Permit y CITY OF TIGARD MECHANICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit#: MEC2014-00043
Date Issued: 02/26/2014
T R.; \R L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 300
Project: Advantage Way Point Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: Move walk-in freezer and install Type 2 hood for dishwasher.
Contractor: BULLDOG MECHANICAL&REMODELING INC Owner: PACIFIC REALTY ASSOCIATES LP
3307 NE 39TH ST ATTN: N PIVEN
VANCOUVER,WA 98661 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 360-901-2610 PHONE
FAX: 360-693-1505
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/26/2014 $212.83
Class of Work: ALT Type of Const: Plan Review 02/26/2014 $53.21
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/26/2014 $25.54
Stories: Info Process/Archiving-Sm$0.50(up to 02/26/2014 $2.50
11x17)
Project Valuation: $5,200.00
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 $294.08
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Relocate
Duct Work: walk in
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 - " - •• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 - 90. You may obtain a copy of the rules
or.'ect questions to 'UN • calling 503.232.1987 or 1.800.332.2344.
Is_ued By: 4 'i / / Permittee Signature: �/�iii►�.'
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.
I
Mechanical Permit Application r I F(lli 01.1.1( i l St 0\1.1
City of Tigard rC�'/�D Date/By: iie�.�/!� ``
• 13125 SW Hall Blvd.,Tigard,OR 97 2
��J■[(.—„ V y Permit No: ' W1 t , e 3
Plan Review
Phone: 503.718.2439 Fax: 503.598. Date/By: s/�L Mn J Other Permit:
3 DateB 1 ,
I 1 n It a Inspection Line: 503.639.4175 FEB 3 2014 Date Ready/By: 'I Juris HI See page 2 for
Internet: www.tigard-or.gov Noottiitied/Method:� /,y t��.� Supplemental Information
C1TY OF TIGARD `F" gpfv`I V'�COMMEltt7AL FEE* SCHEDULE - USE CHECKLIST
OF� ��i n���SION 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
El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGO OF CONSTRUCTION Value:$5, 240- -
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ommercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description _ Qty. I Ea. I Total_
JOB SITE INFORMATION AND LOCATIAN Heating/cooling:
LA �` S W Z�6 Air conditioning _ 46.75
Job site address: !.2._ . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1 ' �/Z f o V i-7.-� •3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: P� 'ti �_� Duct work 23.32
Cross street/directions to job site: r � 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 N 33.39
. -^`/,�, ,' /r/,,� hh /� Flue vent for water heater or gas
%) fr,00 e VV a. —i N ) t;R /V�Q o fireplace 23.32
Sid� w ((JJ Log lighter(gas) 23.32
e . St'ac c/ Wood/pellet stove 33.39
s n D Wood fireplace/insert 23.32
10 5.�,c1�1 -Ty,G a .-brtiJ/ ��4 r��_ Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER K/lv L� ❑ 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 ONTACT PERSON Other: 23.32
Fuel piping:
Business name: �.� „,.../..„,.../.. e ow r-e J , �
Q
$14.15 for first four;$4.03 for each additional
Contact name: O`( A.A.3 f.j2 ,d„...)^ / Furnace,etc.
33 0 7- 3 `7 } /. Gas heat pump
Address: r
Wall/suspended/unit heater
City/State/ZIP: V i NJ C, LA.)/ 9/96,6* ( Water heater
Phone:(3`O) gi O(_ G o Fax::(366) G, G3 i s V Fireplace
>>`”' I Range
E-mail:b,�C4cI' e &p c'Ma;6, p Barbecue
CONTRAC''tORr Clothes dryer(gas)
�' )/
Other
Business name: t�NP�ate �v� MECHANICAL PERMIT FEES*
Address: o
33 3 / Subtotal
City/State/ZIP: ,r l( ` r 4 r �`�66/- Minimum permit fee($90.00)
Phone:( ) �Jv C / Plan review(25%of permit fee)
J State surcharge(12%of permit fee)
CCB tic.: I S l l 3 TOTAL PERMIT FEE
` This permit application expires if a permit is not obtained within 180
/ "1111 -- days after it has been accepted as complete.
Authorized signature: a �` ■A A Pelt r • Fee methodology set by Tri-County Building Industry Service Board
Print name: 1i11rra i``r'AI Date:O 79
1\Building\Permits MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB) /, J,
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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16655 SW 72ND AVE 300, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00043
Chip Barnett
Violation Summary:
Inspector Contractor