Permit CITY OF TIGARD MECHANICAL PERMIT
C COMMUNITY DEVELOPMENT Permit #: MEC2013 -00305
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/13/2013
Parcel: 2S102AA05500
Jurisdiction: Tigard
Site address: 12215 SW MAIN ST 110
Project: JK Interiors Subdivision: KINGSTON Lot: 19
Project Description: Replace existing rooftiop unit with like kind. Using existing curb
Contractor: SUNSET HEATING & COOLING Owner: CHOI, WOO Y & MAN JA
0607 SW IDAHO ST 2323 NE 165TH DR
PORTLAND, OR 97239 PORTLAND, OR 97230
PHONE: 503 - 234 -0611 PHONE:
FAX: 503 - 234 -0439
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/13/2013 $288.70
Class of Work: ALT Type of Const: VB Plan Review 06/13/2013 $72.18
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/13/2013 $34.64
Stories: Info Process /Archiving - Sm $0.50 (up to 06/13/2013 $22.00
11x17)
Project Valuation: $7,835.00
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 $417.52
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 if • . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili otification Cen - Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or irect questions to OUNC • . ' g 503.232.1987 or 1.800.332.2344.
Iss d By: t / � / Permittee Signature: - �-(
� - 3 LcJCl�
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 ApplicatC I
��� �� FOR OFFICE USE ONLY
City of Tigard Date/By: ff � , Perm �
Permit No.: y p _ t / 3 365''
"' 1 ° 13125 SW Hall Blvd., Tigard, OR 97223 2
g P lan Review
�� _ 201 Date/By: Other Permit:
:: ; . Phone: 503.639.4171 Fax: 503.598.196 N � ( (� Sao t 3 ct� /7-3
Inspection Line: 503.639.4175 f urls: El See Page 2 for
faCil �R'D P Date Ready :y: / g
••,, '• Internet: www.tigard- or.gov CITY OFTIGARD
BUILDING DIVISION Notified/Method:� /�3 :j
� ♦ Supplemental Information
. w N 7
• " - TYPE: OF WORK COMMERCIAL ;FEE* SCHEDULE - USE CHECKLIST
❑ New construction t giAddition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
__ • Value: $ e7 3 cz,
y C
. CATEGORY OF.ONSTRUCTION • • . .
-RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling vt CommerciaUindustrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB• SITE INFORMATION AND, LOCATION Heating/cooling
Air conditioning
lob site address: / 9 - 9 5 1 , l vi Si-. (requires site plan showing placement) 46.75
City /State /ZIP: `rt. awe tJl` el / 9-g-3 Furnace 100,000 BTU (ducts/vents) 46.75
�� ^ �� �/
> � Furnace 100,000+ BTU ( ducts/vents) 54.91
_
Suite/bldg./apt. no.: f Project name: ,,es Heat pump 61.06
Cross sircct/directions in job site: ", l �� l � O 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: pee*ale 4 23.32 ,
Tax map /parcel no.: . Other fuel appliances
• . DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
54-c (O ( G e tLiu t- Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.3i
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner /flue/vent 23.32
• ❑• PROPERTY OWNER. •. ❑ TENANT Other: 23.32
Name: UL) 6 ( \Q • Environmental exhaust and ventilation _
Range hood/other kitchen
Address: equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms, .
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
,C1' APPLICANT . . ' .,.❑. CONTACT .PERSON _ Attic /crawlspace fans 23.32
Other: 23.32
Business name: Fuel t to
P R
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
Fireplace
E -mail: Range
CONTRACTOR ,' ' Barbecue
Business name: 5'l.`vl 5 * 1- ,j/ckt ' :: (V T> i 0\5 Clothes dryer (gas)
J Other:
Address: 04701 l 5 fir„' ) 6( C .S } 4•- MECHANICAL PERMIT FEES*
Cit /ZIP: 2eyq- ie,,il;A. viz. CIy 23i Subtotal
Minimum permit fee ($90.00)
Phone: ())) l34-Liar I I Fax: (503 ) L 3'1 - 0 1•3d) Plan review (25% of permit fee)
CCB tic.: i CI S State surcharge (12% of permit fee)
•
TOTAL PERMIT FEE
.� This permit application expires if a permit is not obtained within 180
Authorized signature:
a � days after it has been accepted as complete.
Print name: ' C,t N d.,.i 10,p,t l/ 7 Date: • Fee methodology set by Tri -County Building Industry Service Board
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