Permit •
CIT ■ .OF TIGARD MECHANICAL PERMIT
•
Y
': is • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00260
1 IG ARD I 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/20/2013
Parcel: 2S 102AD03000
Jurisdiction: Tigard
• Site address: 12800 SW ASH AVE
Project: City of Tigard Subdivision: BURNHAM TRACT Lot: 5
Project Description: Replace unit heater, like for like. Location is the old public works building.
Contractor: REITMEIER MECHANICAL Owner: TIGARD, CITY OF
19570 SW 90TH CT 13125 SW HALL
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 603 -0205 PHONE: 503 - 639 -4171
FAX: 503 - 603 -0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/20/2013 $142.74
Class of Work: ALT Type of Const: Plan Review 05/20/2013 $35.69
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/20/2013 $17.13
Stories:
Project Valuation: $2,900.00
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 $195.56
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
issuan r er—if ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
UN NotificationCe Qr. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
o direct questions to OUN b g 503.232.1987 or 1.800.332.2344.
Is ued By: k //� / 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 App " ' n t / ,_ .FOROFFICE USE :ONLY . •
Received q oO �1 /„
City Of Tigard Date /By: .% 0 / 3 ./ Permit No.: meCalj/ 3- „9 •
.1 "' 13125 SW Hall Blvd.. Tigard. OR VA 2 0 2013
Plan Review
s 0 ' ', Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Permit:
y i Inspection Linc: 503.639.4175 Date Ready/By: lam: ® See Page 2 for
.1-1.1.--7- ft l_ C OFTIGARD y / By g
Internet: www.tigard Notified /Method: Supplemental Information
BUILDING DIVISION
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: S 2900
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - 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
laq.c)Q JOB SITE INFORMATION AND LOCATION Heating /cooling:
' ,, / � .1 Air conditioning
1 1
Job site address: 3431 , p L. (requires site plan showing placement) 46.75
y -1-q...0.4„, \ Furnace 100.000 BTU (ducts /vents) 46.75
Cit /State /ZIP: n
I D'�/
Furnace 100.000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: a• p y 7 Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: C (T-y e F TC, 4- i' 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
nn r I/ Gas fireplace /insert 33.39
�iCL (MIr n6� 14itt' fTA (4* a 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 I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: r i, t . or __ •.- r-'' , yn'7 Environmental exhaust and ventilation:
r
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
Other: 23.32
Business name:
TkAtl r�� ikelkA - -) tCM' Fuel piping:
Contact name: 2,
C..- � Q 0 L :t_, $14.15 for first four; $4.03 for each additional
,r ' � " Furnace, etc.
Address: rL�L,' 70 s � 96 �- ���-�
Gas heat pump
City /State /ZIP: -r-cm- 011.-- 17 o /'_ Wall /suspended/unit heater
Phone: (ga) ) �b7 02-o ' Fax: : ( D ) ) r 6l 5 ' 0 Water heater
Fireplace
E-mail r N . c. '- ( •.....,r� . C Range
CONTRACTOR Barbecue
Business name: ',\ c Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES* J
City /State /ZIP: Subtotal /4/; • 7
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee) r 35- .coq
CCB lie.: rs3 --. - 7n State surcharge (12% of permit fee) / 7. / 3
TOTAL PERMIT FEE /9 5^. 51
This permit application expires if a permit is not obtained within 180
Authorized signalUie: /! days after it has been accepted as complete.
Print name: , , , / tiA __ y� Date: rj� /. / // 5 " Fee methodology set by Tri- County Building Industry Service Board
I: \Building \Permits \MCC - PermitApp doe 03/07/12 440 -4617T (I I /02 /COM/WEB)