Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2015 00795
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/07/2015
T1riARD Parcel: 2S101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 130
Project: Icon Nails&Bar Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Installing heat duct distribution exhaust fan for manicure stations and bathroom.
Contractor: RELIABLE CONTACTOR LLC Owner: WAL-MART REAL ESTATE BUSINESS TR
4606 SE 115TH BY PROPERTY TAX DEPT STORE 5935-00
PORTLAND, OR 97266 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-319-3801 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/07/2015 $99.76
Class of Work: ALT Type of Const: VB Plan Review 12/07/2015 $24.94
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/07/2015 $11.97
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/07/2015 $1.00
11x17)
Project Valuation: $1,500.00
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: 2 Vent Systems: Total $137.67
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Manicure
Duct Work: 1 station
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.19:- . .:ee 2.2344.
Issued By: : o' ee Signature:
Ca 5.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
Cityof Tigard Permit No.:
Vnate/B>' MEM' eG ,• S AI
1s ° 13125 SW Hall Blvd.,Tigard,OR 97223 � �
�° Plan Revi
Phone: 503.718.2439 Fax: 503.598.196 1 , Date/13y: �`►`'�► • �� .I
Inspection Line: 503.639.4175 T Date Read /B Juris: ® See Page 2 for
TIGARD ` Y Y R'
Internet: www.tigard-or.gov �� 2o1J Notified/Method: 1/ p257 l — / 176 Supplemental Information
Nov
TYPE OF WORK mai AA,�'�j R _ dgc / C 1 ERAL FEE* SCHEDULE - USE CHECKLIST
%et-nefit
sU yv�1+ Mechanical permit fees*are based on the value of the work
ElNew construction Addition/alteration �a �j�tl�'�Y performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition I=1 Other: a mechanical materials,equipment,labor,overhead,and profit.
Value:$ f 5O
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building i For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATI N Hcatitig/cooling:
` � p �� FAir tnac conditioning 46.75
Job site address: W ..t IY) (/` Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1�c� 0 a')-- 3 - (; Furnace 100.000+BTU(ducts/vents) 54.91
Heat pump
Suite/bldg./apt.no.: 30 Project name Zvi I S i 61.06
c Duct work ) 23.32
,
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
/ hydropic) 23.32
Unit heaters(fuel-type,not electric),
,./.--------
in-wall,in-duct,suspended.etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
t -^Cf" YI - 4,..„_.(t___
- De4< „ aft
' �G1 ` Flueevent for water heater or gas
-+��t 1/ X11'/- ���fff/"'77T11, � fireplace 23.32
�-� • /x) Log lighter(gas) 23.32
2. �/. ✓/ 1 -/�'l/) P,//1 10(.4 2 Wood/pellet stove 33.39
I- �� t
�� �,.y� • Wood fireplace/insert 23.32
Chimney/liner/flue/vent _ 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: ! /1„N („� �_-�' Range hood/other kitchen
t+ `t�1 p equipment 33.39
Address: a 31/0 A� k /, k Clothes dryer exhaust - 33.39
City/State/ZIP: �,/� °. 4 -2--2-+ 3 Single-duct exhaust(bathrooms,
��'�t ` toilet compartments,utility rooms) 1 23.32
Phone:( ) Fax:( ) Attic/crawlspacc fans 1 , 23.32
0 APPLICANT 0 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: /� // Other:
�t Gl�ll� � I rn�f�� MECHANICAL PERMIT FEES*
Address: //�.0 6 S�� 1 I S JJJ���- tel._
Tv 7t UL Subtotal
City/State/ZIP: pot, 0,4 -,.4-2 ' Minimum permit fie($90.00)
Plan review(25%of permit fee)
Phone:( 9D 3/1 ...3t0 / Fax:( ) State surcharge(12%of permit fee)
CCB lic.: /„9,g7.---,6
q'tril
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: * Fee methodology set by Tri-County t3uilding Industry Service Board
Print name: /71: //7,-47 d1. Date: ///05
t:\t3uildinc\Permits\MEC_I'erntnnpp_040 113.doc 440-46179'(I 1/02/CONI/N'E13)
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:\Building\Pennits\M EC_PennitApp_040I 13.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
7500 SW DARTMOUTH ST 130, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00795
Chip Barnett
Violation Summary:
Inspector Contractor