Permit CITY OF TIGARD MECHANICAL PERMIT
I. COMMUNITY DEVELOPMENT Permit#: MEC2014-00164
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2014
Parcel: 2S 101 CA00200
Jurisdiction: TIGARD
Site address: 7904 SW HUNZIKER RD
Project: Agilyx Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Installation of 135'of 2"gas line to NG for new 15hp steam boiler. 5 lbs gas
Contractor: US METAL WORKS Owner: AGILYX CORPORATION
36370 INDUSTRIAL WAY 7904 SW HUNZIKER ST
SANDY, OR 97055 TIGARD,OR 97223
PHONE: 503-668-8036 PHONE: 503-217-3160
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/17/2014 $232.50
Class of Work: ALT Type of Const: VB Plan Review 04/17/2014 $58.13
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/17/2014 $27.90
Stories: Info Process/Archiving-Sm$0.50(up to 04/17/2014 $0.50
11x17)
Project Valuation: $5,900.00
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:
6.-____ Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $319.03
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344, -
Issued By: Permittee Signature: i/�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit APPlicRECEIVEP FOR OFFICE I SE ON I.1
City of Tigard Received •
Date/By:
r� Permit No.:
G
2 ) /c, /
■ 13125 SW Hall Blvd.,Tigard,OR 9743.—
Phone: 503.718.2439 Fax: 503.598. 1 Z O 4 Plan Revie
Date/By: if Other Permit: /6,067a _00.23
inspection 503.639.4175
T I GA R D
Date Ready ;y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Y /(i `, Supplemental Information
TYPE,OF WORK a CO I RCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ s goo t2
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. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7 Cr 0 y 5 w l ci-n I It e, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: II pia-r . O i q 1 22 G Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: o�}tr• Duct work 23.32
Cross street/directions to job site: .l I�� 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: l Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
l Q ,� Flue vent for water heater or gas
I Ks f-�a I 3 s a T X M 1: n L O fireplace 23.32
p r0 Vide N G 40( 1:A) 5fcJtGL.'hvA> 0 Log lighter(gas) 23.32
Wood/pellet stove 33.39
Ai G cad 1 S J- f. 5 teal-in h o I. I Er , Wood fireplace/insert 23.32
Jf' 1 b G.,S Chimney/liner/flue/vent 23.32
Other: 23.32
gPR ERTY OWNER J ANT
Environmental exhaust and ventilation:
Name: Q I I y ��eJ . Range hood/other kitchen
A /" equipment 33.39
Address: ' G 00
4,1.wl.'b U S Aa'' Clothes dryer exhaust 33.39
City/State/ZIP: lC 0 R. 9 )o a i Single-duct exhaust(bathrooms,
y toilet compartments,utility rooms) 23.32
Phone:(563) 6 go -0 6 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: c____ �� � ��L>p� 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)
Other:
Business name: u S in Lc i- _t (�O f _5
1( MECHANICAL PERMIT FEES*
Address: 3 (a 3 7 o 7 i'i way Subtotal
City/State/ZIP: S. d R. 7 7 0 ,SS Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: o 3 a 3 6 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 3 8 g•o TOTAL PERMIT FEE
/ This permit application expires if a permit is not obtained within 180
Y .r days after it has been accepted as complete.
Authorized signature/, 4 ' A11009 ! Z ifilk � * Fee methodology set by Tri-County Building Industry Service Board
Print name: ,S < 4 d ers O'J Date: rte/ 'J_-f 7
i:\BuiIdiagermitmcpermjppool 13 doe 440-4617T(11/02/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.
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
7904 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-04-22 00:00:00
MEC2014-00164
PASS - No C of O
Violation Summary:
Inspector Contractor