Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2014-00307
T R.3 A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/26/2014
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Type I and type II hoods with make-up air.
Contractor: CAMERONS INSTALLATIONS INC Owner: BV CENTERCAL LLC
22170 SW MARTINAZZI ATTN: FRED BRUNING
TUALATIN,OR 97062 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-692-3368 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/26/2014 $319.61
Class of Work: ALT Type of Const: VB Plan Review 06/26/2014 $79.90
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 06/26/2014 $38.35
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/26/2014 $5.00
11x17)
Project Valuation: $9,000.00
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 $442.86
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Make up air
Duct Work: unit
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f. .w the rules adopted by the Oregon
Utility cation - -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-OS:,. You may obtai' a .py of the rules
or dir- t questions to OU • by c- 'n• 03.232.1987 or 1.800.332.2344.
Issu=d By: .II" Permittee Signature: ` .iii!\ �WW/./..
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FUR OFFI( F. I SE ONI,\
City of Tigard Date/B r: •
�,f Permit No.: M,^� ��f- —m i
+ 13125 SW Hall Blvd.,Tigard,OR 9 coio, ,,,
Plan { tYiG� 4l J.11114 �� Revie Other Permit: a
Phone: 503.718.2439 Fax: 503. Date/By:AZT:i� n 2h Lt i -
Inspection Line: 503.639.4175 ^%,N „R orris:
F I G A R D {, Date Re Fa See Page 2 for
Internet: www.tigard-or.gov \`\w` 1 (��^O Notified/Method: i/,t ,�� Supplemental Information _
0(� V`r 1 I
TYPE OF WORiCIk\v' �(, \I C MMERCIAL FEE* SCHEDULE - USE CHECKLIST
Vili r .C^". Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteratiggllment performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: ?`J mechanical materials,equipment,labor,overhead,and profit
Value:$t� O8!)
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: 73,31 S . Q,tz-i D S c Poirr el 1:3lg o3 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: "—FT et A-vz-O 2 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 103 Project name: T I�� 14�4. 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
--rt., IS 1.
--rt.,i -7-1 PIC. f ipex0 S fireplace 23.32
t AA K f _-u P A T� `12- 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
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[lame: Ca-b E�-NJ 5 tN5-ra .4-4.n sJS $14.15 for first four;$4.03 for each additional
Contact name: 5C o.r C.440,0 a„,~3 Furnace,etc.
Address: 22 1 7D 5 CA.) Put�1-resr1N 422 l Gas/sus pump
Wall/suspended/unit heater
City/State/ZIP: - 7 04,S 77 C24•2, Water heater
Phone:(cal) 0.12_T 3�a / Fax: :(�,'j9) 9 ply—g f qg Fireplace .
Range
E-mail: 5 G.*r-e_ c„4",464.0,05/;us -1,f}nax7rj s ce,At Barbecue
CONTRACTOR Clothes dryer(gas) .
Other:
Business name: 5�jir?tr MECHANICAL PERMIT FEES*
Address: 15 U � 1 '`�r Subtotal
1 Minimum permit fee($90.00)
City/State/ZIP: _
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: /Licl8 S TOTAL PERMIT FEE _
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: L"O ' Fee methodology set by Tri-County Building Industry Service Board
Print name: rj Go A.wl E�0� Date: L If../41'
1:\Building\PermiuUlEC_PermitApp_040113.doc 440-4617T(I 1/02/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:\Building\Permits\MEC_PermitApp_040113.doc 2