Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
$ COMMUNITY DEVELOPMENT Permit#: MEC2015-00095
TI Co A K D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/25/2015
Parcel: 2S102CB03500
Jurisdiction: TIGARD
Site address: 10050 SW GARRETT ST A
Project: BETHESDA Subdivision: FREWING'S ORCHARD TRACTS Lot: 9
Project Description: Installing(1)outdoor heat pump and(3)indoor wall mounted units.
Contractor: COMFORT SOLUTIONS HEATING&COOLING Owner: BETHESDA LUTHERAN COMMUNITIES IN
PO BOX 1233 600 HOFFMANN DR
CLACKAMAS, OR 97015 WATERTOWN,WI 53094
PHONE: 503-698-2665 PHONE:
FAX: 503-658-4011
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 02/25/2015 $249.36
Class of Work: ALT Type of Const: Plan Review 02/25/2015 $62.34
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/25/2015 $29.92
Stories:
Project Valuation: $6,500.00
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: Vent Systems: Total $341.62
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 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 503.232.1987 or 1.800.332.2344.
Issued By: ••• mittee Signature:
._
Call 503.639.4 5 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 (i k (d I I 1 i .1 ,t.I ■
City of Tigard ECEIVED
13125 SW Hall Blvd.,Tigard,OR 9 Date/By, RIM /// i_
0 Plan Review /�
Phone: 503.718.2439 Fax: 503.598.P' ► may_ Other Permit: ��ii.(�„I +t
I-t c;n li n Inspection Line: 503.639.4175 4 2015 -
Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov FEB" Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OFILDING DIVISION 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:S 6500
CATEGORY 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 LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: / 0 0 3.0 - 4- 5G.-. 6. e•rei1 S7 1 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: d De 61 7 z 2.-3 Furnace 100,000+BTU(ducts/vents) 54.91
B L Heat pump 61.06
Suite/bldg./apt.no.: Project name: ?h esd c Duct work 23.32 _
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
-_ hydronic) 23.32
r ' 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
r DESCRIPTION OF WORK Gas fireplace/insert 33.39
Frei ! 71-6-// am e Ov f Flue a et for water heater or gas -
�' d q�r `, r,� � fireplace 23.32
!
Log lighter(gas) 23.32
t,,"" 4,1 e/ e- ! ‘100.1- (/• __/ Wood/pellet stove 33.39 _
/) -4-O i, •- % 1.1.-n.e 144' Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ 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/crawispace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other. 23.32
Business name: l Fuel piping:
C 0„1„..(-1r o 1 5 t,D/1 S $14.15 for first foes,$4.03 for additional
Contact name: j" C'el /44 �,< Furnace,etc.
Address: P) 8y- I 2-3 3
Gas heat pump
WalVsuspended/unit heater
City/State/ZIP: G 1 CL 6k 6 emu- a� 9 7.0 1 Water heater
Phone:(6-63 6 1 g,2,6„63,--- fiFax::( ) Fireplace
Ou Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: ' Other.
��,-, at- _ _ MECHANICAL PERMIT FEES*
Address:
Subtotal _
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee) ,
CCB lie: /Y b C1 7 -L TOTAL PERMIT FEE ?34,/. 6.4
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
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CLAC KAMAS,OR 97015 i_i
I CITY OF TIGARD
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�u , ? Approved by Planning
r Date: -may/c
3 `, Initials: Z_S'
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RECEIVED
`-- FEB 2 4 2015
CITY OF TIGARD
� IStOIV` _
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
10050 SW GARRETT ST A, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00095
Jeff Grove
Violation Summary:
Inspector Contractor