Permit CITY OF TIGARD MECHANICAL PERMIT
i q 11111 s COMMUNITY DEVELOPMENT Permit#: MEC2014-00200
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2014
Parcel: 2S102AD01900
Jurisdiction: Tigard
Site address: 8935 SW BURNHAM ST
Project: TVF&R Subdivision: TIGARD HIGHWAY TRACTS Lot: 21
Project Description: Mechanical work associated with addition,seismic upgrade&renovation.
Contractor: HVAC INC Owner: TUALATIN VALLEY FIRE&RESCUE
5188 SE INTERNATIONAL WAY 11945 SW 70TH AVE
MILWAUKIE,OR 97222 TIGARD,OR 97223
PHONE: 503-462-4822 PHONE: 503-259-1188
FAX: 503-462-6555
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 11/05/2014 $411.21
Class of Work: ADD Type of Const: VB Plan Review 11/05/2014 $102.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/05/2014 $49.35
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/05/2014 $8.00
11x17)
Project Valuation: $12,500.00 Info Process/Archiving-Sm$0.50(up to 11/05/2014 $2.50
11x17)
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: 2 Vent Systems: Total $573.86
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No' -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or• -ct questions to O • by • • 43.232.1987 or 1.800.332.2344.
ssued By: A `_—,. t. / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available section date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli 1 1 1 1( .1 t .I( 1 1 ,1 ()NI
City of Tigard I V d Received //
`J Date/By: ,1 !'7 Orr ' Permit No.: N iC go1 -06 ' #0
1 . 'I 13125 SW Hall Blvd.,Tigard,OR 97223 j 2014 Plan Review 1 l
Phone: 503.718.2439 Fax: 503.598.10 3 Date/By:<< y 1`'v11 I A, • er Permit: 6,4,410,9614-1,0696
1 �t \ ,I� Inspection Line: 503.639.4175 Date Ready/By:
Judi: See Page for
Internet: www.ti ardor ov CITY OF fIGARD Notified/Method: 1041_1/pi � S upplemental Information
rmation
RUILOIr nI �IOP° /. an,
"MMERCIAL FEE
TYPE OF WORK SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all i
❑Demolition Other: mechanical materials,equipment,I r,overhead,and profit.
— Value:$ A J(:/
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* _
I ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
A Air conditioning 46.75
Job site address:gq, ,,,,, >my/441LT Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7 /17, Or_ el72Z Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:' V f _.'� 4 C/ Duct work 23.32
Cross street/diredions to job site: bo rpw/t A / Xf',1! Hydronic hot water system 23.32
"sue'y'r�rr'I �!Ott' 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 OF WORK Gas fireplace/insert 33.39
- Flue vent for water heater or gas
1{0ki Itl (: ��1 l r ��1 0 fireplace 23.32
�yr„t, './ r Log lighter(gas) 23.32
/Il�f/L Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER I ❑� TENANT Environmental exhaust and ventilation:
Name: Vick 1,71 ,_,: j(.3F- Range hood/other kitchen
equipment 33.39
•
Address: 1Gl(t5", I/l( 7(7 F Clothes dryer exhaust 33.39
City/State/ZIP�t 6j��, Q� ?7 Z ?J Single-duct exhaust(bathrooms,
IF toilet compartments,utility rooms) . 23.32
Phone:(�)'3) /tog Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Hrik,x1F /evenly /�yy���e,�i f,yt� z,
'Vwrj" $14.15 for first four;$4.03 for each additional
Contact name: bek4,1 ( v 1 Furnace,etc.
Gas pump
Address: 'T2I l// Y LiietittiGjr G_.)lm Zcip
Wall/suspended/unit heater
City/State/ZIP:1Th 'L7, j' '17Z - Water heater
Phone:( b !/ Fax::( ) Fireplace
Z�?'�°�La Range
E-mail: /&E u &—l ik/ki ,rl ,41j� Barbecue
CONTRACTOR"i Clothes dryer(gas)
Business name: H '/r( r J(-- Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) u
State surcharge(12%of permit fee)
CCB lie.: 5-0 7 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
\
/ days after it has been accepted as complete.
Authorized sign: ure: / J • Fee methodology set by Tri-County Building Industry Service Board
Print name: 4 L, ,/ a( Date: y%
I:∎Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/07JCOM/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.
I:\Building\Permits\MEC_PermitApp_0401 I3.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
8935 SW BURNHAM ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00200
Jeff Grove
Violation Summary:
Inspector Contractor