Permit CITY OF TIGARD MECHANICAL PERMIT
'r COMMUNITY DEVELOPMENT Permit#: MEC2014-00326
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/10/2014
TIGARD Parcel: 25101 DC03800
Jurisdiction: Tigard
Site address: 7190 SW SANDBURG ST 10
Project: Spec Space Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Installing(1)warehouse unit heater.
Contractor: ARROW MECHANICAL Owner: MCCORMACK PROPERTIES LP
10330 SW TUALATIN RD 7190 SW SANDBURG ST
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-692-1565 PHONE.
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/10/2014 $115.11
Class of Work: ALT Type of Const: Plan Review 07/10/2014 $28.78
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Mechanical 07/10/2014 $13.81
Stories: Info Process/Archiving-Lg$2.00(over 07/10/2014 $2.00
11x17)
Project Valuation: $1,920.00 Info Process/Archiving-Sm$0.50(up to 07/10/2014 $3.00
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 $162.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: space heater
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to O C by calling 503.232.1987 or 1.800.332.2344.
Issued By: )— - Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application . �?V\ FOR OFFICE USE ONLY
City of Tigard Date/By �/,1 Li ky :;: 20,it r ez /,a 13125 SW Hall Blvd.,Tigard, �L I C Phone: 503.718.2439 Fax: 5 k`lCi DattelBy: 77 1� t
Inspec tion Line: 503.639.4175 e��� y �`" l t
T I G A R D J�� � Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov J � �` Notified/Method: 7/`7 /i, /�....-- --3, Supplemental Information
s „.w,r u e : tat �'fAL I 4t,", = iCLTt$T Y;
– 1 Mechanical permit fees*are based on the value of the work
❑New construction ig Addition/a!ration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
' x , — - Value:$ !l 20 r 0 Q
"-,'? c� IEGOIZIr �1 \5772LiCfI01 RES11 ENTIAL EQUIPMENT ISYS'fP:MS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. _ Ea. Total
TOB SITT 1 FORMATION AND LOt C +I i Ilcatina/cooling:
Air conditioning 46.75
Job site address:
7 1 qc, S ,t nnip$pp 6- 4T. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -r-I AA DJ( q n7 3 Furnace 100,000+BTU(ducts/vents) 54.91
`J Heat pump 61.06
Suite/bldg./apt.no.: it.:, Project name:
r G r t S Duct work 23.32
Cross street/directions to job site: S J+..� 5 ,�v� C > Hydronic hot water system 23.32
I •Residential boiler(radiator or
hydronic) 23.32
t,o,q [ h -�l _ ( 1_ n ' Unit heaters(fuel-type,not electric),
CTJ Sri(t l Q `\�'"1 il,( " r( in-wall,in-duct,suspended,etc. 46.75
`ut
GP�/l�l [�7i � �r'/�(`� �` Flue/vent for any of above 23.32
•Subdivision: 7 V� j• Other: 23.32
Lot no.: g
Other fuel appliances:
Tax map/parcel no.. Water heater 23.32
4,.. .*, ', fy V , - 8 5 ?-qt a s�s � '• Gas fireplace/insert 33.39
Flue vent for water heater or gas
(,ts 107 p t1 C 1) k/4/445(1o04 • tit.ri- CiaWTart 4 rZ& fireplace 23.32
I,og lighter(gas) 23.32
E 5 g ii tM 6, F. Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent 23.32
. • 'R i� � ' r -�' ~ . 7" Other: 23.32
�,,,.
Environmental exhaust and ventilation:
Name: Inn,c C.Dim�4 A0 P0Tr N S Range hood/other kitchen
Address: 71 dto �J 't ,...r; equipment 33.39
A t G+Z Clothes dryer exhaust 33.39
City/State/ZIP: ril xj,K, ek q 7L 7 3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:($t-0l ) 6 7,4_ d1 64 1 Fax:( ) Anic/crawlspace fans 23.32
" x� � WOWS Other: 23.32
Business name: �try Fuel piping:
A tfN�' "rc.�/
$14.15 for first four,$4.03 for each additional
(4\ Contact name: ,5-13Fr i i d l i v y Furnace,etc.
\7- 1
Address: 10.3 30 6,,,e Tim��M 44 r Gas heat pump
(an City/State/ZIP: T / / WalUsuspended/unit heater�p / lJ A f 77,4 Qig- 4706 Z Water heater
`1 Phone:(5a3 ) 64 2� 14-6 S Fax::(&p a)) 6/1-/8 7q Fireplace
' . E-mail: Range
Barbecue
CONTRACTOR sus 3� -. :
Clothes dryer(gas)
t_ r . �
Business name: ArQ w Other:
n Address: f 03 3 0 6 . .- �Il �t � ,;s" fM�T *.��., ��
Vu Tv A A• - 4�I Li Subtotal
A City/State/ZIP: TV-A G R e q70 0.- Minimum permit fee($90.00)
Phone: / t° 41)— �a Plan review(25%of permit fee)
(Sb3 ) 6 2 t S6� Fax (p Q�) �17 7? State surcharge(12%of permit fee)
CCB lie.: g`,et 3 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: �' • Fee methodology set by Tri-County Building Industry Service Board
Print name: 716t G`9 4 4.. Date: (/t i/r f,1
:\BuildinglPennitst MEC_PerrmtApp_040113.doc 440-4617r(11/071CCOM/WEB)