Permit III CITY OF TIGARD MECHANICAL PERMIT
3 - COMMUNITY DEVELOPMENT Permit#: MEC2015-00214
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015
Parcel: 251018801400
Jurisdiction: Tigard
Site address: 12158 SW GARDEN PL
Project: Park 217 Subdivision: CROW PARK 217 Lot: 2
Project Description: Replace 12.5 ton gaspack unit with adapt-a-curb
Contractor: OREGON AIRE INC Owner: WALTON CWOR PARK BC 8 LLC
7715 NE 33RD DR STE A BY RYAN
PORTLAND, OR 97211 PO BOX 460169
HOUSTON,TX 755056
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/28/2015 $500.11
Class of Work: ALT Type of Const: IIIB Plan Review 04/28/2015 $125.03
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/28/2015 $60.01
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/28/2015 $12.50
11x17)
Project Valuation: $16,000.00
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 $697.65
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 - ed within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the les adapted by the Oregon
Utility Notifica'nn enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You 'ay obtain a copy of the rules
or direr estions to •► C • ailing 503.232.1987 or 1.800.332.2344. /
►
Is ed By: iL�� / Permittee Signature: � — ,
Call 503.639.4175 by 7:00 a.m.for the next available inspection d- e.
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 USE ONLI'
City of Tigard RECEIVED Received e /6/�� PermitNo.: tie , /r-- �6/
° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi „ l
Phone: 503.718.2439 Fax: 503.598.190 P R 1 C 2015 Date/By: ,=�!) •r ® Other Permit:
TIGARD Inspection Line: 503.639.4175 V Date Ready :y: Juris: H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: 49 0 ,,r- Supplemental Information
—_-__• Ialge :YN ,-_p �� i 1.40
TYPE OF WORK `fit ` 41 CONI•mQ AL 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:$$16,000.00
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 El Other: Description Qty. I Ea. l Total
- JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12158 SW Garden P1. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Park 217-12158 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
Flue vent for water heater or gas
Replace 12.5-Ton gaspack unit with adapt-a-curb. 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:ICON Owner Pool 1West,LLC.c/o Kidder Mathews Range hood/other kitchen
equipment 33.39
Address:One SW Columbia St.Ste 950 Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)721-2732 Fax:(503)221-2277 Attic/crawlspace fans 23.32
a ® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Oregon-Aire,Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Graham McDonald Furnace,etc.
Address:7715 NE 33`d Dr.Ste A Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97211 Water heater
Phone:(503)335-2222 Fax::(503)335-9977 Fireplace
Range .
E-mail:service @oregon-aire.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Oregon-Aire,Inc. Other:
MECHANICAL PERMIT FEES*
Address:7715 NE 33rd Dr.Ste A Subtotal
City/State/ZIP:Portland,OR 97211 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)335-2222 Fax:(503)335-9977
State surcharge(12%o of permit fee)
CCB lic.:64235 TOTAL PERMIT FEE
0 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:�A,-il.• jib * Fee methodology set by Tri-County Building Industry Service Board
Print name:Graham Mc■ , al sir V — Date:03-30-15
I:1BuildingWermits1MEC PemritApp_040113.doc 440-4617T(11/02JCOM/WEB)