Permit (48) CITY OF TIGARD MECHANICAL PERMIT
1 . '- COMMUNITY DEVELOPMENT 41
Permit#: MEC2016 00455
T[GAR 1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2016
Parcel: 2S102BD02900
Jurisdiction: Tigard
Site address: 13015 SW PACIFIC HWY
Project: The Pool&Spa House Subdivision: NORTH TIGARDVILLE ADDITION Lot: 36
Project Description: Replace existing furnace and a/c with like kind.(Residential style units)
Contractor: SPECIALTY HEATING&COOLING INC Owner: TRUCK TERMINALS INC
7500 SW TECH CENTER DR STE 130 PO BOX 2106
TIGARD, OR 97223 BEAVERTON, OR 97075
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/21/2016 $260.60
Class of Work: ALT Type of Const: Plan Review 06/21/2016 $65.15
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/21/2016 $31.27
Stories:
Project Valuation: $6,900.00
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: Vent Systems: Total $357.02
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ification`'G.enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o.tain a cop, of the rules
or 'ect questions to • - . ca ing 503.232.1987 or 1.800.332.2344.
I sued By: I{, _ I / I Permittee Signature: 1_4
•
V� ir
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appl nEi IVE FOR OFFICE: USE ONLY
Received
City of Tigard Permit No.:
g Date/By: -U0
13125 SW Hall Blvd.,Tigard,OR 9 y �' � �(�
g Plan Review
Phone: 503.718.2439 Fax: 503.5980 2 1 L U h Date/By: Other Permit:
l 1(i,\R D Inspection Line: 503.639.4175Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov ��Tq�T1 OAF^3 I�G��ARIJJ`pe Notified/Method: Supplemental Information
Z 143 R 7 ','1!'1,i,1-111,.'1':1.;1)
,' ff 1 a}. .)- r ,,, 111g�y �_�:'f:. ., +.V'..'-4•v msi :°.11: r1111'�KI -._;11 e .ZTK.=, ''1111.11 -'4
ti t'4'.
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Mechanical permit fees* re bason the value
of the work
0 New construction , Addition/alteration replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
ac�r ,> . . i Value:$ _. ���i�Y1-
eiai�s,o-;.���'"�, ��., ! v i .r.`? x7 .i,�t''''''''.`nxk ,, a 1. . , 5t ! , , gE�� EE �, '� �k,^` t
a;�, w�n.Gt,�a+F.u��Sas� A.w . ,_
❑ I-and 2-family dwelling .ommercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. 1 Total
=iW s a k., ,� / Heating/cooling:
i"* am � ,c,,. .x 4" 7.au..tt.e:,,s. @rtk .,t11'1111111°°11‘
t � �°/"� "� ''°� `" ��` Air conditioning 46.75
Job site address: 13 v' /`�/ (,'� CICci4'i� #ii,y Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: l/1Q6 (`Y 0/5i ?7°2,23 Furnace 100,000+BTU(ducts/vents) 54.91
J/L� Heat pump 61.06
VSuite/bldg./apt.no.: I Project name:TAP 1190 ' L 14 lTOUSe Duct work 23.32
Cross street/directions to job site: 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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
..z „, . . � . ° z � Gas fireplace/insert 33.39
.. . r .i ,t . i, z E. .a. :: . t
/ W i'/I// Flue vent for water heater or gas
"1 pig/a G e f//`,,v 4 /C.-/
Cl -- !"7r.!/�1ve le.' 7 ,1( fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
'11°
d 0044
' 23.32
* '� t � � 1 p„r �Ma� - �.. . Other:
* .. ' ` ,°4' , 44";114°ArVL44t411
Environmental exhaust and ventilation:
Name: /4e 40/6 t�,4 ,[/owe Range hood/other kitchen
`,'/� /' equipment 33.39 _
Address: /3oa.5 SW /`�QC,r/-�/G /744,V Clothes dryer exhaust 33.39
City/State/ZIP: � GkcieQ� 73 Single-duct exhaust(bathrooms,
D�,2toilet compartments,utility rooms) 23.32
3
Phone: 5' ) -
D _ �� Fax:( ) Attic/crawlspace fans 23.32
1" x, gs li'rIf`tr ''4:-4::''''' " }., . o� :� t,�t ;� Other: 23.32
Business name: Fuel piping:
Je ,5,,4,44 $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:SnL3 )6/602-2 ') Fireplace Fax::( ) Range
'E-mail: ) e ,& //c/a// A.'4,1i,zr c o/
� Barbecue,.;,
','x 1 k .�. "xr.'+r,I .. z` �r. ' o ., :�i a - {a. Clothes dryer(gas)
Business name: L'd �� d
4e7 It,' ole i;1',1Othe :._. , s Vie
Address: 7�5 Sr� /tG./ ems` 111,7 Subtotal
City/State/ZIP. j� vli ®�1 97,2,73 Minimum permit fee($90.00)
Plan review(25%of permit tee)
Phone: 503 )GG- a77 Fax:( )
State surcharge(12%of permit fee)
CCB lie.: 4..,/,.(5 7," TOTAL PERMIT FEE 135'7."
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 Building Industry Service Board
Print name: ../co( j� Date:,64//e,//6
L Building Permits'MEC_PermitApp 040113.doc40-4617T(11 02 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
$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.
1:\Building\Permits\MEC_PennitApp_040113.doc 2