Permit CITY OF TIGARD MECHANICAL PERMIT
`'1 I COMMUNITY DEVELOPMENT Permit#: MEC2015-00391
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/24/2015
Parcel: 1 S135DD04600
Jurisdiction: Tigard
Site address: 8865 SW CENTER ST
Project: Anderson Law Offices Subdivision: LOMITA TERRACE Lot: 9
Project Description: Replacement of existing ground mount a/c with like kind.
Contractor: SUNSET HEATING&COOLING Owner: ANDERSON, ROGER F
0607 SW IDAHO ST 10120 S W KABLE ST
PORTLAND, OR 97239 TIGARD,OR 97224
PHONE: 503-234-0611 PHONE:
FAX: 503-234-0439
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/22/2015 $185.72
Class of Work: ALT Type of Const: VB Plan Review 06/22/2015 $46.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/22/2015 $22.29
Stories:
Info Process/Archiving-Sm$0.50(up to 06/22/2015 $10.00
11x17)
Project Valuation: $4,250.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $264.44
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, . • - is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ■ • ification Cente . = e rules are set forth in OAR 952-001-0010 through OAR •�- -.+90. You may obtain a copy of the rules
or di--ct questions to OU ly cal• g 23.232.1987 or 1.800.332.2344.
Is ued By: /4/0 ,r Permittee Signature: 411 jam/ / G
Call 503.639.4175 by 7:00 a.m.for the next available ins!- tion date.
This permit card shall be kept in a conspicuous place on the job site ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
-
Mechanical Permit App1id cEIVEP I OR O FIc I1 I SE O\1,1
Cl of Tigard Received Permit No.: J ID
13125tSW Hall lvd.,Tigard,OR 9 e� 1 7 2015 Plan Revie / /7 / � �I( 6/l7-&i&3?/
n Phone: 503.718.2439 Fax: 503.59:.1'.i Date/By: l t'i r 22. Other Permit:
TI G A R D Inspection Line: 503.639.4175 try T��A� Date Ready runs:
llii 1 y :y: //�� ® See Page 2 for
Internet: www.tigard-or.gov GI Notified/Method:if S�XJ Supplemental Information
t/illl.DIN€1PiVjSION c f r
TYPE OF WORK I ` C�RCIA E" SCHEDULE - USE CHECKLIST
6 Mechanical perm ees'are based on the
p value of the work
❑New construction et Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ iii?S O
CATEGORY OF GONSTReCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special Information use checklist.
❑Multi-family ❑Masterbuilder ❑Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
i Air conditioning / 46.75
Job site address: �� , 5(.v C'I1 5)• Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 't(a 1z'✓cC � 9 7 a.?3 Furnace 100,000+BTU(ducts/vents) 54.91
f J1 Heat sum. 61.06
Suite/bldg./apt.no.: Project name: A, F2�1J `-141.L) Duct work 23.32
Cross street/directions to job site: bI -/c,t 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: 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
` r s4-&,11 't °- t i PL{{-e J!+�(�� fireplace 23.32
ki h/ Log lighter(gas) I 23.32 I
,a- Zi )41.-- Wood/pellet stove 33.39
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/crawlspace fans 23.32
❑ 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)
Business name: &t .e4_ �},6 iy� 4. CuC.)ltvk • Other:
�--r (�` MECHANICAL PERMIT FEES*
Address: U�U � _1- 1,t b
Subtotal
City/State/ZIP: 0()r i Jj ( __ al 1 a-3`) Minimum permit fee($90.00)
' ( Plan review(25%of permit fee)
Phone:(563 Z3`'t- 0 Le(I Fax:6 3) 2.3(4-0q39 State surcharge(12%of permit fee)
CCB lie.: 1 Le l 0 S/ TOTAL PERMIT FEE _
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: C • Fee methodology set by Tri-County Building Industry Service Board
Print name: < 6l,611 1.-- Date:
1:1Building\PermitsWEC_PermitApp_040113.doc 440.46177(11/02/COM/WEB)