Permit CITY OF TIGARD MECHANICAL PERMIT
NI • COMMUNITY DEVELOPMENT Permit#: MEC2014-00608
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2014
Parcel: 25111 CD02600
Jurisdiction: Tigard
Site address: 9690 SW SUMMERFIELD DR
Project: SUMMERFIELD MAINTENANCE BUILDING Subdivision: SUMMERFIELD NO.7 Lot: L
Project Description: Gas furnace and flue replacement
Contractor: SUPREME COMFORT HEATING Owner: SUMMERFIELD CIVIC ASSN
9425 SW COMMERCE CIRCLE#16 10650 SW SUMMERFIELD DR
WILSONVILLE, OR 97070 TIGARD, OR 97224
PHONE: 503-682-1985 PHONE:
FAX: 503-682-1018
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/04/2014 $185.72
Class of Work: ALT Type of Const: Plan Review 11/04/2014 $46.43
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/04/2014 $22.29
Stories:
Project Valuation: $4,295.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 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 $254.44
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 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 OUNC by calling 503.232.19: •r!x.332.2344.
Issued By: ',Mee Signature: zia
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.
CITY OF TIGARD MECHANICAL PERMIT
e
COMMUNITY DEVELOPMENT Permit#: MEC2014-00608
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued:
Parcel: 25111 CD02600
Jurisdiction: Tigard
Site address: 9690 SW SUMMERFIELD DR
Project: SUMMERFIELD MAINTENANCE BUILDING Subdivision: SUMMERFIELD NO.7 Lot: L
Project Description: Gas furnace and flue replacement
Contractor: SUPREME COMFORT HEATING Owner: SUMMERFIELD CIVIC ASSN
9425 SW COMMERCE CIRCLE#16 10650 SW SUMMERFIELD DR
WILSONVILLE, OR 97070 TIGARD,OR 97224
PHONE: 503-682-1985 PHONE:
FAX: 503-682-1018
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 11/04/2014 $185.72
Class of Work: ALT Type of Const: Plan Review 11/04/2014 $46.43
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/04/2014 $22.29
Stories:
Project Valuation: $4,295.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 1 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 $254.44
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans, This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. •u m. .• :in a c y of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application �� I (1 1< 1)1 I It I I SI ()NI.1
City of Tigard Received / -!� -� DateBy: I y Permit No.: l J - p
, • 13125 SW Hall Blvd.,Tigard,OR 972 '"`� G
Plan Review
Phone: 503.718.2439 Fax: 503.598.19 !�'�p�4 Date/By: Other Permit:
I I c i A It D Inspection Line: 503.639.4175 Nw Date Ready/By: lift See Page 2 for
Internet: www.tigard-or.gov 011 (� � Notified/Method: Supplemental Information
TYPE OF WOIV�I���` � � COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition
❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 4Z
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENI1/SYSTEMS FEES*
❑ I-and 2-family dwelling Ea Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description 1 Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
`9 0 C Qt- Air conditioning 46.75
Job site address: SW Su rnyYteV' Furnace 100,000 BTU(ducts/vents) j 46.75
City/State/ZIP: `t g 7 22.4 Furnace 100,000+BTU(ducts/vents) 54.91 ,
Suite/bldg./apt.no.: Project name: el& �N4 t i�,5 Heat pump 61.06
5W/YNI�I� 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
I?t4 4(L g45 .�'/�/1.4C,r- - y+ tebt7
Flue ace for water heater or gas
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
01•APPLICANT ❑ CONTACT PERSON Other: 23.32
o� Q Fuel piping:
tti
Business name: f
$14.15 for first four;$4.03 for each additional
Contact name: 1)6( 4' Q 14(-0P-F- Furnace,etc.
Gas pump T* 5.U/ .®wK e. � fb ` Wall/suspended/unit/unit heater
City/State/ZIP: (A).(5 in V((''C
oe- ' 7O1 O Water heater
/
Phone:6027)6.5(2. -- (V5 Fax::(105) 64/. - /O lg Fireplace
Range
E-mail: d K r_D4 &, r�,5 t?5.r•�. ez Barbecue
�i CONTRACTOR Clothes dryer(gas)
Business name: 6 u p� e ('e - Other:
I /yam"" _ MECHANICAL PERMIT FEES*
Address: 6 Z5 �j,1.(�. C.ylrytt�ifQl/'�G k 4.-1(.... Subtotal lb'j`1).
City/State/ZIP: w•14,0t/1.0 t(to )01L- 171'70 Minimum permit fee($90.00)
Plan review(25%of permit fee) 4 (p•1-13
Phone:( ) 6'f 2 ->i 5 Fax:(' ') �oi(z - k.7(� State surcharge(12%of permit fee) �X .el
CCB lic.: Z (VIA TOTAL PERMIT FEE ast.Lit/
IS, This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:/RA ,/r . Fee methodology set by Tri-County Building Industry Service Board
Print name: `)j t AA 3 44) Date: ///.4'l(.fr---
I:\Building\PermitsVMEC_PermitApp_040113.doe 440-4617T(11/02/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.
41L' 5.
3/4t5
185.72'
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
9690 SW SUMMERFIELD DR, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00608
George Heimos
Electrical minor label number ELS438982
Violation Summary:
Inspector Contractor