Permit CITY OF TIGARD MECHANICAL PERMIT
sr - COMMUNITY DEVELOPMENT Permit #: MEC2013 -00414
Date Issued: 07/18/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S111 DD00201
Jurisdiction: Tigard
Site address: 15943 SW HALL BLVD
Project: Cozy Nails & Spa Subdivision: SUMMERFIELD NO.7 Lot: N
Project Description: Exhaust system for nail salon workstations.
Contractor: NGUYEN VO CORPORATION Owner: ROSEHILL INVESTMENTS LLC
10225 SW BROOKSIDE PL 2001 SIXTH AVE STE 2300
TIGARD, OR 97123 SEATTLE, WA 98121
PHONE: 503 - 539 -7528 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/18/2013 $84.41
Class of Work: ALT Type of Const: Plan Review 07/18/2013 $21.10
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/18/2013 $10.13
Stories:
Project Valuation: $1,000.00
Fuel Alr Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Fumaces >= 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 $115.64
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 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 Auplicaglic E FOR OFFICE. USE ONLY
City of Tigard Received � /�, Permit No.:
II 131 Hal Blvd., Tigard,OR 9722 Date/By: [ Q / j /�-/ Mge - �� /�
C 11 1I1- :513 Plan Review • Other Permit:
Ph one: 503.718.2439 Fax: 503.598.19�6) Date/By:
T I G A R D Inspection Line: 503.639 Date Ready/By: Juris. El See Page 2 for
Internet: www.tigard - or.gov CITY OF 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, artd profit.
Value: $ /070
� /
• . 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 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
• A / LV ., Air conditioning 46.75
Job site address: r 5 4 L S yv 1+4-C,L $ Furnace 100,000 BTU (ducts/vents) 46.75
I
City /State /ZIP: . -`kW) 7 I] 1 - Z Li- 1i- ►/ Furnace 100,000+ BTU (ducts /vents) 54.91
"�� T
■ Heat pump 61.06
Suite/bldg. /apt. no.: Project 1 -02"( I'J/t t L 5 %PA- 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
elk Flue vent for water heater or gas r
N$,& tAi s 4 - 0--h , 4- - it fireplace 23.32
Log lighter (gas) 23.32
(rf 1°1' "4 I h 4 f W t 4/ t/x 144444- elke Wood/pellet stove 33.39
� -QW +2tp jc..41 fY 4- 4 1 O (2,_{-ds,m, ' ^ • Wood fireplace /insert 23.32
Z.44L Chimney /liner /flue /vent 23.32
•
❑ . PROPERTY;OW
❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: R DS C jr (,[ /NVE$ 7, t,#V ; 4 L t C Range hood/other kitchen
equipment 33.39
Address: '"% a l Sixth_ A ✓c Clothes dryer exhaust 33.39
City /State /ZIP: Single -duct exhaust (bathrooms,
S (-A i IL / v A '' 12 / toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four; $4.03 for each additional
Contact name: Furnace, etc.
Address: Gas heat pump
Wall /suspended/unit heater
City /State /ZIP: Water heater
Phone: ( ) Fax: : ( ) Fireplace
— Range .
E -mail: Barbecue
CONTRACTOR Clothes dryer (gas)
Business name: A( l N q v a 6.0Q/} -T[ d-p3 Other: .
MECHANICAL.PERMIT FEES* •
Address: 4 j o L,,s- p P 1t.. ft Subtotal
City /State /ZIP: �- Minimum permit fee ($90.00)
d q 7/ i3 Plan review (25% of permit fee)
Phone: (� ;) , � Fax: ( ) State surcharge (12% of permit fee)
CCB lic.: i �o TOTAL PERMIT FEE 1/5 • eve./. S
4 q Gg � 7 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri- County Building Industry Service Board
Print name: Ar ti Date: 7.4 b._ i
I:t Buildingt PermitsVMEC _PermitAppp_040113.doc 440 -4617T (11 /02 /COM/WEB)
• 1
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.
I: \Building\Permits\MEC_PermitApp 040113.doc 2