Permit (62) CITY OF TIGARD MECHANICAL PERMIT
74
s ' COMMUNITY DEVELOPMENT
Pe
CITY
MEC2016-00519
Date Issued: 09/26/2016
T(0+' R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102AA04100
Jurisdiction: Tigard
Site address: 12230 SW MAIN ST 100
Project: Paddle Palace Subdivision: None Lot: None
Project Description: Evaporative cooler and exhaust fan.
Contractor: ANCTIL HEATING&COOLING Owner: HOBO PROPERTIES LLC
2150 N LEWIS AVENUE PO BOX 8087
PORTLAND,OR 97227 PORTLAND, OR 97280
PHONE: 503-281-0752 PHONE:
FAX: 503-282-5722
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/11/2016 $285.89
Class of Work: ALT Type of Const: VB Plan Review 08/11/2016 $71.47
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 08/11/2016 $34.31
Stories: Info Process/Archiving-Sm$0.50(up to 08/11/2016 $2.00
11x17)
Project Valuation: $7,800.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 1
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: 1 Vent Systems: Total $393.67
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 folio e ulef adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. o, mi •btain a copy of the rules
or di questio •OUNC by calling 503.232.1987 or 1.800.332.2344. I j
I sued By: - / /-, l�LA �� ( Permittee Signature: � �ig
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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.
-1E1
Mechanical Permit Application k°` FOR OFFICE USE ONLY
: City of Tigard ` Received
1114 +3 Date/By: I� J' Permit No.: l� ' ..
* 13125 SW Hall Blvd.,Tigard,OR 972 "`a q
g ��\� Plan Reviewipi
1� sS
Phone: 503.718.2439 Fax: 503.598.1 ,; Z�
pe/By: Other Permit: '
TI G A R D Inspection Line: 503.639.4175 �� tom* y I A1. 1
Internet: www.tigard-or.gov r e ` ,`. Note Ready/By: , e Page 2 for
,,, a A�,,•U^ Notified/Method:
�S��rij�) � � ��� Supplemental Information
' 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.
.' &TT! � Ulf' COs LJC fON , 80
Value:$$7, 0 00
❑ 1-and 2-family dwelling ®Commercial/industrial in ._. ... . .. .. •-
❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: DescriptionEa. Total
,';','4<:•0::„;"''''.•,,,44'.4W' , Sl<'i tl"t Lt1 -C#1\- L A'cIQ Heating/cooling: Qty.
•,,. Air conditioning
Job site address:12230 SW Main St (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Paddle Palace Heat pump
(requires site plan showing placement) 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:
I �l �ONOF 'O�' . Water heater
23.32
Install evaporitive cooler,and exhaust fan. Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
m
Wood fireplace/insert 23.32
i IG bili OW1 ( * ❑ T; .,-1�N'I ,� Chimney/liner/flue/vent 23.32
. a : .. v.. , Other: 23.32
Name:Paddle Palace
Environmental exhaust and ventilation:
Address: 12230 SW Main St Range hood/other kitchen
equipment 1 33.39 33.39
City/State/ZIP:Tigard,OR 97223 Clothes dryer exhaust 33.39
Phone (503)245 2742 Fax:( ) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
-,\_ 'L � , CONTA "1' PEJO k Attic/crawlspace fans 23.32
Business name:Anctil Heating and Cooling Other: 23.32
Fuel piping:
Contact name:Brian P Murphy $14.15 for first four;$4.03 for each additional
Address:2150 N Lewis Ave Furnace,etc.
Gas heat pump
City/State/ZIP:Portland,OR 97227 Wall/suspended/unit heater
Phone:(503)281-0752 Fax: :(503)282-5722 Water heater
Fireplace
E-mail:brian@anctilhvac.com
Range 1 14.15
Business name:Same as Above Clothes dryer(gas)
Other:
Address:
City/State/ZIP: Subtotal 47.54
Phone: Minimum permit fee($90.00) 90.00
( ) Fax:( ) Plan review(25%of permit fee)
CCB lic.:8897 State surcharge(12%of permit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized signature: ^�` rf/� This permit application expires if a permit is
not obtained within 180
days after it has been accepted as complete.
Print name:Brian P M phy Date:7/14/2016 * Fee methodology set by Tri-County Building Industry Service Board
I\Building\Permits\MEC-PermitApp.doe 09/09/10 440-4617T(11/02/COM/WEB)