Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2014-00152
T[GA R.E) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 100
Project: Fullhart Insurance Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: Relocate existing grilles.
Contractor: GOHMAN MECHANICAL Owner: PNWP LLC#2
14505 SE HWY 212 BY PACIFIC NW PROP LTD PTNSP
CLACKAMAS,OR 97015 PO BOX 2206
BEAVERTON, OR 97075
PHONE: 503-658-1892 PHONE:
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/02/2014 $84.41
Class of Work: ALT Type of Const: Plan Review 04/02/2014 $21.10
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/02/2014 $10.13
Stories:
Project Valuation: $1,000.00
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 $115.64
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N. ' -- ••. Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or -ct questions to OUNC • galling 503.232.1987 or 1.800.332.2344. ,
I sued By: //,`/ , Permittee Signature: '
-
Call 503.639.4175 by 7:00 a.m.for the next available inspectio: date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ,LA
City of Tigard ,00
Date/By:
/Y Permit No.: /EC /(�—a/5'
• 13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review n
Phone: 503.718.2439 Fax: 503.598.1960 3,0 Other Permit: 1'dalf—00005-9/
7 Date/By:
1 i t.;A 1t n Inspection Line: 503.639.4175 Date ReadyBy: ruris: ® See Page 2 for
Internet: www.tigard-or.gov ritceiv Notifieeadethod:
Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
A 2 2014 Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replaacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: CITY OF[I6AHU mechanical materials,equipment,labor,overhead,and profit.
CA E ORY OF CON PA' Value:$ '1 0 p 0
RESIDENTIAL EQUIPMENrf/SYSTEMS FEES*
❑ 1-and 2-family dwelling ommercial/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:
Air conditioning 46.75
Job site address: f 3,5'3 5-- S �l "7,!;-z AI O All Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 2 4 012— Furnace 100,000+BTU(ducts/vents) 54.91
7 Heat pump 61.06
Suite/bldg./apt.no.: / Q Q Project name: j'Liz:L/r7/i4 g/_ .. ;v5a.Eb.vci=
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
y C_GC)C,4 j—- i.�\-/ST72JC.- a/LLL-5 fireplace 23.32
C Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ 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
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc-
Gas heat pump
Address: •
Wall/suspended/unit heater .
City/State/ZIP: Water heater
Fireplace
Phone:( ) Fax::( ) - -
Range _
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas) _
Other: _
Business name: (7 c���,U rn� /./,44/C�L MECHANICAL PERMIT FEES* ��//
Address: fy 5—o 5 S-L /J�, Subtotal y4.7/
City/State/ZIP: --.2,- G/Z;6yn A 5 03L....- 970/ S' Minimum permit fee($90.00)
Plan review(25%of permit fee) 10
Phone:(5-03) 5�../g,/a_ Fax:(5'3) GS• •
- ?O State surcharge(12%of permit fee)_ - l 3
CCB lic.: TOTAL PERMIT FEE // •(0V
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: �LGsyL;.,�, /1)P.,t- Date:
I:\Building\Permits\MEC PermitApp_04016doc 440-46liT(I1/02/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.
•
1:\Buil ding\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
13535 SW 72ND AVE 100, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
May 19, 2014 at 9:34:15 AM
MEC2014-00152
Chip Barnett
Violation Summary:
Inspector Contractor