Permit (32) CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT Permit#: MEC2016-00032
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2016
Parcel: 2S112AC03000
Jurisdiction: Tigard
Site address: 14775 SW 74TH AVE
Project: MRX Labs Subdivision: 2003-010 PARTITION PLAT Lot: 1
Project Description: Adding(1)natural gas unit heater to warehouse.
Contractor: COLUMBIA HEATING&COOLING INC Owner: TIGARD WAREHOUSE LLC
PO BOX 230397 5102 SCENIC DR
TIGARD, OR 97281 YAKIMA,WA 98908
PHONE: 503-624-2704 PHONE:
FAX: 503-598-0270
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/01/2016 $173.44
Class of Work: ALT Type of Const: VB Plan Review 02/01/2016 $43.36
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Mechanical 02/01/2016 $20.81
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/01/2016 $3.00
Project Valuation: $3,900.00 11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $240.61
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Unit heater
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Noti Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co of the rules
or dire questions to UNC by calling 503.232.1987 or 1.800.332.2344.
Issue e64,y: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application `�� FOR OFFICE USE ONLV
City of Tigard V Receiv d lr
Pennil NO..
Y:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revt
Phone: 503.718.2439 Fax: 503.598.1960 �\ e/ByOther Permit:
Inspection Line: 503.639.4175 ,P,\ (` dy/ • Juris: ® See Page 2 for
Internet: www.tigard-ocgov O�INt/I Method: Supplemental Information
0
TYPE OF WORK OMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑ New construction Addition/alteration/replacementperfonned.Indicate the value(rounded to the nearest dollar)of all
ElDemolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 7. 'F4CX1
SIDENTIAL EQUIPMENT/SYSTEMS FEES*
I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatin cooling:
Air conditioning 46.75
Job site address: Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat um 61.06
Duct work 23.32
Cross street/directions to job site: 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
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
fireplace 23.32
Log lighter(gas) 23.32
Z4 Jz4-1_'y'ee Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
ui ment 33.39
Address: 75 -7 Clothes dryer exhaust 33.39
City/State/ZIP: G / ( Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( Fax:, 0255q Attic/crawls ace fans 23.32
APPLICANT ❑ CONTACTPERSON Other: 23.32
Fuel piping:
Business name: f
$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: ' 7f Fireplace
/ Range
E-mail: UJ v4 Barbecue
CONTRACTOR Clothes dryer(gas)
�� �) �`
Business name: Other: MECHANICAL PERMIT FEES*
Address Subtotal
City/State/ZIP: �� �� Minimum pennit fee($90.00)
c/ Plan review(25%of permit fee)
Phone: U Fax: D���D State surcharge(12%of permit fee)
CCB lic.: / 61�3,54:7, 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 methodolo&y set by Tri-County Building Industry Service Board
Print name:` Date:
1:Building,Pennitss.MEC_PermitApp_040113.doc 440-4617T(11/0'-'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 fust$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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2