Permit v CITY OF TIGARD MECHANICAL PERMIT
11/1 COMMUNITY DEVELOPMENT Permit#: MEC2013 00562
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Replace generator.
Contractor: RH MECHANICAL CO INC Owner: DAYTON HUDSON CORPORATION
PO BOX 295 BY TARGET CORP T-0345
BORING,OR 97009-0295 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS,MN 55440
PHONE: 503-349-1320 PHONE:
FAX: 503-558-9733
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/26/2013 $235.31
Class of Work: ALT Type of Const: Plan Review 09/26/2013 $58.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/26/2013 $28.24
Stories: Info Process/Archiving-Sm$0.50(up to 09/26/2013 $2.00
Project Valuation: $6,000.00 11x17)
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 $324.38
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, o - is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility .tification Cente Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d' -ct questions to OUNC ca/in; ;03.232.1987 or 1.800.332.2344.
Iss d By: / �. Permittee Signature: X,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard II CEIVED Date/By: do er{� �j_. ' Permit No.: /q�?j—�56�
13125 SW Hall Blvd.,Tigard,OR •,' .'s
9 an Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/
By: Other Permit:
T I G A R U Inspection Line: 503.639.4175 SF_r� 2 6 2013 13 Date Ready/By: Juris: la See Page 2 for
Internet: www.ti ard-or. ov 2
g g Notified/Method: Supplemental Information
CITY OFTIGARD
HYPE F EWING DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ . Ito D-0 0--
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 I Qty. I Ea. Total
' JOB SITE INFORMATION AND LOCATION Heating/cooling:
• Air conditioning 46.75
Job site address: 9900 9 , -t_i_ (tJ b Fumace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /' 044 D C_ - - - _ Furnace_100,000+BTU_(ducts/vents) 54.91 .
Heat pump 61.06
y
Suite/bldg./apt.no.: "/00 Project name: Tar 1(71 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
Flue vent for water heater or gas
/J 10- 0.._ seAr\-12-2 61;1' fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
. equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
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)
Other:
Business name: O A/ �C���,e.a / e� Z�C MECHANICAL PERMIT FEES"
Address: p O /�'oev. 9 95 Subtotal
v� Minimum permit fee($90.00) '
City/State/ZIP: �Qr,t 0(Z 97cc y_ oa 95 Plan review(25%of permit fee)
Phone:(5,33) 3 y q-f, 20 Fax:(geg) 55' _91 33 State surcharge(12%of permit fee)
CCB tic.: -1 c p 1 c/ l/�cj//y TOTAL PERMIT FEE
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: t�3 .,�i; /77ae-SAS Date: 9.-au,- 3 •
I:\BuildingWermits\MEC PermitApp_040113.doc • 440-4617T(I I/02/COM/WEB) -
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 IEC_PertnitApp_040113.doc 2