Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2013 -00315 T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/10/2013 Parcel: 2S102AA00906 Jurisdiction: Tigard Site address: 12080 SW MAIN ST Project: Rite Aid Subdivision: PAYLESS SHOPPING CENTER Lot: 4 Project Description: Ducts and grills. Contractor: JET INDUSTRIES INC Owner: BSM REALTY LLC 1935 SILVERTON RD NE BY RITE AID SALEM, OR 97303 PO BOX 3165 HARRISBURG, PA 17105 PHONE: 503 - 363 -2334 PHONE: FAX: 503 - 363 -2622 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/10/2013 $90.55 Class of Work: ALT Type of Const: Plan Review 06/10/2013 $22.64 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/10/2013 $10.87 Stories: Project Valuation: $1,135.00 Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers 8 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 $124.06 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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 Signature: ' Ca . 39.4175 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. 08 -10- 13;08:24 # 1/ 3 Mechanical Permit Application FOR OFFICE USE ONLY 17 City of Tigard XFCEIVED Received Permit No.: 13125 SW Hall Blvd., Tigard, OR Date/By: (p �� �`tl'u- c' - OU Plan Review Phone: 503.718.2439 Fax: 503.598. (960 Date/By: Other Permit: L '1.0 '- 7' • TIGARD inspection Line: 503.639 JUN 10 2013 D a te ReadyBy: MI ® See Pa e 2 for • Internet: wvnv.tigard- or.gov Notified/Method: Supplemental Information CITYOFTIGAR _ >) _ _ :, np:.:.._z : �Sr� �( i -i -,. ar a ... MME , • ,.•. �. . �- �..�:•,. c . 2�_1._.,7.F.7�i� h�j 'r ' ��a� - �w_iM: .u�6Ci0 -- R I _ - �:L1SECfIECKiiiST . a�t• .- r.,� =,:_z.., � � , ._ .. •• :; : ., n 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 fii= Y3:. ._ { -, r ,.., -:_. _ ._.. ,.:, :- - y Value: $ 1135.00 s .. _Mn-- t _,- r _ ,,� .. C/1TEC.0 tYr.O'li-� CG1'ION: Y r h� _Ifni....?. - - _ � - ,,, �_ M �SIDE1Vm� A Lf� ' Q % ,. S'fEhS';F EE S h ": .. El I- 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 ` i. I , a r ��_.�.....��:r: _ °r" �5ii „� l::u c�a linR: ,�, i �. ':{ I ,I �,,,(.� dOB 4104KSFOR`°11111 -3 0 PP]D Y 747, O c t ;-_ Y-• .. Hcating/coo _. s' =`i,r u: ; ¢1;;- Air conditioning • Job site address: 12080 SW MAIN STREET (requires site plan showing placement) 46.75 Furnace 100,000 BTU (ducts/vents) 46.75 City / State/ZIP: TIGARD, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: RITE AID 5354 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: Lot no.: Flue/vent for any of above 23.32 Other. 23.32 Tax map /parcel no.: Other fuel appliances: - `�R��:�' �V ly: � fir' q r: •y ) ,cY -r .... rrv-. c :..-- 1�_�•"", 7-T. n~ �,t i l L4 aid_ r := ':���'. =,r = :;�„w *._ - �ESCR(P'TIO1VdUF: "WORTG �.'� '(,zGT'•i� •,�-• 33�rn =�' -'. Water heater 23.32 ADD 6" SUPPLY, ADD 8" TRANSFER GRILLE Gas fircplace/ins 33.39 Flue vent for watt er heater or gas fireplace 23.32 Log lighter (gas) 2.3.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 =" t :47 y °w�° "'t «---- r ° ?'r- ; i l_ ;a; Chimney/liner/flue/vent ® APR_ . �., - • :,- z. -s:: �_�: OPERTYti O\ ER �i . t. = r - i � n� N:� •.,,,:, ��.�:_,.,.�... ;a; '.;'._ ��� ��©. ��!tCi�AN1jzf�- �- _�"_� Ostler. 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 ' z' ®A'''P;PLICA� '2.. g. ?,.- ' '' r. i ,r ®TG ..1' ,..,M ....:.. - t , , . C .. •. .al, ; -r._.ii'.rcc ,. 4,,. T i. .... ONS 1 s'r1; a Attic/crawlspace fans 23.32 Business name: JET INDUSTRIES Other: 23.32 Fuel piping: Contact name: RENA EUBANKS $14.15 for first four, 54.03 for each additional Address: 1935 SILVERTON ROAD NE Furnace, etc. Gas heat pump City /State/ZIP: SALEM, OR 97301 Wall/suspended/unit heater Phone: (503) 363 -2334 Fax: : (503) 363 -2622 Water heater E -mail: rena.e ®jctindustries.net Fireplace .�a; ? n _ Range `=: � :i0::7- 'L- ri�.=± :Ife marl •• 6.4-: Q7.0 a r ! 11 .^1r.F:•li:�: ^ lang ik � �,. } s ,,,.�,.a �. r Barbecue Business name: JET INDUSTRIES Clothes dryer (gas) Other. Address: 1935 SILVERTON ROAD NE : Bd!'?-,: g. FtVgn, MECHAT(i(CALAERMITFE `' -' _- .. . City /State /ZIP: SALEM, OR 97301 Subtotal 90.55 Phone: (503) 363 -2334 Fax: (503) 363 -2622 Minimum permit fee ($90.00) Plan review (25% of permit fee) 22.64 CCB lie.: 3944 5134/15 State surcharge (12% of permit fee) 10.87 t/ TOTAL PERMIT FEE 124.06 Authorized Signature: This permit application expires if a permit Is not obtained within tsa _ days after it has been accepted as complete Print name: RENA EUB NKS I Date: 6 /10/13 • Fee methodology set by Tri- County Building Industry Service Board 1:1Building\Permits\MEC- PermitApp.doc 03/07/12 440.4617T (I 1/02/COMJWEB)