Permit y u CITY OF TIGARD MECHANICAL PERMIT
111111 3 COMMUNITY DEVELOPMENT Permit#: MEC2014-00591
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2014
Parcel: 1$134BC00200
Jurisdiction: Tigard
Site address: 12186 SW SCHOLLS FERRY RD
Project: Mud Bay Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: TI build-out of existing retail space,non-structural partition walls and finishes.
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 10/27/2014 $313.99
Class of Work: ALT Type of Const: Plan Review 10/27/2014 $78.50
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/27/2014 $37.68
Stories:
Project Valuation: $8,750.00
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 $430.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0091 Y. may obtain a copy of the rules
or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344.
Issued By: Permittee Signature: ,4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard
Date/By: /�1 ) , i y ,�,-r ��� No ti r�� r-� --{7b5�(
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.59 . Date/13y:
Other Permit:A .. A i _„+;
TI G A R D Inspection Line: 503.639.4175 �•� Date Ready/13y: Julia. ® See Page 2 for
Internet: www.tigard-or.gov � Notified/Method: Supplemental Information
OCT 17 20i4
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
ale r Mechanical permit fees*are based on the value of the work
❑New construction Addition/alli®t�lidt> h performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: '3011 Dikirmigioto mechanical materials,equipment,l over � d profit.
Value:$
CA GORY 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 LOCATIO Heating/cooling:
gf S '-//� ,� J/ Air conditioning 46.75
Job site address: s�1/ �[,�j/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: � � �j Furnace 100,000+BTU(ducts/vents) 54.91
l LY12 /4� Heat pump 23 32
Suite/bldg./apt.no.: Project flame:
Duct work 23.32
Cross street/directions to job Hydronic hot water system 23.32
,,/ çte:
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
���� J 7 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 J ❑ 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
.
El APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 0/7154( $14.15 for first four;$4.03 for each additional
Contact name: : � 4 6, 1��jy Furnace,etc.
Address: (�' ,v”v Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: / Water heater
Phone: ) gj/�'� Fax::( ) Fireplace
/` v Range
E-mail: !(" /_ art) � /-0 I e'0-1 Barbecue .
CONTRACWOR Clothes dryer(gas)
Business name: Aer 4[/ Other:
MECHANICAL PERMIT FEES*
Address: P, ,7 Subtotal 3/3.CCCj
47 y
City/State/ZIP: 7 A 2 L��1 Minimum permit fee($90.00)
!/ Plan review(25%of permit fee) -7fir, so
Phone:0)/iy / e9y Fax:( ) State surcharge(12%of permit fee) 7. 6,v CCB lic.: f s /' �Z' TOTAL PERMIT FEE '{�,j'7
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: r7 * Fee methodology set by Tri-County Building Industry Service Board
_............/Print name: �1/ f` � )I �,/ Date: j �/✓ I
1:\Building\Permits\MEC_PermitApp_040113.doc 440-617T(11/2/CO 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.
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
12186 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00591
Jeff Grove
Violation Summary:
Inspector Contractor