Permit CITY OF TIGARD MECHANICAL PERMIT
ill s COMMUNITY DEVELOPMENT Permit #: MEC2012 -00676
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/02/2013
Parcel: 2S112AC01600
Jurisdiction: Tigard
Site address: 14975 SW 74TH AVE
Project: Meyer Sign Co Subdivision: FANNO CREEK ACRE TRACTS Lot: 17
Project Description: Mechanical for paint booth, exhaust duct and make -up air, extend gas line for paint booth burner (approx 50').
Contractor: WILLAMETTE HVAC LLC Owner: SKOURTES, JOHN & JACKIE
3075 SW 234TH AVE. #206 17010 SW WEIR RD
HILLSBORO, OR 97123 BEAVERTON, OR 97007
PHONE: 503 - 259 -3200 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/02/2013 $365.49
Class of Work: ALT Type of Const: VB Plan Review 01/02/2013 $91.37
Occupancy Grp: S-2 Occupancy Load: 12% State Surcharge - Mechanical 01/02/2013 $43.86
Stories: 1 Info Process /Archiving - Lg $2.00 (over 01/02/2013 $4.00
11x17)
Project Valuation: $10,700.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $504.72
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Paint booth
Duct Work: duct work
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialt Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not s ed within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule dopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. You may ain a copy of the rules
or direct questions to OUNC by calling 503.232.19877 .800.332.2344.
J ) L./L 1 J .//
Issued By: l� (( �C A & t 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica CEIVED FOR OFFICE USE ONUS
City of Tigard Received
DEC 2 0 2012
Date/By: i' s / Permit No ete, p/,�-ar 70,
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review "j '
I Phone: 503.718.2439 Fax: 503.598.1 oF TIG.RD Date./13y: LI J (` they Permit: P��
r I Inspection Line: 503.639.4175 Itl r7ilLJ Dale Re.. ': J tuns ® See Page 2 for
Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: /,.�/ 3,i //' Supplemental Information
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: $ $10,700.00
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 Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 14975 SW 74 Ave (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City / State/ZIP: Tigard OR 97224 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgiapt. no.: Project name: Meyer Signs 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
Install exhaust duct and make up air duct for tenant installed paint booth. fireplace/insert ventfor 33.39
Flue vent water ater heater or gas
Extend gas line for the burner of the paint booth. Approx. 50' of new gas line. 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: 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
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: same as below
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Willamette HVAC, LLC Clothes dryer (gas) -
Other:
Address: 3075 SW 234` Ave Suite 206 MECHANICAL PERMIT FEES*
City /State/ZIP: Hillsboro, OR 97123 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 2593200 Fax: (503) 848.2597 Plan review (25% of permit fee)
CCB lie.: 56951 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
.
Authorized signature: ' Q /2
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Print name: michael malstrom I Date:. * Fee methodology set by Tri -County Building Industry Service Board
I \ Building \Permits\MEC- Permit App doc 03/07/12 440 - 46171(11 /02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14975 SW 74TH AVE, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
03/06/2013 00:00
MEC2012-00676
PASS - No C of O
Suppression passed
Violation Summary:
Inspector Contractor