Permit CITY OF TIGARD MECHANICAL PERMIT
t:. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00122
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013
Parcel: 2S102AC01100
Jurisdiction: Tigard
Site address: 12568 SW MAIN ST
Project: Main Street Tigard Subdivision: BURNHAM TRACT Lot: 1
Project Description: Replace (3) rooftop units, gas piping, ductwork and grilles. Replace (2) exhaust fans and ductwork.
Contractor: ARROW MECHANICAL Owner: MAIN STREET LLC &
10330 SW TUALATIN RD DUDUNAKIS, MICHAEL P
TUALATIN, OR 97062 2839 SW SECOND AVE
PORTLAND, OR 97201
PHONE: 503 - 692 -1565 PHONE:
FAX: 503 - 691 -1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/12/2013 $642.35
Class of Work: ALT Type of Const: VB Plan Review 03/12/2013 $160.59
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 03/12/2013 $77.08
Stories: 2 Info Process /Archiving - Lg $2.00 (over 03/12/2013 $4 00
11x17)
Project Valuation: $21,596 00 Info Process /Archiving - Sm $0.50 (up to 03/12/2013 $10 50
11x17)
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:
UniL Heaters: 30 -50 HP: -
Vents w/o Appliances 50 or Greater HP
Air Conditioning:
Heat Pump.
Appliances
Vent Fans: 2 Vent Systems Total $894 52
1. Hoods Comm Incinerators
Woodstoves Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc
Duct Work 3
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 a• •pted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 • ay obt. . copy of the rules
or direr s i o OUNC by calling 503.232.1987 or 1 800.332.2344.
,
Issue By: l 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 • the project.
Approved plans are required on the job site at the time of each inspection.
1
Mechanical Permit Application , \IE FOR OFFICE USE ONLY
City of Tigard R1 ° � Permit No.: M e/ 96 /3 QO!
13125 SW Hall Blvd., Tigard, OR 9 2� Pin �
. 0 Phone: 503.7182439 Fax: 503.598. 960 $ 2013 Plan Re 2 i A 13 Other Permit
Inspection Line: 503.6394175 0AR l t(J
T 1 G A R D W. � Date Ready : o J / /� + kris: See Page for
Internet: www.tigard � ?1 Noti6ed '� I / ✓•{ � Supplemental Information
ce 1 vas
TYPE OF W( COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
51 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.
CATEGORY OF CONSTRUCTION Value: $ t 1 51? � C �
RESIDENTIAL EQUIPMENT / SYS 1'EMS FEES*
❑ 1 - and 2 family dwelling ® Commercial/industrial ❑ Accessory building ForspedaJ 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: it 5 - 6p 5,..4 A. il 47 _ ( requires site plan showing placement) 46.75
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
,6 A 6 W ci 71;1_3 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: 2440 a I Project name: Pi s.*' &s) 1 lia® 13 1 " 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: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WOItK Water heater 23.32
ac) k ►' I O d Ly /U. rT, & O Gas fireplace for water heater or gas
33.39
jj / r �r ,� 1 �v � � ���� `r �`� �S Flue vent o
2 l C.G t I I Ary itA J T fAM-�°i- Du iT Sa.t.a K Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROI'IERTY OWNER 1 ❑ `TENANT Chimney/liner /flue/vent 23.32
Other: 23.32
Name: D 1 0L0,..ort r3^ I liiy A"> Environmental exhaust and ventilatiom _
Address: Z A b Range hood/other kitchen
equipment 33.39
City/State/ZIP: pc,,,,...TI wee) " o/L (J 77,6 f Clothes dryer exhaust - 33.39
Phone: (5 ) 22Z- 217 B Fax: (,rc ?,) 27 4 - 6510
Single-duct compartments, (bathrooms,
toilet compartments, utility moms) 23.32
APPLICANT"- -• - ® CONTACT ?PERSON. , Attidcrawlspace fans 2332
Business name: I`1 Other. 23.32
r-u .ba,'4 sue►. b}Le+A/tt ILA I Fuel piping:
Contact name: D &-n K L
0 Att 514.15 for first [oar, 54.03 for each additional
Address: 103 3 U L J ' jai . roA y _TW psi
Furnace, etc.
Vb /W Gas heat pump
City/State/ZIP: ' " A I T7,4 if( g7b6 L Wall/suspended/unit heater
Phone: (,-03 6 q z-16-65- I Fax:: (bag ) 41 /$ 7/ Water beater
E-mail: Fireplace
' CONTRACTOR " ' ' r ' :, Barb •
Business name: Clothes dryer (gas)
Address: " -Dtffer:
�
1 6 %.*.v III /t ikTw M " . .. 114csAli?ira0 , PER►uT �'s :, ".. '. _ ; ' : = ,
City /State/ZIP: --ri /4-5,4 og 706 Z Subtotal
`� ,' 1 Minimum permit fee (590.00)
Phone:
(�v3) 6 q 2 i 1b 5 Fa x: (b3) I - 1871 Plan review (25% of permit fee)
CCB lic.: 51, tI 3 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized Signature: a s This permit application expires if a permit is not obtained within 180
I
days after it has been accepted as complete.
.� ���� I • Fee met hrvinlnov cet by U'..t
Trvmty Building, iminchv nervier. Rtwrr1
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.ek. I .-PO*9A t n�.' 212413
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
12568 SW MAIN ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
04/15/2013 00:00
MEC2013-00122
PASS - No C of O
Violation Summary:
Inspector Contractor
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
12568 SW MAIN ST, TIGARD, OR, 97223
Commercial - Mechanical
615 Mechanical rough-in
03/21/2013 00:00
MEC2013-00122
PART
Attic ductwork
Violation Summary:
Inspector Contractor