Permit CITY OF TIGARD MECHANICAL PERMIT
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1' COMMUNITY DEVELOPMENT Permit#: MEC2016-00191
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2016
Parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14365 SW PACIFIC HWY
Project: Bowers Bath Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: Replacing a 7.5 ton push/pull RTU with a 4 ton RTU.
Contractor: NORTHWEST COMMERCIAL HEATING Owner: BULL MOUNTAIN INVESTMENTS LLC
PO BOX 574 ATTN JERRY KOLVE
CLACKAMAS, OR 97015 14389 SW PACIFIC HWY
TIGARD, OR 97224
PHONE: 503-939-6928 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/24/2016 $249.36
Class of Work: ALT Type of Const: VB Plan Review 03/24/2016 $62.34
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/24/2016 $29.92
Stories: Info Process/Archiving-Lg$2.00(over 03/24/2016 $2.00
11x17)
Project Valuation: $6,500.00 Info Process/Archiving-Sm$0.50(up to 03/24/2016 $2.50
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: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $346.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
i
Mechanical Permit Application roll of.FHA.: l SI.,("1.1
City of Tigard Received ,,,
Date/By: Pennit No.: inffe....646V44-trieri
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review ...-e.,z1
Ili . Phone: 503.718.2439 Fax: 503.598.1960 1..,000 cb Other Permit:
Date/By: Ai
I I(.,\I I) Inspection Line: 503.6394175
A Date Re.W. Juris: WI See Page 2 for
Internet: www.tigard-or.gov Oft Notified Method.3 69_3 /6„. 0.71 rap Supplemental Information
IA _
7 q17.-77--.7::: . .: ., .' 114 Vr:'''''S'11:1.1::::"4'.4Qte,47,f-''' '',"-"gfr''', d'' #'`'';','",,l'''''':ro 7t'",", litl:*E,* ,;..
''''''' ''' 1/4 ., ' ' ' Mechanical permit fees*are based on the value of the work
El New construction Addition/alteration/r14 ,• 1 1(A04 performed. Indicate the value(rounded to the nearest dollar)of all
0 Demolition El Other: 0‘11"''' iNNI05-1"
, mechanical materials,equipment,labor,overhead,and profit.
Value:$ „
f:.., ,1" ‘;' "''''',-;5 ''':,.'f 7'";`':-.'' tritirbORVVir ' ';;1-'1.*1.',''''' 3 N' '''' -' '.' --'-'', ::, - --- t -- -- ' -'' f,41,) ' .
0 1-and 2-family dwelling jkCommercial/industrial El Accessory building For special information use checklist.
El Multi-family El Master builder ['Other: Description Qty. Ea. Total
[,,A.7,,,,Fw-,,,,,37;,i,j,,,,,E.:;•,tfl, .,,,,i .,::,)13;',; ,---, 5,,iiiihtinkbefttio14,;,: -4t -: „,..,.., r; Heating/cooling:
Air conditioning 46.75
Job site address:/ *, /V..... ..3 ,..c"-Ze2/9,4elp/ /47,)"2e..) Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP: -2-71/51,e„(7 972.Z5 Furnace 100,000+BTU(ducts vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:z745; a0-6, 67 .//
Duct work
23.32
Cross street/directions to job site: Hydronic hot water system 23.32
.0,...,.....,/,„,,,,,,..... 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
Other:_459,5%/7/90 23.32
Subdivision: . 1 Lot no.:
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
l'67 /11 i1OZ Z. //7, e2/L- 7a/0 /7/v4c fireplace 23.32
t Log lighter(gas) 23.32
,feiz2exe/A/G 71 -7-. /s/ 4,2/7/41 5/70A./
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
f--i ,,,,n,...f.,-- .0',,,,„` OWNER 1 r- .,rEAiu„T. , Other: 23.32
1-1',F-iir,firr,na i ' L "':, ,,-'1117't -' ' Environmental exhaust and ventilation:
Name: If1 / ,,epe..2/.&--y 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
4j'.A#PLICANT ' 0 CONPAa'PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: ,OCIA/N/C' /2,....49ez, Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: , Water heater
Phone:(4.5Vg.2 .79 ,.539" Fax: :( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR .- - - , ,,-, ; '- Clothes dryer(gas)
, -,' - -, ,..- -' , ., c -:-,
Other: .°,•t?iftot‘7:4‘,4e--'
Business name:4/047rgte...., s77 eis.A.-11./Atf,efriG 1.71-Ly<0 ' .*::;:yiE',';: :::, ' ' ''''"#4..,_.04*._ : :,,..)..'0.,:i'.:.:',-,;„6,%7:,.;,1:,;',;',::,,,';,','-'%-,
Address: /e4lz7,5" ::: /...,e.2.‘ Z__ /76%'• Subtotal
Minimum permit fee(S90.00)
City/State/ZIP2z24A4/45ez25-• , . 922.8c
Plan review(25%of permit fee)
Phone:t.... 7J'22....4":a76. Fax:6-2,25"Zo..... i9as--9
State surcharge(12%of permit fee)
CCB lie.: 5-937.5.-- h2/3.0/,6 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: _,....i ...1,//et/).21
, " days after it has been accepted as complete.
* Fee methodology set by Tri-(ounty Building Industry Service Board
Print namt.:"A)/4/...5.-1„e.,,i.Aief7 Date:,..0i,A
, Building Pennits MEC PermitApp 040113 doc 440-4617 11 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:ABuilding\Permits\MEC_PernitApp_0401 13.doc 2