Permit (33) ICITY OF TIGARD MECHANICAL PERMIT
.
2. COMMUNITY DEVELOPMENT Permit#: MEC2017 00037
TEG A y D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2017
Parcel: 2S 112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Project: Gerber Subdivision: None Lot: None
Project Description: Replace/relocate(1)existing hanging heater unit
Contractor: SPECIALTY HEATING&COOLING INC Owner: ASGARD LLC
7500 SW TECH CENTER DR STE 130 BY GERBER LEGENDARY BLADES
TIGARD, OR 97223 14200 SW 72ND AVE
PORTLAND, OR 97223
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/18/2017 $204.14
Class of Work: ALT Type of Const: Plan Review 01/18/2017 $51.04
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/18/2017 $24.50
Stories: Info Process/Archiving-Sm$0.50(up to 01/18/2017 $3.00
11x17)
Project Valuation: $4,900.00
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: 1 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $282.68
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit i Ica I Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or erect questions to UNC b calling 503.232.1987 or 1.800.332.2344.
Lued By: k �/ /( al Permittee Signature: ,(e
7"
\ 1 `rid /l
Call 503.639.4175 by 7:00 a.m.for the next available inspectiodrf afe.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received /d^z/7�57
City of Tigard .i,,_, , x i DateB /f Permit No.: L.L
1,1 . 1h1neS50Hall
.2 39d.,Tigard,OR 97 Date/By:� j�� �,
0 Phone: 503.718.2439 Fax: 503.598.1960 li
(Other Permit.
T t G A R D Date Rea: AA Juns:Inspection Line: 503.639.4175 " ® See Page 2 for
Internet: www.tigard-or.gov /4 1 7 1)P,
/i' Notified/Method: Supplemental lementalInformation
TYPE OF f, i k COMMERCIAL FEE* SCHEDULE —'USE CHECKLIST
El New construction ldditiottik'' Mechanical permit fees*are based on the value of the work
� l4a0l�6c-r)t 1"fi' performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ N 92 '
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ' C-ommercial/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:
Air conditioning 46.75
Job site address: `t/vi00 S'cti 7 5' Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7 a t S OA `t� Furnace 100,000+BTU(ducts/vents) 54.91
t/y /) G�L Heat pump 61.06
Suite/bldg./apt.no.: Project name: Cp C. G� 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: 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
P
��E'�/j C7(`e (i) holy/Ai, G)l�j !7 E��e/-, fireplace
23.32
t/ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
IStPROPERTY OWNER 0 TENANT' Other: 23.32
Environmental exhaust and ventilation:
Name: / ee0 Range hood/other kitchen
16 /''I �/ equipment 33.39
Address: / z 0® i_ ) 7l Clothes dryer exhaust 33.39
City/State/ZIP: 7/1 0,, 0,4 Q tJ "] ']/_/ Single-duct exhaust(bathrooms,
Phone:(3(33)_5:0,5'....?:p ! �`pt 7 toilet compartments,utility rooms) 23.32
9.6 ?g3 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT WCONTACT PERSON Other: 23.32
Business name: �'�en�-ia�/y A l 4 C.00'/ Fuel piping:
✓ $14.15 for first four;$4.03 for each additional
Contact name: ,J fr Jh.6,4„}Qi Furnace,etc.
Address: Gas heat pump
700 `54) 7f'C ��iii°`e- Wall/suspended/unit heater
City/State/ZIP: /(,4d 0,, 9 ,7 3 Water heater
Phone:�j3) ./6,___07:_..3 Fax::( ) Fireplace
t Range
E-mail: )ciQ �AH,CE/41/vA�i�C lnV I(�,s7/ Barbecue
J� CCONTRACT(JR Clothes dryer(gas)
Business name: /Pcia.i/tY te. Lit„ ‘001 / � Other:
`/ j MECHANICAL PERMIT FEES*
Address: 77500 t)c J 7--,,„ j'� P` {4 Subtotal
City/State/ZIP: j/ 0izei /p�)'� 97 3 .t/ Minimum permit fee($90.00)
(� Plan review(25%of permit fee)
Phone:(fO3)t/6_ 0773 Fax:( )
State surcharge(12%of permit fee)
CCB lic.:6,6‘..c 78 TOTAL PERMIT FEE ��$a.(Qg
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: „� Self zeig,b Date:/1/6/1 /
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(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:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14200 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00037
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor