Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013 00698
TI GARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2013
Parcel: 2S102CB03200
Jurisdiction: TIGARD
Site address: 9975 SW FREWING ST 110
Project: United Medical Group Subdivision: FREWING'S ORCHARD TRACTS Lot: 21
Project Description: New rooftop unit,(2)air handlers&ductwork
Contractor: VIKING HEATING&SHEETMETAL LLC Owner: MASSIH LLC
PO BOX 2610 BY PIERROUZ YASAVOLIAN
ESTACADA, OR 97023 8 BECKET ST
LAKE OSWEGO, OR 97035
PHONE: 503-679-8096 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/20/2013 $510.27
Class of Work: ALT Type of Const: VB Plan Review 11/20/2013 $127.57
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/20/2013 $61.23
Stories: 2 Info Process/Archiving-Sm$0.50(up to 11/20/2013 $10.50
Project Valuation: 11x17)
Project $16,400.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 2
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: 2
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $709.57
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 2
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 'ttee.S.igpptuna*
`
Call 503.639. . 0 a.m.for the next available ins. ction date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard B Received _co(
o?CEJ ED PermitNo.: �� �y Wq
lig �J g Ill
Date/By:. t!I f q 3 H ZC-Gruel3 l
a 13125 SW Hall Blvd.,Tigard,OR 7 6 Plan Review 1 n
Phone: 503.718.2439 Fax: 503.5 8. 0 Date/By: d If' t t(21:4`�ther Permit: (6u.tC ,9615....60).916
T l G A R D Inspection Line: 503.639.4175 NOV 19 2013
Date Ready/B,. Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method/ /ad / 67; 7 Supplemental Information
CIRDEIGARD
TYPE A?' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
���rl'�'�X511 Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ /(Ipj L/Q( , 00
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. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: q G 76 s\4 Fi E\ 1 NO ST 44j/U Fumace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ti exrd 0 R o .'Z23 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:
Duct work 23.32
Cross street/directions to job site: LI s3,-r f--] Hew � 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
t Flue vent for water heater or gas
Rcof- Urtr+ lnS+A.(1 2 Dotr 1ncanitPYS duC�-work- fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
g PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: P I e Trot-12- V p Say ci i c.r (Pi efre) Range enod/other kitchen 33.39
Address: OS-3(0 SW C Ufa) ST #S ati Clothes dryer exhaust 33.39
City/State/ZIP: f 6(4 t f,,ha 0 It g 7 z 3 I Single-duct exhaust(bathrooms,
1 toilet compartments,utility rooms) 23.32
Phone:(5 03) -3 py -L{ZN 6 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$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: 1 / Other:
v1n.th HiOAInr) i S�lee-fineAo-t ,AC MECHANICAL PERMIT FEES*
Address: &X 2.610 J Subtotal
City/State/ZIP:' £d} 0.d� 0g_ o' .7 02 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(5o 3 ) 6,--m g Q ci to Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 1 G l®Z&Z lu'll I l 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: M i Id Q,i Date: 0/ /y I i.
I:\Building\Permits�C_PermitApp_040113.doc 440-4 I7T(I1/0/2/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
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9975 SW FREWING ST 110, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2013-11-21 00:00:00
MEC2013-00698
PASS - No C of O
Violation Summary:
Inspector Contractor