Permit,/ Mechanical Permit Application FOR OFFICE I. SI:O\L
RECEIVE i..
City of Tigard Date/By: s In Permit No.: ( _` . 41. i /
13125 SW Hall Blvd.,Tigard,OR 97223 ' t
III a JAN 21 2010 Plan Review 2, Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: �
TIGARD Inspection Line: 503.639.4175Date Ready/By: y ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: / 1 lin Supplemental Information
BUILDING DIVISIO
TYPE OF WORK COMMERCIAL FEE* SCHEDULE'- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New constructionddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ I5,a-c,a,
cAtv
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building
For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: //1 ,J S`c) C r een.b�- � y Air conditioning
�-% � (requires site plan showing placement) 46.75
City/State/ZIP: _ 'f .3 Furnace 100,000 BTU(ducts/vents) 46.75
tyf C� C��CI 7'
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: 6�-e.ei,ba'`/� ,e6 0_67 Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
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
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK ` Water heater 23.32
/ Gas fireplace 33.39
1T 1 4j�`/ 1 Z i4(n r 1- h e Gr /ll-rf S G,I/r c Flue vent for water heater or gas
G0 t'
/ (4 fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑-PROPERTY`OWNER 0 TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name: Ae /1 t21 & yrL L,7 G Other: 23.32
Fuel piping
Contact name: t' -m Z.I $14.15 for first four;$4.03 for each additional
Address: f' S/ �E 3i. JO/mksled sto Gas heat p
Gas heat pump
City/State/ZIP: ((t' ,1 COCu)€,r LA) A Q So (2/ Wall/suspended/unit heater
Phone:04767(/ q3- 73/ 9 Fax::,C3d6 /)?3._ 7 7, 2...,/ Water heater
Fireplace
E-mail:
Range
CONTRACTOR Barbecue
Business name: A L(/ / a i� A/l'i1 a I/- Clothes dryer(gas)
�t Other:
Address: 4L / /l/E a-T. ,g2,-,,A A;(5�� (5( / MECHANICAL PERMIT FEES*
City/State/ZIP: Via r 1 Cc 7 LL ?1. I .) t C/f -o(! / Subtotal
Phone:(3&)O a2 c-43_ 79 Fax:(,3j () C13E
77. Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lic.: / 4/ 5:X ,` , ./ State surcharge(12%of permit fee)
/ TOTAL PERMIT FEE
i '// This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: ✓ (�J, i�f�/�it Date: * Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Permits\NEC-Perm App.d. 0/01/09 440-4617T(I 1/02/COM/WEB)
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
February 26, 2010 II
RE: MECHANICAL TI
Project Information T I GARD
Building Permit: MEC2010-00031 Construction Type: 5-B
Tenant Name: Greenburg Building Occupancy Type: M/S-1
Address: 11125 SW Greenburg Rd. Occupant Load: NA
Area: NA Stories: 1
The plan review was performed under the State of Oregon Mechanical Specialty Code
(OMSC) 2007 edition; and the State of Oregon Fire Code (OFC) 2007 edition. The
following corrections need to be submitted for review prior to issuing of the permit
1) Provide drawings showing connection of RTU to curb and curb to roof.
2) Provide gas line drawing showing equipment BTU's.
3) Provide cut sheets for unit heaters.
4) Provide floor plan of building showing all new equipment locations.
5) Provide details showing connections for unit heaters including sway bracing.
6) Provide specification sheet showing total cooling capacity of RTU.
When responding, provide an itemized letter stating in what way each numbered
issue has been addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City
of Tigard in tracking and processing the documents.
Respectfully,
an Nelson, Post-its Fax Note 7671 Date.�7L(74,,I pages► �(
Senior Plans Examiner To — ii(154 rrik) Frwn'DW
(503) 718-2436 Co-/Dept. L't� Co.
dann@tigard-or.gov Phone# Phone to.? 7( _24?4-
Fax#2Yo / C 7784_ Fax#
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard-or.gov • TTY Relay: 503.684.2772