Permit q CITY OF TIGARD MECHANICAL PERMIT
= COMMUNITY DEVELOPMENT Permit#: MEC2013-00005
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/22/2013
Parcel: 2S112AC01100
Jurisdiction: Tigard
Site address: 7301 SW KABLE LN 900
Project: Lincare Subdivision: FANNO CREEK ACRE TRACTS Lot: 21.PT 2
Project Description: Replace(1)4-ton roof top unit on existing curb.
Contractor: CLIMATE CONTROL INC Owner: PACIFIC REALTY ASSOCIATES
16500 SW 72ND AVE ATTN: N PIVEN
TIGARD, OR 97224 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-453-4822 PHONE:
FAX: 503-968-7224
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 01/22/2013 $249.36
Class of Work: ALT Type of Const: VB Plan Review 01/22/2013 $62.34
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/22/2013 $29.92
Stories: 1 Info Process/Archiving-Sm$0.50(up to 01/22/2013 $13.50
11x17)
Project Valuation: $6,481.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers 8 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 $355.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No' -Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. i o may o. ain a copy of the rules
or dir questions to OUN• .y ca g 503.232.1987 or 1.800.332.2344.
Iss ed By: ' ```4 1�` Permittee Signature:
y
Call 503.639.4175 by 7:00 a.m.for the next available inspection .:te.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Cl Of Tigard HECEIV, .;, ed
Ph13125 SW Hall Blvd.,Tigard,OR 97223 JAN o 1`Plan Rev o�/ 71 ermit No, /���/3�0�
I Phone: 503.639.4171 Fax: 503.598.1960 Q_g Date/By:By:ewl �-�1/�
1 1(,A R F) Inspection Line: 503.639.4175 VI� Date/Ite �pr1�l. ( ( Other Permit:
Internet. www.tigard-or.gov V OF TIGq•j sate Ready :y: ) ® See Page 2 for
BUILDING DIVISS• :tified a'.d:• -7 l3 51 /e— Supplemental Information
r Lac.
TYPE o W0*:• '
4ru�LCw'l+ i`:Swr4:'�
0 New construction XAddition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other:
mechanical materials,asuipment,labor,overhead,and profit. _
CATB99.41%OFA:tCONSWUCi70Nj ,.a r*r` t Value:$ (p, yJ 5l, 6 c5
r ( pnd 2-family dwelling Commercial/industrial l Q Accessory building 'p,.•0'"'" �$ �i150�f
Q Multi-family 0 Master builder 0 Other: For special information use checklist.
i =.a Sf� F' �.4M' y.! W'u1 w.wr,nt.r,aw..u.
Description
x .;x 16..4:.: 1OB .I FORMATION ANID 1G. 1�liON•,:lt0 :'i+�t '• Qty. Ea. Total
' .,,�,.,.,..,:-� r..,,- ...+t....��f�s-.�r.«3�"Iru�, 4.°` Heating/cooling
Job site address: 30 / J� /�A b i / ._ i� Air conditioning
City/State/ZIP: WA U �-°�"/ (requires site plan showing placement) 46.75 �
6?prra cv- 9-1 Z-1-Li Furnace 100,000 BTU(ducts/vents) 46.75
I/ Suite/bldg./apt.no.: e-d Project name: Li 11C A 12.-g. - Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Cross street/directions to job site: Duct work
23.32
Hydronic hot water system - 23.32
Residential boiler(radiator or
hydrvnic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Subdivision: I Lot Flue/vent for any of above 23.32
Tax map/parcel no.: Other: 23.32
_ Other fuel a fiances
y ,y ,, PP�
n r,Is•.avato X3 3� D '-'rei'1 i F r )R/C'�i 4�"'+..2s 7n: s . ;� k w Water heater 23.32
Pt &-0/ 1/� j rn Al0t) i-Z r 09/ 74" 40/ Gas f 'lace 33.39
/ / ) Flue vent for water heater or gas
N�� ��t //,� f7//2 '—l/�G ®!If C�/Si f 'lace • 23.32
Log lighter(gas) 23.32
L'vr 6, Wood/. llet stove 33.39
Wood f .lace/insert 23.32
.`it.,,, oJ��R1?I . :-s a` p Chimn nines/flue/vent a: ,.;1..,.. � ff cA rte*". a` ' 1 + r 23.32
Other: 23.32
Name: i N(14R-F; Environmental exhaust and ventilation
Address: —7 30/ �� /641>Z C-- Z-4 Range hood/other kitchen
equipment
33.39 City/State/ZIP: I �6 - Or- 91 Z�U Clothes . ■
a exhaust
33.39
Phone: �3 Single-duct exhaust(bathrooms,
(S ) (4J y- g 0 8 V Fax ( ) toilet compartments,utility rooms) 23.32
��t +,, 3 '" .tl �: ,CONT_• $(l9p ) Attic/craw ce fans 2332
23.32 name: CLl M4Tr L o n rroL. ML F uel
pipinp
Contact name: Ro 4 HA-j-r
S 511.15 for first four;54,03 for each additional
Address: t foSDb 5(A) 'fro /1, c Furnace,etc.
City/State/ZIP: fit/ Gas heat . ' .
r Hand r q-7 223 Wallsus.-.ded/unit heater
Phone:(S;3) ys3- Li g z2_ I Fax::(S1)3)Gt(oe--7 Z ay Water heater
E-mail: 7 Fireplace
toy€ C t 8 0- #e. c 0r 4 t-oL tnG • co n•1 Range
r u ..r-, +WW 6Lt:r�h?w:,�_t .T. �' w.r-tK.yti�� 'v.M1, �
- `"' 4_:1,t' "r3r,14.-i�-J n,;wti.Y.9k�.. , t. c ;.i:174, t �„'g 3
Business name: LL-1 r/14 T Con ) ire Clothes dryer(gas) ===
Address: '(S O t_ er
O S Gtr 7-;_^61 A V t �. ns,�.,:,....,.,, .�..
City/State/ZIP: Q�T^l to n cf. _ ''�'` �#-; ���,.1 '.d
O� 'zZ -I Subtotal
Phone:(:3) (as9 tJ ZZ I Fax:(�3) Otto _-1 z Z� Minimum permit fee($90.00)
CCB tic.: �t q Plan review(25%of permit fee)
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized signature: /ft' This permit application expires if a permit is not obtained within 180
'" /a// days after fl has been accepted as complete.
Print name: r��(i �/s I Date: 3 I . Fee methodology set by Tri-County Building industry Service Board
1:•9uilding\Permits`.MEC-Permit7App.doc 10/01/09 440-4617T(11/07/COM WEB)