Permit CITY OF TIGARD MECHANICAL PERMIT
111111- » ,•- COMMUNITY DEVELOPMENT Permit#: MEC201300549
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013
Parcel: 1S135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY 232
Project: Tigard Plaza Subdivision: METZGER ACRE TRACTS Lot: 9
Project Description: Relocate gas meter per PGE.
Contractor: HEAT RELIEF CO Owner: COMMERCIAL ENTERPRISES LLC
13122 NE DAVID CIR#800 8320 NW HWY 99
PORTLAND, OR 97230 VANCOUVER,WA 98665
PHONE: 503-261-9915 PHONE:
FAX: 503-261-9814
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/25/2013 $78.27
Class of Work: ALT Type of Const: Plan Review 09/25/2013 $19.57
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/25/2013 $9.39
Stories:
Project Valuation: $800.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $107.23
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 d- s of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by th- • egon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt-' a copy • •- rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: -
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
EZiew- DPertNo.: Hf /3 5i9
° 13125 SW Hall Blvd. Tigard,OR 97223 RECEIVED P
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: luris: 0 See Page 2 for
Internet: www.tigard-or.gov (` ^(��' C•��p��� Notified/Method: Supplemental Information
t =,, ':,.:•� , 4;" PE,OF; Rt 4- ' ,. . .-.`. {% a-, ;.•.- , _ )CUIIQkiE**:e�F•ro( Done— e CdEC1tiLI5T,,.
Mechanical permit fees*are based the value of the k
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
A ��ff''-'`.�:i `A figiiiWk Ot.igi Ik-iiii�i'l ,-;._�v }y ^`7,i ,�`J tom,Value2t$A {�'�.�}. --�
pl, 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ,❑Master builder 0 Other: Description I Qty. I Ea. I Total
- OBLS` " .. �,.• ;�' Heating/cooling:
'. ' riYF.oiil`iripivp.,LOi�TlO�i t=.6._;t•::t., " '
a L '"-� Air conditioning
Job site address: 1 t 1 PoiL1 I\ 1c q t 1 .�,e_, (requires site plan showing placement) 46.75
City/State/ZIP:--� �j J Furnace 100,000 BTU(ducts/vents) _ 46.75
I t c y -.d ` J Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: 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: I Lot no.: Flue/vent for any of above 23.32
Other. 23.32
Tax map/parcel no.: Other fuel appliances:
, 4 i
; `D£SCRI P)70 N Q it.c,! I°; cam - 1 ] Water heater 23.32
33.39��b C aa � (9fk Mf P� 'V� V atuYaf Flue fivrenept lafocr e
water heater or gas
fireplace 23.32
Log lighter(gas) 23.32 .
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
;:e. i ' , +,-..- :,:£i" i E�6^ti.(► ,,r, 0 M z.,,-",--7=-,,,,, , Chimney/liner/flue/vent 23.32
. .....1... ..24. .:' ER 1]k ' ; r..� e...i E. .d•fi.,:: t+,.f:,y.. , ..'LLsr. a Other. 23.32
Name: —TIT rd !!Q zA, Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone:( ) Fax: Single-duct exhaust(bathrooms,
( ) toilet compartments,utility rooms) _ 23.32
.l.4 P.- " F'Y' L� ..,1:.:.,,r:<r r,- '" n��a a# 'ry .,-t'. crawlspace fans 23.32
` @ f .' Attic/
n - Other: 23.32
Business name: 1- 1(!, .f.
Fuel piping:
Contact name: LD(ZA $14.15 for first four;$4.03 for each additional
Address: 31, . . IJ 1 j 1t) ci lze t.Q . - 1 heat pump
City/State/ZIP:ThI f Ck\Ct ()R_ 0 Wall/suspended/unit heater
Phone:(ti B ,( `I GI 1 Fax::(E, 9 21 t4 Water heater
i� Fireplace
E-mail: h r®ff( .ce,0 h;ea+red t e-� d ' CO On Range
'{;'a'. ; rst�!e3-?'�,}'r`. `;' O i Ac QR!: *�,._ zt,. -f. ..
•� .f-i����t,.. ',:.�.:�'�k. ��f.. ..'4''.,�,�` ,a� j..,::`.4,•.�,` -�.,r�. :... Barbecue
Business name: d1c•fi- k,1 i 1, — Clothes dryer(gas)
ft '"� ,� ] �4 _ C Other.
Address: 1,31 e- ( j �c) 1 .A Fri - /1 :i..,-., r:{i.• ,.mix-i NicA1.PFkti11TFEES*.;%. ;.,4.':;:?!!'
City/State/Z)PTLI/- 6,61, c--,212_ 0\1, Subtotal
Phone:(r° ( ' ., Minimum permit fee($90.00)
i S Fax: ) 9 ( 4 Plan review(25%of permit fee)
CCB lic.: ! Qaq D 4 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
\ This permit application expires if a permit is not obtained within 180
Authorized signature: r�
�yl(,��.� days after it has been accepted as complete.
Print name: \•._' v(AC Date * Fee methodology set by Tri-County Building Industry Service Board
I:\Bui lding\Permits\MEC-PermitApp.doc 09/09/10 440-461 Tr(I I/02/COM/WEB)
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