Permit Ili CITY OF TIGARD MECHANICAL PERMIT
114 1 - COMMUNITY DEVELOPMENT Permit#: MEC2014-00563
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/14/2014
Parcel: 16 135CA00600
Jurisdiction: Tigard
Site address: 11200 SW GREENBURG RD, UNIT#15
Project: Autumn Oaks Apartments Subdivision: GREENBURG Lot: 11
Project Description: Install vent fan
Contractor: SHANNON CONTRACTING LLC Owner: AUTUMN OAKS PROPERTIES LLC
22115 NW IMBRIE ST 9320 SW BARBUR BLVD#300
HILLSBORO, OR 97124 PORTLAND, OR 97219
PHONE: 503-913-1339 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 10/14/2014 $69.06
Class of Work: ALT Type of Const: Plan Review 10/14/2014 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/14/2014 $8.29
Stories:
Project Valuation: $125.00
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: 1 Vent Systems: Total $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not start== ithin 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio the rule ads ed by the Oregon
Utility Notificati nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. o /•b a copy of the rules
or direct stions to O C by calling 503.232.1987 or 1.800.332.2344.
i
Issued y: -- -.-k-7-( Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A FOR OFFICE USE ONLY
flrt1VEP Received
City of Tigard Date/By: (b 14 Permit No.: �05
-q 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �w"`���
Phone: 503.718.2439 Fax: 503.598.196 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 OCT 4 2014 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF I'IGARD
TRFAI J1 DIVISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
1711 ll� J Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ /Z5--- '
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ l-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: I(zoo SA) qacisJ In _ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 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
�C '� ,,
Flue p vent for water heater or gas
/v`/'`f'-"'�tj-- 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
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 name: (11,) 11 t; $14.15 for first four;$4.03 for each additional
Contact name: KA)tk) gt6i-rv, J Furnace,etc.
Address: 22(( c G Yv to 100._ Gas heat pump
`l Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: ( ) Fireplace
,/_ ^ Range
1tr_7t
E-mail: /6J e , N ( ,- - r 6wt• — Barbecue -
CONTRACTOR Clothes dryer(gas)
Business name:
Other:
MECHANICAL PERMIT FEES* "
Address: Subtotal f�q eto
City/State/ZIP: Minimum pal}) —
Plan review(25%of permit fee) I/•J17
Phone:( ) Fax:
( ) State surcharge(12%of permit fee) 9..1-7
CCB lic.: 151 t(g p TOTAL PERMIT FEE Ff. 9–
g This permit application expires if a permit is not obtained n 180
days after it has been accepted as complete.
Authorized si_ OP * Fee methodology set by Tri-County Building Industry Service Board
Print name: - Date: (D /Q /f
I:\Building\Permits\MEC_PermitApp_0401I3.doc 0-46 (I I/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
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
11200 SW GREENBURG RD UNIT 15, TIGARD,
OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00563
George Heimos
Violation Summary:
Inspector Contractor