Permit CITY OF TIGARD MECHANICAL PERMIT
11111 $ COMMUNITY DEVELOPMENT Permit#: MEC2013-00043
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2013
T I "`� 9 Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 300
Project: Eagle Home Mortgage 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:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/23/2013 $115.11
Class of Work: ALT Type of Const: Plan Review 01/23/2013 $28.78
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/23/2013 $13.81
Stories:
Project Valuation: $2,000.00
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 $157.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct ques• to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. [ j Permittee Signature:
cc( V[x�Call 503.639.4175.4.175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED
Mechanical Permit Application 1.0R 0141( 1: 1 SF.t)\1.1
City of Tigard JAN 2 2013 Received
114 `1 g 20
Date/By: /� M1 Permit No..tiee�0/3- �y3
% 13125 SW Hall Blvd.,Tigard,OR 972
Phone: 503.718.2439 Fax: 503.5 0,00 OF TIGARD DateBy:Review Other Permit: - -dOa -,
Inspection Line: 503.639.4175 "
T a G A R�� p BUILDING DIVISION Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ?cddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ d,600
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:
I Air conditioning
Job site address: 73 20 C /114,-,Z.'1kef Ro fr 3'i(J (requires site plan showing placement) 46.75
City/State/ZIP:T Furnace 100,000 BTU(ducts/vents) 46.75
S`�CJ ) C�I� 'Z Z� /y� Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:-307,/ Project name:5 l� �>°a>"r z- /'f r Heat pump
�l (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 freplace/insen 33.39 1/5 YV't,-) Q y Le l° rev c�4 arol/ 'eh •
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
PROPERTY OWNER ❑ TENANT
Chimney/liner/flue/vent 23.32
D Other: 23.32 _
Name: 1`R,,,c- /2ob,'f/ Environmental exhaust and ventilation:
Address:Z/.6. N.-I 4,,,k, ' or Range hood/other kitchen
equipment 33.39
City/State/ZIP: �,/,JJ �e q7)Z y Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms, •
Phone:(3)(1 '--�,5j 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
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: Re/'b/Zo 17 / ,,' /G G` � }T Clothes dryer(gas)
Other:
Address: /3Z/5- E/7X// 04,c,-, bl id C'i-C cg Tk MECHANICAL CHANICAL PERMIT FEES*
City/State/ZIP: N ,(,.) 1.../A- 916-P y
Subtotal
Phone:(KO)33(1—/6-9? Fax:( ) Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lic.: J79 z? / /6 q/p, State surcharge(12%of permit fee)
TOTAL PERMIT FEE V15?.•7U
Authorized signature: �f� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: a ,� mp.0l/xt Date: 1/2.3/13
• Fee methodology set by Tri County Building Industry Service Board
1:\Building\PermitaVMEC-PermitApp.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.
I:\Building\Permits\MEC-PermitApp.doc 03/07/12 2