Permit CITY OF TIGARD MECHANICAL PERMIT
III I COMMUNITY DEVELOPMENT Permit#: MEC2014-00480
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/16/2014
Parcel: 1 S 134BC00200
Jurisdiction: Tigard
Site address: 12186 SW SCHOLLS FERRY RD
Project: Spec Space Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: (2)RTU's and(2)restroom fans for TI.
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 09/16/2014 $530.59
Class of Work: ALT Type of Const: VB Plan Review 09/16/2014 $132.65
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/16/2014 $63.67
Stories: Info Process/Archiving-Sm$0.50(up to 09/16/2014 $7.50
11x17)
Project Valuation: $17,150.00
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: 2 Vent Systems: Total $734.41
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fol• th rules adopted by the Oregon
Utility Notifica'• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ou ay stain a copy of the rules
or dire •uestions to • NC by calling 503.232.1987 or 1.800.332.2344.
Iss -d By: 'A.A � ( Permittee Signature:
•
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFI( l: t'SE ONI.1
Received �/
III City of Tigard �� �� Date/Fly: q `r Permit No: /n it fit,,
• 13125 SW Hall Blvd.,Tigard,OR 9 ` ti�` 4✓���Dv
Phone: 503.718.2439 Fax: 503.59 1 Date/By:Review � Other Permit: rr •
1 i I G n R h EP Inspection Line: 503.639.4175 S 2 2014 Date Ready/By: / tuns: H See Page 2 for
Internet: www.tigard-or.gov f D Notified/Method: ' Supplemental Information
�L I 11,
TYPE OF �wiIt, tt �" 41:1ERCIAL FEE* SCHEDULE — USE CHECKLIST
i .Z '1cl�✓'' Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteratto replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,lab r, erhead�nd profit.
Value:$ �J/)
CA EGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEN /SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/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:a I �� �� 7) Air conditioning 46.75 .
Job site address: iii Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: / l Furnace 100,000+BTU(ducts/vents) 54.91
��111
Suite/bldg./apt.no.: I Project name: Heat pump 61.06 Duct work 23.32
Cross street/directions to job site: pg_ct Ac,4 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OV WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas( ) 00 ' [J � fireplace
23.32
(2 r lC --ry✓ r_t 4)/1-S Log lighter(gas)
Wood/pellet stove 23.32
33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ 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
Business name: On to Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: ai 14 L Furnace,etc. .
Address: Gas heat pump
Wall/suspended/unit heater _
City/State/ZIP: ^A Water heater _
Phone:($'j�) cdI9 Ii Fax::( ) Fireplace
�rff���� «<+++ � /, Range
E-mail: / 1 " 4-+I ki, r Barbecue
CONTRA Clothes dryer(gas)
D� ^ - Other:
Business name: 1r�L/ MECHANICAL PERMIT FEES*
Address: 6 ,(/t l
((// Subtotal
City/State/ZIP: Fi 1/70j /J/ q 71l c Minimum permit fee($90.00)
Phone:(/f)) /„GJ I q( C 1 Fax:( ) Plan surcharge(25%1 %of permit fee)
'"'JY� b'� l <GV C State surcharge(12/o of permit fee)
CCB lic.: 17 )-17-1; 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: fo:;?th * Fee methodology set by Tri-County Building Industry Service Board
Print name: /'J e 11� Date: N1:\Building\Penaits\MEC_PermitApp_040113.doe EB)
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.
L1Building\Permits\MEC_PermitApp_040113.doc 2
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
12186 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00480
Jeff Grove
Violation Summary:
Inspector Contractor