Permit CITY OF TIGARD PERMIT
COMMUNITY DEVELOPMENT Magi MECHANICAL
MEC2013-00569
T E GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013
Parcel: 2S 102AC00202
Jurisdiction: Tigard
Site address: 9110 SW BURNHAM ST
Project: Ferguson Enterprises Subdivision: BURNHAM TRACT Lot: 3
Project Description: Mechanical for TI:(2)indoor NC units,(2)furnaces,duct work,(2)bathroom fans,and gas piping for(2)furnaces.
Placement of NC units must comply with manufacturer's installation requirements.10/1/13:Revised valuation from
$2,300 to$23,000 per Jeff with Pilot Plumbing. BT.
Contractor: PILOT PLUMBING&HEATING LLC Owner: MILLER, PRUDENCE M TRUST
6897 SW GREENWICH DR BY PRUDENCE M MILLER TR
PORTLAND,OR 97225 4220 SW GREENLEAF DR
PORTLAND,OR 97221
PHONE: 503-367-9271 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/10/2013 $677.91
Class of Work: ALT Type of Const: Plan Review 10/10/2013 $169.48
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/10/2013 $81.35
Stories:
Project Valuation: $23,000.00
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 $928.74
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, 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:�/ iftee Signature: 4� c A , p
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.
CITY OF TIGARD MECHANICAL PERMIT
$ COMMUNITY DEVELOPMENT Permit#: MEC2013-00569
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013
Parcel: 2S 102AC00202
Jurisdiction: Tigard
Site address: 9110 SW BURNHAM ST
Project: Ferguson Enterprises Subdivision: BURNHAM TRACT Lot: 3
Project Description: Mechanical for TI:(2)A/C units,(2)furnaces,duct work,(2)bathroom fans,and gas piping for(2)furnaces.
Placement of A/C units must comply with manufacturer's installation requirements.
Contractor: PILOT PLUMBING&HEATING LLC Owner: MILLER, PRUDENCE M TRUST
6897 SW GREENWICH DR BY PRUDENCE M MILLER TR
PORTLAND,OR 97225 4220 SW GREENLEAF DR
PORTLAND,OR 97221
PHONE: 503-367-9271 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: Permit Fee 09/30/2013 $124.32
Class of Work: Type of Const: 12%State Surcharge-Mechanical 09/30/2013 $14.92
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $2,300.00
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 $139.24
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3
Issued B - -- 'gnature:
J
Call 50 .• by 7:00 a.m.for the next available inspec'•n date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE: USE ONLY
City of Tigard VS) Received
Date/By: Permit No.: G` I s/
° 13125 SW Hall Blvd.,Tigard,OR 97223 (� - to
C i j Plan Review Other Permit: '�
Phone: 503.718.2439 Fax: 503.59:;�, Date/Ry: ` . o i -(1)I
T I G A lip Inspection Line: 503.639.4175 rt o13 Date Ready/13y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov 2 3® 1 Notified/Method: "7j Supplemental Information
SE �-/'Lo
TYPE OF WO 1[pc C.1el4lA COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
�,�`�vN(3S) Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteroUt1►t"d�9klc�ment performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 61, 30(D
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. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: c.p
Job site address: )
Air conditioning Qi_ 46.75 'I)
I� S r� U!�/�(�°f N� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 5 v!J 0/E 9 7 2 2 3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:
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
A n D Z -re. r."1/4.1„e.. 5' fireplace 23.32
Log lighter(gas) 23.32
7- a,v c ei t )1,,,,e4 S Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER 1 ❑ 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
/� J Fuel piping:
Business name:Pt (C .1- P jv h,,h)�,S J"7la ri,�S $14.15 for first four;$4.03 for each additional
Contact name: J4( RDt,S,4\ Furnace,etc. 2
Address: (,81-7 SA) G y�„,ti„44 FYI Gas/sus pump
nde
Wall/suspended/unit heater
City/State/ZIP: Air'.1 0 9'7225 Water heater
Phone:663 ) ?l to Zdo Fax: :( ) Fireplace
/ `/ Range
E-mail:Oi to+p/L,m h/,us a,,/.11 e-r-//,S OS ,7 G,ct, -, Barbecue
V + CONTRACTOR Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal %i,y.
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax: Plan review(25%of permit fee)
( ) State surcharge(12%of permit fee) /Ll- q'.
CCB lie.:173 250 l5"/(y TOTAL PERMIT FEE 13 q, }41
This permit application expires if a permit is not obtained within 186
days after it has been accepted as complete.
Authorized signatur • Fee methodology set by Tn-County Building Industry Service Board
Print name: j p 1sJ 6,e�/ Date:q/30//3
I:\Building'PermitsUMEC_PermitApp_040I I3.doc 4404617f(I 1/02/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\MEC_PermitApp_040113.doc 2
•
!� 4 Building Division
Development Code Provision Review
T 1 d A I D Commercial Projects - No Associated Land Use Case
Building Permit No: 1''' c, 13—cx) ct 0.-- xpedited Review
Project Name: Fe<91A,ScAN
Site Address: 7/80 rea,a," , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: l j'10 I I 3 1377— Routed By: _
1't Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone,please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718-2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact at (503) 718- or @tigard-or.gov)
Proposal:
Zoning
Permitted Use Yes ❑ No ❑ •
Land Use Required: Yes ❑ No ❑
Notes:
cpproved ❑ Not Approved ❑ DCPR Not Required–No DCPR Fees Due
Date Routed to Building: � —
� /
L\CURPLN\Masters\Development Code Provision RevievADCPR COM NoLandUse.doc Rev.01/16/13