address: 1S; 'Z S I f���1 6/ 1X$1‘,- Range hood/other kitchen
Lt) equipment 33.39
City /State /ZIP: t \ J.Q eG U R. C OD 3 S Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: 6,0- S)1015,-4....0c,f a 1 Fax: (o3 )(a Z o S 4 Is 3 toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: C S Other: 23.32
Fuel piping:
Contact name: , �.. , t �� � $14.15 for first four; $4.03 for each additional
Address ��S e, D ' Furnace, etc.
YKS� �� Gas heat pump
City /State /ZIP: . 1,„,„_ ()5,.4) 0 J 01 - 9 7 b3 S Wall /suspended/unit heater
Phone: 4,, )(..e ,pS!. -t Fax: :13 )12p / - ssg q Water heater ,
� e ,
Ce _s?o '7 9.3 6 / Fireplace
E - mail: � Eft / 5 .3
CONTRACTOR Barbecue
Business name: L � S Clothes dryer (gas)
�S A f Lt•`'r..p \ IA Other:
Address: MECHANICAL PERMIT FEES"
City /State /ZIP: Subtotal
a,..,cb � b 02. °t'? 013
Phone: 6 )t (c,-'7 S a I l.. c Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: )O.n 277 O State surcharge (12% of permit fee)
TOTAL PERMIT FEE 97. 55
// / This permit application expires if a permit is not obtained within 180
Authorized
' days after it has been accepted as complete.
Print n. 6 e:I sx _ _ ��Date: t i i C��2. • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 03 /07/12 440- 4617T(II /02/COM/WEB)
Mechanical Permit Application - City of Tigard - - ' '.;
Page 2 - Supplemental Information ' J; V 1 '`: a "1 l
h
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit Fee: - ."1,,
$0.00 to $500.00 Minimum fee $69.06 : i' i 1 { =.
$500.01 to $5,000.00 $69.06 for the first $500.00 and , I
$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.
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1:\Building\Permits\MEC- PermitApp.doc 03/07/12 2 .