Permit CITY OF TIGARD MECHANICAL PERMIT
111I 2 . COMMUNITY DEVELOPMENT Permit#: MEC2015-00524
T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2015
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12196 SW SCHOLLS FERRY RD
Project: Mod Pizza Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Install exhaust fan and duct for wood-fired oven. Ducting,air and restroom fans.
Contractor: OREGON HEATING&AIR CONDITIONING Owner: ATLAS GREENWAY LLC
19300 SW 118TH AVE 333 NW NINTH AVE, STE 1009
TUALATIN, OR 97062 PORTLAND,OR 97209
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 08/05/2015 $649.97
Class of Work: ALT Type of Const: VB Plan Review 08/05/2015 $162.49
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 08/05/2015 $78.00
Stories: 1 Info Process/Archiving-Lg$2.00(over 08/05/2015 $14.00
11x17)
Project valuation: $21,900.00 Info Process/Archiving-Sm$0.50(up to 08/05/2015 $10.00
11x17)
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:
Appliances
Vent Fans: 3 Vent Systems: Total $914.46
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 2
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon 1 -require you to follow the rules adopted by the Oregon
Utility i ication Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-u:.-1190. You may obtain a copy of the rules
or ect questions to OU •• c. ng 503.232.1987 or 1.800.332.2344.
Issued By: / Permitte, Signature: G/
Call 503.639.4175 by 7:00 a.m.for the next available inspectio• date.
This permit card shall be kept in a conspicuous place on the job site until ••mpletion of the project.
Approved plans are required on the job site at the time o -ach inspection.
Mechanical Permit Applicai CEIVED FOR OFFIC1. I SE ONLY
City of Tigard Received tBy: i„p Permit No.: j�S—/r �'a J
- g 3 2015 Plan Re: �yy J 1 1/ � `�
13125 Phone:SW Hall Blvd., Fax: 503.598.1960 972960 y LY
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 , Other Permit:
Date/
By:
i G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: . ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION S
1
Mechanical permit fees*are based on the value of the work
❑New construction it Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ■) Other: mechanical materials,equipment,labo verhead, profit.
Value:$
❑ 1-and 2-family dwelling V Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family • Master builder ❑Other: Description I Qty. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
Job site address: / 6 3 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �/�� >�� `{ Furnace 100,000+BTU(ducts/vents) 54.91
TJ �� / Heat pump _ 61.06
Suite/bldg./apt.no.: Project name: , / ■ Duct work 23.32
Cross street/directions to j b site: Hydronic hot water system 23.32
/21 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
n�� /J 'J n Flue vent for water heater or gas
�/ ��(� (,(/v��'- �1�0 fireplace 23.32
f//' w�� 711 Log lighter(gas) 23.32
0 Wood/pellet stove 33.39
Chi,r')�7 A/is / -4�r(�t— f�� S , Wood fireplace/insert 23.32
J Chimney/liner/flue/vent , 23.32
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
Other: 23.32 _
Business name: `i�4& Fuel piping:
{ j $14.15 for first four;$4.03 for each additional
Contact name: ejv� I�741-v Furnace,etc. 1 1 I
Address:
c Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ( ) 4 4 ? 9'2- Fax: :( ) Fireplace
�" Range
E-mail: 4,,,, .,t,_ "--- 1 V1‘ n Barbecue
Clothes dryer(gas)
Business name:
Other:
Address: e, /,?___7 �1/ — Subtotal
City/State/ZIP: a-11-1, '9 7//c Minimum permit fee($90.00)
Phone:(3,) //[ 0/ Fax:( ) Plan review(25%of permit fee)
p State surcharge(12%of permit fee)
CCB lic.: /`7�l' 6' TOTAL PERMIT FEE
// j_. 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
Print name:Chke 44 11�,c,,.rt./ I Date: `) ),
1:\Building\PenuitsV�C_PermitApp_040113.doc 17f I1/02/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.
I:\BuildingWermits\MEC_PermitApp_040113.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
12196 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00524
Chip Barnett
Violation Summary:
Inspector Contractor