Permit A
CITY OF TIGARD MECHANICAL PERMIT
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Ili ' • COMMUNITY DEVELOPMENT Permit#: MEC2015-00522
T!GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2015
Parcel: 2S113AB00300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 165
Project: American Lung Association Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: Relocate grills
Contractor: OREGON HEATING&AIR CONDITIONING Owner: OREGON STATE BAR,THE
19300 SW 118TH AVE 16037 SW UPPER BOONES FERRY RD
TUALATIN,OR 97062 TIGARD,OR 97224
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/03/2015 $173.44
Class of Work: ALT Type of Const: Plan Review 08/03/2015 $43.36
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/03/2015 $20.81
Stories: Info Process/Archiving-Sm$0.50(up to 08/03/2015 $0.50
11x17)
Project Valuation: $3,900.00
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:
Appliances
Vent Fans: Vent Systems: Total $238.11
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit l otification ter. • ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or cirect questions to O by■:Ilin• 503.232.1987 or 1.800.332.2344.
sued By: / Permittee Signature: d / /C
_ r /'_a C!
Call 503.639.4175 by 7:00 a.m.for the next available insp• on date.
This permit card shall be kept in a conspicuous place on the job • - ntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplittraWEP FOR OFFICE USE O\IN
City of Tigard Date/By:d l a ; Permit No.:Het, SIC-60 584"
1.111 • 13125 SW Hall Blvd.,Tigard,OR 9 3 2015
Plan Review o 5 ���
a Phone: 503.718.2439 Fax: 503.599'0130 Date/By: Other Permit: '� , -40,?.._
T I G A R D Inspection Line: 503.639.4175 r I Date Ready/By: Juria: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF 1 IGARD Notified/Method: Supplemental Information
VSION
Mechanical permit fees°are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,I r,overhead,and profit
Value:$
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family Master builder ❑Other: Description 1 Qty. 1 Ea. 1 Total
Heating/cooling:
Air conditioning - 46.75
Job site address: t/031^ Chi rpm, ..& Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: to
/ r�,A,'" Furnace 100,000+BTU(ducts/vents) . 54.91
Suite bldg./apt.no.: / oject nalire: Ae J Heat pump 61.06
/ I Alder'—'� (l�� 4iu'' i Duct work 23.32
Cross street/directions to job site: Hydronic hot water system _ 23.32
27 11 41 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
f4 ?—�' �v-,(1;,/�L, fireplace 23.32 '
i"e v� 'J �/ 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: 2332
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
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: eif /, /-) ,,,--- Furnace,etc. .
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( J3) gt,iy gi,! Fax::( ) Fireplace
Range
E-mail: 10w, J t to-rt.- Barbecue _
Clothes dryer(gas)
Business name: 1)/4 i*X 4l. Other:
Address: Pt% �/'c� . 2 _L f f Subtotal
City/State/ZIP: pi,/n ar 9 J//.) Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(52/11)`e, 7/ ,' Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 17 1/vi TOTAL PERMIT FEE .0 A This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Fee metho
Authorized signature: methodology set by Tri-County Building Industry Service Board
Print name: ell / „�)��.y—' Date:
1:1 Building\Perini ts\MEC_PermitApp_040113.doc [/�� 7r(l OM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
$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:\Building\Permits\MEC_PermitApp_040113.doc 2
Scope of Work Equipment Schedule
FPB- Existing Fan Powered parallel box terminal unit with electric reheat.
Oregon Heating and Air Conditioning will perform the following scope of work: VAV- Existing variable air volume terminal unit.
1. Provide and install new Server room exhaust fan. EF1- Nutone QT200= 200 cfm @ 0.2 SP, on line voltage thermostat.
2. Ducting and air distribution modifications as drawn.
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fvIA/ ci- r 1°ya 1. All steel ducting will be 26 ga minimum galvanized. Flex per Mfg.
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3. Seal ducting with UL listed mastic or mastic tape. M 1
Scope of Work Equipment Schedule
FPB- Existing Fan Powered parallel box terminal unit with electric reheat.
Oregon Heating and Air Conditioning will perform the following scope of work: VAV- Existing variable air volume terminal unit.
1. Provide and install new Server room exhaust fan. EF1- Nutone QT200= 200 cfm @ 0.2 SP, on line voltage thermostat.
2. Ducting and air distribution modifications as drawn.
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j`'/1,' P14 A) Mechanical General Notes:
fi -3/ 11- r 1. All steel ducting will be 26 ga minimum galvanized. Flex per Mfg.
l� 2. Heating and cooling ducting to be designed to not exceed 0.5 wc positive(supply) and 0.5 wc negative(return).
3. Seal ducting with UL listed mastic or mastic tape. M 1