Permit p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Pe COMMUNITY MEC2015-00202
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2015
Parcel: 2S 101 DB00901
Jurisdiction:
Site address: 7155 SW VARNS ST
Project: Varns Corner LLC Subdivision: VARNS ACRES Lot: 12
Project Description: Replacing(2)existing 4 ton RTU's.
Contractor: BARNESS CONTROLS Owner: VARNS CORNER LLC
2020 SW 8TH PMB#310 7155 SW VARNS ST#120
WEST LINN,OR 97068 TIGARD, OR 97223
PHONE 503-723-7257 PHONE:
FAX: 866-593-1764
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/23/2015 $472.17
Class of Work: ALT Type of Const: Vg 12%State Surcharge-Mechanical 04/23/2015 $56.66
Occupancy Grp: B Occupancy Load: Plan Review 04/23/2015 $118.04
Stories:
Info Process/Archiving-Sm$0.50(up to 04/23/2015 $5.00
Project Valuation: 11x17)
Project $14,900.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $651.87
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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
U otification e : . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
•r direct que. •ons to OUN - g 503.232.1987 or 1.800.332.2344.
Issued By: AO Permittee Signature: ,...t/....."„...„%e . -7,..-
,i0A,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 FOR OFFICE I'SE ONLY
City of Tigard Received B Permit No.
IN • 13125 SW Hall Blvd.,Tigard,OR 97223 y .r '�� • `�'
= Plan Revi
Phone: 503.718.2439 Fax: 503.598.1960 ® Dat�gy 4 . Other Permit:
Inspection Line: 503.639.4175 �i �J'�
T 1 G A R D ��� 1/ Date Ready :y: : H See Page 2 for
Internet: wWw.ligard-Or.gov G n Notified/Method: 1/6//5-/�' - - Suppkmeatal Information
ill 9 1 V1 0 t�C:t !fir l Art R �C.
TYPE OF WO �
COMMERCIAL FEE" SCHEDULE — USE CHECKLIST
C�Q, �� Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alterattio�n \tjt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: C Q tlG mechanical materials,equipment,labor,overhead,and profit.
�2���L Value:$$14,900.00
CATEGORY OF C0143'I'RUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES`
❑ I-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 SJTE_INFORMATION AND LOCATION Air Heating/cooling:cd i
tr Air conditioning 2 46.75 93.50
Job site address:7155 SW-'roues St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 2 54.91 109.82
Heat pump 61.06
Suite/bldgJapt.no.:X Project name4ISAC ei tasensont j/at y�� c -`a_ Duct work 23.32
Cross street/directions to job site:72"&yarns 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 _
Flue vent for water heater or gas
Remove 2 existing 4 ton AC/gas heat rooftop units and replace with like fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth :® PROPERTY OWNER ❑ TENANTS 73.32
Environmental exhaust and ventilation:
Name:Varns Corner LLC Range hood/other kitchen
equipment 33.39
Address:7155 SW yarns St Suite 120 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/Olt/97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)670-8080 Fax:(503)620-9065 Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$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)
Business name:BarNess Controls
Other:
MECHANICAL PERMIT FEES`
Address:PO Box 27 Subtotal 03.3
City/State/ZIP:Marylhurst/OR/97036 Minimum permit fee(590.00)
a?) Phone:(503)804-3744., Fax:(866)5934764
Plan review(25 o of permit fee) 81
State surcharge(12%of permit fee) 24.
CCB lic.: 147154 S/ i t i TOTAL PERMIT FEE 278.
This permit application expires if a permit is mot obtained within 18
days after it has been accepted as complete.
Authorized signature: ► Fee methodology set by Tri-County Building Industry Service Board
Print name:Karl Ness',.......„.19 `ze- Date:4/9/15
L Ituirdms'Permits\MEC PamitApp_040 t 13.doc 440-4617r(1 t/tt2/COMIw®)