Permit CITY OF TIGARD MECHANICAL PERMIT
= COMMUNITY DEVELOPMENT Permit#: MEC2014-00050
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2014
T[ ' � O g Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12272 SW SCHOLLS FERRY RD
Project: Greenway Pub-McMenamins Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Replace existing 5-ton RTU,like for like.
Contractor: HVAC INC Owner: FW OR-GREENWAY TOWN CENTER LLC
5188 SE INTERNATIONAL WAY PO BOX 790830
MILWAUKIE,OR 97222 SAN ANTONIO,TX 78279
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/12/2014 $238.12
Class of Work: ALT Type of Const: Plan Review 02/12/2014 $59.53
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/12/2014 $28.57
Info Process/Archiving-Lg$2.00(over 02/12/2014 $2.00
Stories: 11x17)
Project Valuation: $6,100.00
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 $328.22
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may stain a copy of the rules
or direct questions to OUNC b calling 503.232.1987 or 1.800.332 . I`
_'
Issued By: L_/ > - • : Si.nature:
Call 503.• 5 by 7:00 a.m.for the next available inspection da e.
This permit card shall be kept in a conspicuous place on the job site until complete•n of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application 1.()1z ()1 I 1( 1 I tit O\I.1
Receiveed . "'
City of Tigard Date/B Permit No.: f
13125 SW Hall Blvd.,Tigard, 2
Phone: 503.718.2439 Fax: 50 .5 . Plan Revtew F=,�n� �`• ether Permit: -
Inspection Line: 503.639.4175 FEB 1 Date Re
I l c i n I:I) 2 2�14 Date Read ITIVIIr Jurillall ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: milisipmi Supplemental Information
CITY OF n COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
TYPIa� U r 1�U�iumo l�AA1 Mechanical permit fees*are based on the value of the work
❑New construction gAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ t l —
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling -E6 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:
�' 1 , w ki�� c V� Air g conditioning
(requires s to plan g
Job site address: vV (AO 0 requires site Ian showing placement) 46.75
City/State/ZIP: .., °''l 'Y3 Furnace 100,000 BTU(ducts/vents) 46.75
- h _ d Furnace 100,000+BTU(ducts/vents) 54.91
41.04 � A Q�,(� Heat pump
no.: Project name: Ul ff P p
(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: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WOK Water heater 23.32
past �' S-T Gas fireplace/insert ent or ale 33.39
i F`��T V✓1 r Flue vent for water heater or gas p V v / -f i v' . u p fireplace 23.32
Vli X 1 wr`'( Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
•
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans -23.32
Business name: 1 4 U AL__ V l L Other: 23.32
Fuel piping:
Contact name:_\-(y C a D $14.15 for first four;$4.03 for each additional
Address: `' \' % I5' ' iv {-- / ,(/l Furnace,etc.
City/State/ZIP: "' .- Gas/sus pump
i W01�/��1 �'7 4 Wall/suspended/unit heater
Phone:(S?2)) tit t, k`i'2'), Fax::(jO3){,1¶ .. tc� " Water heater
O J ( Fireplace
E-mail: fj (� J t'�1/C'��� ��� ' to Range
j ( i CONTRACT R Barbecue
Business name: 1 I v C �0 � Clothes dryer(gas)
TTT-111 Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: 5a, if Subtotal
Minimum permit fee($90.00)
Phone:( ) Fax:( ) _Plan review(25%of permit fee)
CCB lic.: S D 0 l� State surcharge(12%of permit fix)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:�}c r Date: Iii �� ' Fee methodology set by Tri County Building Industry Service Board
I:\Building\Permits\MEC-Permit&pp.doc 03/07/12 440-4617T(I1/02/COM/WEB)
._ ' Building Division
Over-The-Counter (OTC) Mechanical Permit
TIGARD Check List
Project Description: iU
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: X- Occupancy Group: Type of Construction: 15--k--15--k--_
�
*Type of Use: C°.fla Oregon Specialty Code: -2.0 l O
Number of Stories:
FUEL FURNACES
Type: Furnace< 100K BTU Furnaces>= 100K BTU
Gas Pressure: Roof Top Unit(RTU) l Tons
Floor Furnaces Unit Heaters
Vents without Appliances Air Conditioning
Heat Pump
AIR HANDLERS HOODS
Units<= 10000 cfm Type 1 Hood Type 2 Hood
Units> 10000 cfm Grease Duct 1 Hour Shaft
Fire Wrap
APPLIANCES
Boiler(BTUs) Vent Fans Gas Line
Solid Fuel Fireplace/ Clothes Dryers Gas Outlets
Woodstove Duct Work Gas Fireplace
Fire/Smoke Dampers Other Mechanical Units—Describe:
Total Project Valuation: $ �� I FEES DUE
$ r Mechanical Permit Fee
$ -1,1 , Plan Review
$ _�, ,ij 12%State Surcharge
$ Ce, Info Proc/Arch,Lg(over 11x17$2.00)
$ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Misc.Admin Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ Other:
Building Staff:
Date/Time: $ ja5 1f _ TOTAL FEES DUE
*OPTIONS:
TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
CLASS OF WORK ACS=accessory;ADD=addition;ALT=alteration;FND=foundation;DEM=demo;
FND= foundation;FPS=fire protection system;NEW=new;OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies);
, REP=repair.
I:\Building\Forms\OTC-MEC.docx 01/13/2011