Permit q CITY OF TIGARD MECHANICAL PERMIT
11114 _,.—I COMMUNITY DEVELOPMENT Permit#: MEC2014-00302
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2014
Parcel: 2S101AB02500
Jurisdiction: Tigard
Site address: 7080 SW BEVELAND RD
Project: Beveland Street Offices Subdivision: BEVELAND Lot: 7
Project Description: Installing(1)RTU.
Contractor: ADVANTAGE HEATING&AIR CONDITIONING LLC Owner: SPECTRUM LAND DEVELOPMENT LLC
2355 HYACINTH ST SE PO BOX 1689
SALEM, OR 97301 LAKE OSWEGO,OR 97035
PHONE: 503-393-5315 PHONE: 503-570-8828
FAX: 503-393-2253
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/17/2014 $423.91
Class of Work: ALT Type of Const: VB Plan Review 06/17/2014 $105.98
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/17/2014 $50.87
Stories: 1 Info Process/Archiving-Lg$2.00(over 06/17/2014 $2.00
11x17)
Project Valuation: $13,000.00 Info Process/Archiving-Sm$0.50(up to 06/17/2014 $12.50
11x17)
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 $595.26
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct que OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By Permittee Sign ture: ^ el/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received 1 Permit No.: d
Ili •
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: •r� 1�
Plan Re • .-'s
' I Phone: 503.718.2439 Fax: 503.598.1960
Date/f3 e %�� .� (7 (4.._ Other Permit: /)gyp a,fylr's--' ell f c
TIGARD Inspection Line: 503.639.4175 Date Re.4 .y: Juris Once Page 2 for
Internet: www.tigard-or.gov Notified/Method: ter//7/ (I Ja/ Supplemental Information
TYPE OF W R . l " -CIAL FEE* SCHEDULE — USE CHECKLIST
Mec'cal permit fees*are based on the value of the work
®New construction ❑Addition/alteration/r�lrfe1e'tt 2014 performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: ������''yy(( mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONS'I�C,'IC'1�NT D Value:$ 3�,r00� �1t RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
V I g--XCommereial/incill 6I building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning
Job site address:7080 SW BEveland st (requires site plan showing placement) 46.75
City/State/ZIP:TIGARD/OR/97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) * 54.91
Suite/bldg./apt.no.: I Project name:BEVELAND Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site:72ND TO BEVELAND 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:BEVELAND Flue/vent for any of above 23.32
Lot no.:I
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
N LE cr--04.5 l A-3 6) 0314 Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) _ 23.32
Wood/pellet stove , 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Name:MISSION HOMES NW Environmental exhaust and ventilation:
Range hood/other kitchen
Address:PO BOX 1689 equipment , 33.39
City/State/ZIP:LAKE OSWEGO/OR/97035 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(503)381-3753 Fax:(503)214-8524 toilet compartments,utility rooms) _ 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32 _
Business name: MISSION HOMES NW Fuel PP g i in :
Contact name:JOSH KELSO $14.15 for first four;$4.03 for each additional
Address:PO BOX 1689 Furnace,etc.
,Gas heat pump
City/State/ZIP:LAKE OSWEGO/OR/97035 Wall/suspended/unit heater
Phone:(503)381-3753 Fax::(503)214-8524 Water heater
Fireplace
E-mail:JOSHKELSO3 @GMAIL.COM Range
CONTRACTOR Barbecue .
Clothes dryer(gas)
Business name:ADVATNAGE HEATING&AIR CONDITIONING,LLC Other:
Address:2355 HYACINTH MECHANICAL PERMIT FEES*
City/State/ZIP:SALEM/OR/97301 Subtotal
Minimum permit fee($90.00)
Phone:(503)393-5315 I Fax:( ) Plan review(25%of permit fee)
CCB lie.: t/7t,' State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: � / days after it has been accepted as complete.
I Print name:JOSH KELSO Date: * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Penuits\MEC-PennitApp.doe 09/09/10 440-4617T(11/02/COM/WEB)