Permit I I CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2013 -00210
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/17/2013
TIGARD g Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16280 SW UPPER BOONES FERRY RD
Project: Service Master Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30
Project Description: New registers and grilles (3) new dryer venters
Contractor: ARROW MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
10330 SW TUALATIN RD ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 692 -1565 PHONE: 503 - 624 -6300
FAX: 503 - 691 -1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/17/2013 $249.36
Class of Work: ALT Type of Const: Plan Review 04/17 /2013 $62.34
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04 /17/2013 $29.92
Stories: Info Process /Archiving - Lg $2.00 (over 04/17/2013 $2.00
11x17)
Project Valuation: $6,500.00 Info Process /Archiving - Sm $0.50 (up to 04/17/2013 $2.00
11x17)
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 $345.62
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signatur !
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 FOR OFFICE USE. O\l.1
City of Tigard RECEIVE Received
Date/By: N 1 I, � Permit No.riAg r l S. />Ddi (�
• 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review n
Z Phone: 503.718.2439 Fax: 503.598.1960 Date/gy Other PermitAa j 1 3 -. 2Q 0
TIGARD Inspection Line: 503.639 APR 17 2013 Date Ready/By: kids: ® See Page 2 for
Internet: www.tigard Notified/Method: - Suppkmental Information
CITY OF TIGARD
TYPE OF WO ' I 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: $ tv
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 La. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling:
Air conditioning
Job site address: J2 &� �P�12 i v ! s 4� (requires site plan showing placement) 46.75
City /State /ZIP: - L` � Furnace 100,000 BTU ( ducts/vents) 46.75
4 / /Z / Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: 66,72.,✓9 Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: 'D _ � � 7147 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 W ORK Water heater 23.32
Gas / A -JC - /./J � �/L� /5 :"Coe- ` �I/L,'L4- ES Flue vent l for water heater or gas 33.39
V6—it/ 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
Other: 23.32 _
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) 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: A` % 2 Utz Clothes dryer (gas)
Other:
Address: j Q3 'c E.c. '72. Di /') MECHANICAL PERMIT FEES*
City/State/ZIP: 721 Subtotal
�
} `j 60,e)/ Minimum permit fee ($90.00)
Phone:
` "' _) 71 � � � Fes `"— 7 Plan review (25% of permit fee)
CCB lie.: S c- 3 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized si :tore' This permit application expires if a permit is not obtained within 180
���� ✓ "� '� days after it has been accepted as complete.
n- " ^' ^. _... 1 ...,. • Fee methndnlnov get by TTFCounty Rnildino Industry Service Hoard
/ 5 7,5. 4)6 /C{ ` - ! '7 / 3
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
16280 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Mechanical
615 Mechanical rough-in
04/24/2013 00:00
MEC2013-00210
PASS
Violation Summary:
Inspector Contractor