Permit CITY OF TIGARD MECHANICAL PERMIT
s. ' COMMUNITY DEVELOPMENT Permit #: MEC2013 -00738
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/09/2013
T E "'� I� D 9 Parcel: 1 S136DCO2504
Jurisdiction: Tigard
Site address: 7301 SW DARTMOUTH ST
Project: Lumber Liquidators Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Gas piping to RTU.
Contractor: MODERN PLUMBING Owner: AMERICAN INDUSTRIES INC
11120 SW INDUSTRIAL WAY 1750 NW FRONT AVE STE #106
TUALATIN, OR 97062 PORTLAND, OR 97209
PHONE: 503 - 691 -6166 PHONE:
FAX: 503 -691 -6771
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/09/2013 $81.34
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/09/2013 $9.76
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $900.00
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 $91 10
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 �� c � f> �`-- - Permittee Signature: / 1
Call 5 .639 .4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Dec. 5. 2013 8:56AM Modern Plumbing No. 2832 R P. 1
Mechanical Permit Application FOR Ott R I l ',1 t Oft l
City of Tigard CEIVED Received
, 5` V t;
II r 13125 SW Hall Blvd., Tigard, 0 l Plan Review
Phone: 503.718 2439 Fax: 503.5 8.1960 Dale/Or Other Permit P , • 1 _ „_ .
T I t ; , fl n Inspection Linc: 503,639.4175 fate Reedy/fly: ® See Page 2 for
Internet: we•w,tigard- or•gov DEC 5 2 °13 Notified/Method: Supplemenlel rnrormatlon
TYPE akP F • • i COMMERCCAL FLEE" SCHEDULE - USE CHECKLIST
'`,(` Mechanical permit fees" are based on the value of the work
New construction ®Addili iIl ►I�M191tYl performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
value :$ q 00 00
CATEGORY OF CONSTRUCTION RESTA ENTIALE QUIPMENT / SYSTEMS FEES"
❑ I- and 2- family dwelling ® Commereial/induStrial ❑ Accessory building For special Information rue checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. j Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 1 3 0 1 5 1...3 \ o v -Il^. 12-St Furnace 100,000 BTLI ducts/'.cots 46.75
City/State/ZIP: - %._. ,rd O- 1--t 3 3 3 Furnace 100,000+ STU (d,tcliheats} 54.91
Heat pump 61.06
Suite/bldg./apt. no.: I Project carne: L rvt. n� p t vt dP�dr P Duel work 23.32 4.
Cross street/directions to job site: t H •dronic hot water system 23.32
y /_ J Residential boiler (radiator or
`�
r I ti & li l d.e W S , 6-3 hydronic) 23.32
Unit heaters (fuel -type, not electric).
/+ in -wall, in -duct, suspended. etc. 46.75
F Q , 1 -_ ,.....a. Flue /vent for any of above 23.32
1 Other: 23.32
Subdivision: Lot no_:
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32 .
DESCRIPTION OE. WOEK Gas fireplace/insert 33.39
Flue vent for eater heater or gas
A/Uri& 110' l e. S - c P-TO fireplace 23.32
` Log lighter (gas) 23.32
a E "P.._ ._ W In t K- \ cL,AA 1 ` ! 0 ( r • Wood/pellet stove 33.39
{ J Wood fireplace/insert 23.32
(X-) f- IC ; LJ / c P5 C.c. Y%.S rV'c T-1 Chinmeyflitler/fluc /veal 23.32
Other. 23.32
O PROPEA, OWNER j • • • >:❑ %TF.NAM'• • ` 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: ( ) Altic/crawlspace fans 23.32
❑ APPLICANT . ❑ CONTAIT'REILSON Other: 23.32
Fuel piping: -
Business name: 514.15 for first four; 54.03 for each additional
Contact name: Furnace, etc.
Address: Gas heat pump
Wall/suspended/unit heater
City /State /ZIP: Water heater
Phone: ( )
Fax:: ( ) Fireplace
RangC
E -mail: Barbecue
. CONTN4cro i : Clothes d cr • as
Othe
rfl
Business name: l2 �1 a r, e„ r+��l
i ctrl y1 I U v)+,Io tr vt`, ' .: mmiociCALPERMITFEES# .
Address: / I I 0 ..SL..} L {1.a/vskr. a4 (,J5 /3I 4 9'3 Subtotal - ' • to 4 'l' i , y
City/State/21P: rC/ a ,( ,fc R -7 d Minimum permit ice (590.0) {�-�
e Phan review (25% of permit feee)
Phone: ( 03) (p 9 f7 I 6 ( F ar' V 3 Vi 1 - ( 1 ) Slate surcharge (12% of permit fee) / M" 1 9 `7 4'
CCB lic.: Y2 9 0(4, TOTAL PERMIT FEE _ rl O . 1, I 0
This permit application expires Ira permit Is not oh 111 ned within ISO
A ; _, �j , ^ days after it has been accepted as complete.
Authorized Signature: J) C„. • F e e mn bodology set by Tn•County Building Industry Service Board
Print name: / r l
''''7' A' Pu L r t-o,S 1c.� I Dale: 'r (g
•
r:\Uuildi4etPermhtblfC_permUApp 040113.doc 440- 4617T 1OZ/COMMWEa)
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
7301 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-01-10 00:00:00
MEC2013-00738
PASS - No C of O
Violation Summary:
Inspector Contractor