Permit CITY OF TIGARD MECHANICAL PERMIT
111111 COMMUNITY DEVELOPMENT Permit#: MEC2015-00057
T fG'ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2015
Parcel: 1 S135CA01200
Jurisdiction: TIGARD
Site address: 11380 SW GREENBURG RD
Project: Columbia Care Services Inc Subdivision: GREENBURG Lot: 11
Project Description: New heat pump and exhaust fan for a 324 sq ft accessory building.
Contractor: C WOODRUFF CONSTRUCTION LLC Owner: COLUMBIA CARE SERVICES INC
PO BOX 909 3587 HEATHROW WAY
GRANTS PASS, OR 97528 MEDFORD, OR 97504
PHONE: 541-659-2020 PHONE: 541-858-8170
FAX: 541-479-1066
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/03/2015 $151.95
Class of Work: ALT Type of Const: Plan Review 02/03/2015 $37.99
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/03/2015 $18.23
Stories:
Project Valuation: $3,200.00
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: 1
Appliances
Vent Fans: 1 Vent Systems: Total $208.17
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of e rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / L f • u ittee Signature: At/l1n/_ 1 A/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application R
ly O OFFICE USE ONLY
City Tigard
Mill
• 131SW Hall Blvd.,Tigard,OR 3%
Phone: 503.718.2439 Fax: 5 D a Date/By: r
Plan Review
Date/By: Permit No.:
—
s/F i o!_t
Other Permit: • et7tK
HG A R U Inspection Line: 503.639.4175 ^Q� Date Ready/By: , See Page 2 for
Internet: www.tigard-or.gov �� L �i" Notified/Method: Supplemental Information
TYPE OF WO�Q���,��Sl�� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
`, c'� Mechanical permit fees*are based on the value of the work
.New construction ❑Addition/alter�tti` IO ment performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: �V mechanical materials,equipment,labor,overhead,and profit.
Value:$ _1�}QO
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Ist Commercial/industrial CR Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. J Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: I 3 G C Me M bu f Rd o Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T 50" R G11Y)) Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump I 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
// �3. _, 6/Q-208 Unit heaters(fuel-type,not electric),
M"�•d ► �NtNMr `w/>LW �/' ' � 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
N tw LLG 4 kt/ 0 (�� uv q„■ I fireplace 23.32
New 1+2.0k.-eik} P A610/O k i-o n, E k cni y J'- Foy, f t.r Log lighter(gas) 23.32
Wood/pellet stove 33.39
.1--ft,Lr \t Q. 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
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
IN/APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas) _
` [� Other:
Business name: C W C11, - 4- Cor,.1-r \t ,^ LLC, MECHANICAL PERMIT FEES*
Address: (0 ) S 1" j tkoh ✓CZ, d. Subtotal
City/State/ZIP: `r V! ti{s p tnS S 0 R � S� Minimum permit fee($90.00) ---
Plan review(25%of permit fee)
Phone:(5 i-k‘ ) _I-ICI —"IL .,t Fax:(Sti`) Li 7 y 10 6 a State surcharge(12%of permit feed.
CCB lie.: ` 4 5 L3 0 TOTAL PERMIT FEE Q.. 1 2
This permit application expires if a permit is not obtained within 180
Gl� days after it has been accepted as complete.
Authorized signature: �) * Fee methodology set by Tri-County Building Industry Service Board
Print name: T rt v U r W OQ(\{'VCR Date:—3— L5
I:\Building\Permits\ME.C_PermitApp_040113.doc 440-46171(13/02/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_040I I 3.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
11380 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00057
Chip Barnett
Violation Summary:
Inspector Contractor