Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2014-00292
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/23/2014
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12180 SW SCHOLLS FERRY RD
Project: Pharmaca Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Install(2)new RTU's and relocate(1)RTU,gas modifications.
Contractor: OREGON HEATING&AIR CONDITIONING Owner: ATLAS GREENWAY LLC
19300 SW 118TH AVE 333 NW NINTH AVE, STE 1009
TUALATIN, OR 97062 PORTLAND,OR 97209
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount_
Type of Use: COM Permit Fee 06/23/2014 $538.21
Class of Work: ALT Type of Const: IIIB Plan Review 06/23/2014 $134.55
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/23/2014 $64.59
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/23/2014 $10.00
11x17)
Project Valuation: $17,500.00
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:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $747.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 2
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issua s suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Notification Cente . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You y btain a copy of the rules
or direct questions to OUNC by - n• 51 .232.1987 or 1.800.332.2344.
Issued By: 00 Air/ )r Permittee Signature: (/"
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit AD tr . l Olt Ol 1.1( 1 1 'I: ()N.1,\
lA EtvED
City of Tigard Received y: Permit No ��p�
111
• 13125 SW Hall Blvd. Ti gar.,••
Date/By:
Fax: J�4 1 1 20`4 Date/By:Review Cl �tl � Other Permit:
Phone: 503.718.2439 Fax: 503.5 � � � ��
1 I c i A R u Inspection Line: 503.639.4175 Date Rea.^:7 // ^ IA See Page 2 for
Internet: www.tigard-or.gov �. y OF lt3 B() Notified/Method:l A NMI. Supplemental Information
TYPFlt9 1�{ `�ItstO'`) [ `i��`.siffrJ"
�. • L(./ �CIAL FEE* SCHEDULE - USE CHECKLIST
! Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El
Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ i" IT,773
CA((EGORY OF CONSTRUCTION RESIDENTIAL EQUIPME / STEMS FEES*
❑ 1-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 LOCATION Heating/cooling:
/J-/9 / W4/141.2 Air Furnace 1 conditioning 0, 0 (ducts/vents)) 46.75
Job site address: Fumace 100,000 BTU ducts/vents 46.75
City/State/ZIP: i / J _Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06
�1 ✓L/N- Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
Iii �� 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
�� �� pii Flue vent for water heater or gas
� fireplace 23.32
Log lighter(gas) 23.32
-./ ''1 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
! Chimney/liner/flue/vent 23.32
El 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 135 CONTACT PERSON Other: 23.32
Business name: ON�<� Fuel piping:
4,4 $14.15 for first four;$4.03 for each additional
Contact name: r... 'La, /1*tQ� Furnace,etc.Address: '/ , Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(0j)/1/7 0,97,-- Fax::( ) Fireplace _ ,
�" �j�Leo
Range
.
E-mail: � , �2r! .J�-. Barbecue
CO CTOR Clothes dryer(gas)
Business name: 04A Other:
66��1 � MECHANICAL PERMIT FEES*
Address: 2 i �{, /1/ Subtotal
r'1/ /� J
City/State/ZIP: nj 4j1jre-- , G?l' 7l/L Minimum permit fee($90.00)
Phone:(SO)6,1 �� .9 7 Fax:( )
Plan surcharge(22%of permit fee)
u_ - � State surcharge(12/o of permit fee)
CCB lie.: [771-7 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:
(..... -'11/7,---
* Fee methodology set by Tri-County Building Industry Service Board
Print name: ( Lam/VL ( ( /7 /tif t„. Date: 44/ l
I BuildingTermits\ME.C_PermitApp_040113.doc 44-461 (11/02/ M/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_040I 13.doc 2
CITY OF TIGARD FEE AND PAYMENT HISTORY 11
INi 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
MEC2014-00292 - 12180 SW SCHOLLS FERRY RD, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Permit Fee 230-0000-43102 $538.21 $538.21 $538.21
Plan Review 230-0000-43111 $134.55 $134.55 $134.55
12%State Surcharge-Mechanical 100-0000-24001 $64.59 $64.59 $64.59
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $10.00 $10.00 $10.00
11x17)
Totals for Fees $747.35 $747.35 $0.00 $747.35
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
Total Payments: $0.00
Balance Due: $747.35
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
12180 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
July 29, 2014 at 12:25:32 PM
MEC2014-00292
Chip Barnett
Violation Summary:
Inspector Contractor