Permit y U CITY OF TIGARD MECHANICAL PERMIT
FF COMMUNITY DEVELOPMENT Permit #: MEC2013 -00259
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/20/2013
Parcel: 2S 112 D 600300
Jurisdiction: Tigard
Site address: 7257 SW KABLE LN 100
Project: Trane Subdivision:'HERN PACIFIC TIGARD INDUSTRIAL Lot: 5
Project Description: Move ducts and diffusers for TI
Contractor: OREGON HEATING & AIR CONDITIONING Owner: PACIFIC REALTY ASSOCIATES
19300 SW 118TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/20/2013 $130.46
Class of Work: ALT Type of Const: Plan Review 05/20/2013 $32.62
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/20/2013 $15.66
Stories:
Project Valuation: $2,433.00
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 $178.74
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 r les adopted by the Oregon
Utility No iticatian— Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You m. •btain a copy of the rules
or di t questions to OUNC b calling 503.232.1987 or 1.800.332.2344. /
Is ued By: 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 of the project.
Approved plans are required on the job site at the time of each inspection.
,
Mechanical Permit Application FOR OFFICE US ONLY
71 q City of Tigard IWCEIVED Date/By: '5 p a i PermitNo.: gi � 0i 3. ' oO� S7 13125 SW Hall Blvd., Tigard, OR
2 Phone: 503.718.2439 Fax: 503.598.1 6 Plan Review Other Permit: R
p �I�Y 2 ® D a t e /B y: 4510
p/u�o?o /� �D9p
T I G A R D Inspection Line: 503.639.417 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE Sn lil( DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
ID '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: $ 14T3
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
C 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
, L,JOB SITE INFORMATION AND LOCATION Heating/cooling:
'7 Air conditioning 46.75
Job site address: - / 2 .f7 5bli , feh L,"✓ Furnace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: 7-5 y ,p /W L' Furnace 100,000+ BTU (ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg. /apt. no.: 3110 Project name: 7Yd°'2� Gr Duct work 23.32
Cross street/directions to job site: . 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
Flue /vent,for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
''AA,, p A - / Flue vent for water heater or gas
fkel e �j 1e) S d 01/ K'�S fireplace 23.32
J Log lighter (gas) 23.32
Wood/pellet stove 33.39
•
Wood fireplace /insert 23.32
Chimney/liner /flue /vent 23.32
El PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State /ZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
APPLICANT 4 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: (j1/„ Q $14.15 for first four; $4.03 for each additional
Contact name: G 1�, 1.4. G„ a f )!4 -'V` Furnace, etc.
Address: Gas heat pump
Wall /suspended/unit heater
City /State /ZIP: ! Water heater
Phone: 0 d' ` 113) 7 �i�( Z Fax: : ( ) Fireplace
Range
E -mail: G' � - G ® ��4 f / �G Ldy� Barbecue
CONTRACTOR ✓ Clothes dryer (gas)
CHANICAL PERMIT FEES*
Business name: )/^ Other:
OrYtl`r l/ ME
Address:
tU �. 2-z7l Subtotal /60.4%
City/State /ZIP: 2:17i Yl,►�P� 07 °) 7f/ S ." Minimum permit fee ($90.00) _-
Plan review (25% of permit fee) 3A 6,2
Phone: & 5/ 96 / T Fax ( ) State surcharge (12% of permit fee) / 5, (p
CCB lic.: / 7 .?---/ 7 TOTAL PERMIT FEE / 78.
T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
. Authorized signature: e • Fee methodology set by Tri -County Building Industry Service Board
Print name: �� (�, ,
,7 , 72 /12 � I Date: Y( / 3
' Building\ Permi ts\MEC_PermitApp_040113.doc 440 ?ICOM/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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