Permit p CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2013 00044
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2013
Parcel: 251 01 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD, STE#201
Project: Steele&Nannini Subdivision: VARNS ACRES Lot: 4
Project Description: Relocate ducts and grilles for TI
Contractor: RELIABLE MECHANICAL LLC Owner: HILLTOP BUSINESS CENTER LLC
13215 SE MILL PLAIN BLVD STE C8#537 HUNZIKER LLC
VANCOUVER,WA 98684 9430 NW KAISER RD
PORTLAND,OR 97231
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 $107.23
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct qu- •• : •UNC by calling 503.232.1987 or 1.800.332.2344.
Issued = : ' Permittee Signature:
T
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio,RECEIVED font 0,.,.,(-,.. l sl: t)\,.)
City of Tigard n N 2 3 ^ '3 RDeacteiveyd: /® _ rM Permit No.: kodA/5_O06v
II 13125 SW Hall Blvd.,Tigard,OR 97223
I Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ,Q, 4�J�!/
DateBy: Other Permit: �p tt,( O� AP
T l c]n .l Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: luris. See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ Irec, 0
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 I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:[� , / Air conditioning
Job site address: -(C, S� / /�n Z t't c led 'jf r 20 1 (requires site plan showing placement) 46.75
City/State/ZIP: G�,' ?) (�7223 Furnace 100,000 BTU (ducts/vents) 46.91
y t `} Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 2.v 1 Project name:57kt•ek,S__Akfor,i„l i 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
f f 2177 L5iri/s -t r ,hI'I-./ O ' ,C t Cry �� l Gas fireplace/insert 33.39
'�; -f-; (,t/�j/���. 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
f►. • OPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: ;'avid Iw�f,.�s��� Environmental exhaust and ventilation:
Address:Z/3t) At,/ Arnio-en...,Aard. It‘ Range hood/other kitchen
equipment 33.39
City/State/ZIP: t' , a 97IZ L./ Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( jJ) - ��3/ Fax:( ) toilet compartments,utility rooms) , 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans _ 23.32
Business name: Other: 23.32
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 -
/� //__1 CONTRACTOR Barbecue
Business name:
u`e(ei bk Me-C l�rv1,`fc7/ L L C Clothes dryer(gas)
Other:/3Z/5_ J7)tr//? /c,/,‘ h/ 1 Cg #S�7 MECHANICAL PERMIT FEES*
City/State/ZIP: VGttncO«V L.,/ g8cry Subtotal
Minimum permit fee($90.00)
Phone:(3C0)3'3 Lf—/ ".--(V Fax:( ) Plan review(25%of permit fee)
CCB lic.: /61,2_ / . State surcharge(12%of permit fee)
TOTAL PERMIT FEE '471. 2.3
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: h moat/-r- I Date: //Z1/)3 * Fee methodology set by Tri-County Building Industry Service Board
I:t Building\PermitsVMEC-PennitApp.doc 03/07/12 440-4617T(I1/02/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.
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