Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
• CITY OF TIGARD . -©�, MECHANICAL PERMIT II COMMUNITY DEVELOPMENT Permit#: MEC2016-00073 T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2016 Parcel: 2S113AA00200 Jurisdiction: Tigard Site address: 16364 SW 72ND AVE B8 Project: General Parts Subdivision: ROSEWOOD ACRE TRACTS Lot: C Project Description: Install(1)new RTU,includes ductwork,grilles&gas piping. Relocate(1)unit heater. 2/4/2016: REPRINT permit to correct address from 16360 to 16364. Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP 14505 SE HWY 212 ATTN: N PIVEN CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-658-1892 PHONE: FAX: 503-658-6925 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/28/2016 $319.61 Class of Work: ALT Type of Const: IIIB Plan Review 01/28/2016 $79.90 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/28/2016 $38.35 Stories: Info Process/Archiving-Lg$2.00(over 01/28/2016 $2.00 11x17) Project Valuation: $9,000.00 Info Process/Archiving-Sm$0.50(up to 01/28/2016 $15.00 11x17) Fuel Air Handlers Misc Administration Fee 02/10/2016 $45.00 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: 1 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $499.86 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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 N. • ation Cen - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dire questions to OUNC • a g 50 .232.1987 or 1.800.332.2344. Issue By: / // �I / Permittee Signature: Call 503.639.4175 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. CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00073 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2016 Parcel: 2S 113AA00200 Jurisdiction: Tigard Site address: 16360 72ND AVE B8 Project: General Parts Subdivision: ROSEWOOD ACRE TRACTS Lot: C Project Description: Install(1)new RTU,includes ductwork,grilles&gas piping. Relocate(1)unit heater. Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP 14505 SE HWY 212 ATTN: N PIVEN CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-658-1892 PHONE: FAX: 503-658-6925 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/28/2016 $319.61 Class of Work: ALT Type of Const: IIIB Plan Review 01/28/2016 $79.90 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/28/2016 $38.35 Stories: Info Process/Archiving-Lg$2.00(over 01/28/2016 $2.00 11x17) Project Valuation: $9,000.00 Info Process/Archiving-Sm$0.50(up to 01/28/2016 $15.00 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: 1 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $454.86 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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 taw requires you to f Ilow the rules adopted by the Oregon Utility N enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0 You may obt ' py of the rules o(dirquestions to NC b Iling 503.232.1987 or 1.800.332.2344. Is : Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection ate. 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 C1`J g of Tigard , VE)F Received Permit No. QL/� �7 � �Q ,J ■ 13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: g O p Plan Revie At = Phone: 503.718.2439 Fax: 503.598.1960 I ��j Other Permit: DateBy Inspection Line: 503.639.4175 28 7016 y ® See Page 2 for � Date Rea luris Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYP SW ;,s tt COMMERCIAL FEE* SCHEDULE — USE CHECKLIST r;f� 3 )i�. 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:$$9,000.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling ® Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 16360 SW 72"d Ave (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:General Parts Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Duct work 23.32 H dronic hot waters stem 23.32 Residential boiler(radiator or h dronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Subdivision: Lot no.: Flue/vent for anof above 23.32 Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Install 1 RTL!to include ductwork,grilles,and gas piping. Gas fireplace 33.39 Flue vent for water heater or gas Relocate I Unit Heater fireplace 23.32 Log lighter as23.32 Wood/pellet stove 1 1 33.39 Wood fireplace/insert 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32 Other: 23.32 F_ Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utilityrooms) 23.32 ❑ APPLICANT ® CONTACT PERSON Attic/crawls ace fans 23.32 Business name:Gohman Mechanical,Inc. Other: 23.32 Fuel piping: Contact name:Jeremy Hunt $14.15 for first four;$4.03 for each additional Address: 14505 SE Hwy 212 Furnace,etc. Gas heat pump City/State/ZIP:Clackamas,OR 97015 Wall/suspended/unit heater Phone:(503)658-1892 Fax: :(503)658-6925 Water heater Fireplace E-mail:jeremy,agohmanmechanical.com Range CONTRACTOR Barbecue Business name:Gohman Mechanical,Inc. Clothes dryer as Other: Address: 14505 SE Hwy 212 MECHANICAL PERMIT FEES* City/State/ZIP:Clackamas,OR 9701.5 Subtotal Minimum permit fee($90.00) Phone:(503)658-1892 Fax:(503)658-6925 Plan review(25%of permit fee) CCB tic.: 119952 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signatur days after it has been accepted as complete. Print name: Drew Gohman Z Date:01/28/2016 ' Fee methodology set by Tri-County Building Industry Service Board I\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(I1/02/COM/WEB) " Building Division Over-The-Counter (OTC) Mechanical Permit Check List Project Description: \ APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: Occupancy Group: Type of Construction: *T e of Use: Oregon Specialty Code: Number of Stories: FUEL FURNACES Type: Furnace< 100K BTU Furnaces>= 100K BTU Gas Pressure: Roof Top Unit TU Tons Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pum AIR HANDLERS HOODS Units <= 10000 cfm Type l Hood Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler(BTUs) Vent Fans Gas Line too Solid Fuel Fireplace/ Clothes Dryers Gas Outlets Woodstove Duct Work Gas Fireplace Fire/Smoke Dampers Other Mechanical Units—De cribe: Total Project Valuation: $ �-� FEES DUE $ Mechanical Permit Fee $ n Plan Review $ Ej, 12%State Surcharge $ 'e-, Info Proc/Arch,Lg(over 11x17 $2.00) $ CC- Info Proc/Arch,Sm (up to 11x17 $0.50) $ Misc.Admin Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ Other: Building Staff: Date/Time: $ ,g TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM=commercial;CMS=commercial manufactured structure. CLASS OF WORK ACS=accessory;ADD=addition;ALT=alteration;FND=foundation;DEM=demo; FND=foundation;FPS=fire protection system;NEW=new;OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies); REP=repair. L\Building\Forms\OTC-MEC.docx 01/13/2011 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 16364 SW 72ND AVE B8, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2016-00073 Jeff Grove Violation Summary: Inspector Contractor