Permit (122) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00072
TF CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2017
Parcel: 1 S135DD02700
Jurisdiction: Tigard
Site address: 11963 SW PACIFIC HWY
Project: Joy Cinema Subdivision: None Lot: None
Project Description: Replacing(1)existing RTU.
Contractor: ACE CONSTRUCTION&MECHANICAL INC Owner: TIGARD JOY CINEMA LLC
18840 SW BOONES FERRY RD#216 BY DAVID EMAMI
TUALATIN, OR 97062 3380 BARRINGTON DR
WEST LINN, OR 97068
PHONE: 503-969-1647 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/30/2017 $191.86
Class of Work: ALT Type of Const: Plan Review 01/30/2017 $47.97
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/30/2017 $23.02
Stories: Info Process/Archiving-Sm$0.50(up to 01/30/2017 $6.00
11x17)
Project Valuation: $4,500.00
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 $268.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by Gallia• .1987 • 1.800.332.2344.
MIER°Issued By: �,- Permittee Signature:
poirf / -
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the projec.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE l SE ONE)
City of Tigard eived /` R
'tk)hof�*.I) t V�d "s to/By: / 36/17 v�� PermitNo.: i 7 ` 7
511I Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 i Date/By: -3� /" ►'t�2GYJ C�
Ti G A R D Date Read/B .loris:
Internet: www.tigard-or.gov a � Ready/By: Ea See Page 2 for
{{ Notified/Method31) 17 *i Supplemental Information
CITY OF
TYPE OF WO fir{��q COMMERCIAL FEE* SCHE ULE— USE CHECKLIST
U�,DING I9:�`A SIGN Mechanical permit fees*are based on the value of the work
0 New construction 0 Addition/alteratio_ rep acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: 12Q . c � rz..
yyl mechanical materials,equipment,labor,overhead,and profit.
t� Value:$ 24 5 / '
CTEGORY'OF CONSTRUCTION 6 t'{
RESIDENTIAL;EQUWMENT/SYSTEMS FEES* ,r
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description P Qty. Ea. Total
JOB,SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:
-}(-j q C 3 S �t /' a Cl..... . H t'C V ( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1 C j .0 O ie q72 2 3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name. Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: i.O, C, „tet 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
� s µ OE � ON'�Wy te, Gas fireplace/insert 33.39
Flue vent for water heater or gas
pelgjet dry//0-kJ t, I V/4-e'7fireplace 23.32
40 Log lighter(gas) 23.32
,, / Wood/pellet stove 33.39
VA
/60/t" Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PIOPER7 Y OVIVEI= . • . TENANT. >. Other: 23.32
Name: Environmental exhaust and ventilation:
Cita-✓n-a / LG Range hood/other kitchen
equipment 33.39
Address: 3 c� , /--) Clothes dryer exhaust 33.39
City/State/ZIP: ii (A) f" k a a i Single-duct exhaust(bathrooms,ty )toilet compartments,utility rooms 23.32
Phone: 7 P
KO) ) 5-5 7 3 3 5-d Fax:(Sa3)$) 7 3 j2 Attic/crawlspace fans 23.32
}Q APPLICANTAt, 23.32
0 CONTACT PERSON`
Business name: Fuel piping:
- $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: 114-1
/�Q y/�J Gas heat pump
�3 !r Wall/suspended/unit heater
City/State/ZIP: . Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
(-x.„—
� / �� c1,-- /U..(2,G+Q 9/ /cYzIVc MECHANICAL PERMIT FEES*
Address: i g3 ci/U s , ("J 6 Jo / f f2 JA � _-1 , i 2(I Subtotal
City/State/ZIP:•Tu it/2 f ^ 0 t 1 �7O /�2 �( �c�— Minimum permit fee($90.00)
1� i', Plan review(25%of permit fee)
Phone:(��? ) �( 4{ Fax:( ) f74._ State surcharge(12%of permit fee)
CCB lit.: '7...1,1-2R-19— i 2 7//3/1e TOTAL PERMIT FEEi i (per
This permit application expires if a permit is not obtai ed within 180
days after it has been accepted as complete.
• orized signator--- * Fee methodology set by Tri-County Building Industry Service Board
Print name: e; , %) M Xl.l - Date: 1/16)/ ( 7
I:ABuilding\Permits\MEC_PennitApp_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.
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