Permit CITY OF TIGARD MECHANICAL PERMIT
s , COMMUNITY DEVELOPMENT Permit#: MEC2013-00045
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01123/2013
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 103
Project: Platinum Lending Subdivision:CONDO SUPPLEMENTAL PLAT NO.4: Lot: 22830-2
Project Description: Relocate ducts and grilles for TI
Contractor: RELIABLE MECHANICAL LLC Owner: ROBINSON FAMILY TRUST
13215 SE MILL PLAIN BLVD STE C8#537 21360 NW AMBERWOOD DR
VANCOUVER,WA 98684 HILLSBORO,OR 97124
PHONE: 360-334-1598 PHONE: 503-645-8531
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/23/2013 $78.27
Class of Work: ALT Type of Const: Plan Review 01/23/2013 $19.57
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/23/2013 $9.39
Stories:
Project Valuation: $800.00
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 $107.23
Hoods: Comm Incinerators: .
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility tification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or di ct questions to OUNC b - 'ng 503.232.1987 or 1.800.332.2344.
Iss d By: /i / Permittee Signature: k•
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ON
RECEIVE USE 1.1
������ � FOR OFFICE Rid
City of Tigard Received X 3/ 3 Permit No.: 4 C,26/3,cto
q 1111 II 13125 SW Hall Blvd.,Tigard,OR 97223 ' 3 2 013
Phone: 503.718.2439 Fax: 503.598.1960 ) Da e/By vi
ew Other Permit: gam 490(a—QX V
T l G A R D Inspection Line: 503.639.4175 Date ReadyBy: ruris: ® See Page 2 for
Internet: www.tigazd-or.gov CITY Notified/Method: Supplemental Information
1 TIMING DIVISI I •
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction AAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$g l•U"CI
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. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
73( O , / Rd 5 /C�3 Air conditioning pl g placement)Job site address: � ��7� .tf (requires site plan showin lacement 46.75
� � 97 Z�^ Furnace 100,000 BTU(ducts/vents) 46.75
T
City/State/ZIP: /SG ) S Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: /C3 Project name: P /'✓1(A✓r-' £,-e ;_a Heat pump
�.J (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
/,()love fY,//s n e� cePc C Gas fireplace/insert water 33.39
b g �' �LtrCi hWN- 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
I N PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
t"1/ �1_ 1
Other: 23.32
Name: RH ^ �� Environmental exhaust and ventilation:
Address: 2/31C0 MA 4l/ylber`,„/'O ) Range hood/other kitchen
equipment 33.39
City/State/ZIP: /////5/ 1:7)6R 0 7/Z if Clothes dryer exhaust 33.39
Single-ductexhaust(bathooms,
Phone: y Fax:( ) toilet compartments,utility room s)
23.32
azt APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
23.32
Business name:Ro/Abdo me.CG1CivkCC ) .4 Fuel piping:
Contact name: OGyy\ MC% $14.15 for first four;$4.03 for each additional
Address: /3 Z/5---5,E fl // a 1;,, 5/,,,i 5 1-r c 5--37 Furnace,etc.
Gas heat pump
City/State/ZIP: (hcr!.+!if V� J Z.,./4-- c78fy Wall/suspended/unit heater
Phone: CO)33y—/ y
Fax: :( ) Water heater
Fireplace
E-mail:d4 &f '4hVerne-deg/7 ,/,11... c c.,---._ Range
CONTRACTOR Barbecue
Business name: kob�/ sc,,., t Q��fi"LfC7C Clothes dryer(gas)
�30 ,qV 7 /i./� /^ Other:
Address: KJ �/'� MECHANICAL PERMIT FEES*
City/State/ZIP: kt/f5 vl q 7i2 _/ Subtotal
) 11 Fax:( ) Minimum permit fee($90.00)
Phone:(
6 o Plan review(25%of permit fee)
CCB lic.: RIOT q b/t CC/3 if 9 Z Y State surcharge(12%of permit fee)
TOTAL PERMIT FEE I/07.?-3
This permit application expires if a permit is not obtained within
Authorized signature:
days after it has been accepted as complete.
Print name: �in Macey Date: //Z 33//3 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\PermitAMEC-PermitApp.doe 03/07/12 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total 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.
I•\Building\Permits\MEC-PermitApp.doc 03/07/12 2