Permit (71) CITY OF TIGARD MECHANICAL PERMIT
q
COMMUNITY DEVELOPMENT Permit#: MEC2017-00122
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/03/2017
T f .�t�, Parcel: 2S102BA00301
Jurisdiction: Tigard
Site address: 9920 SW TIGARD ST
Project: B&B Print Source Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 22
Project Description: 10-ton RTU with duct work.
Contractor: COLUMBIA HEATING&COOLING INC Owner: TIGARD INDUSTRIAL LLC
PO BOX 230397 5845 JEAN RD
TIGARD, OR 97281 LAKE OSWEGO, OR 97035
PHONE: 503-624-2704 PHONE:
FAX: 503-598-0270
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/03/2017 $652.51
Class of Work: ALT Type of Const: VB Plan Review 04/03/2017 $163.13
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/03/2017 $78.30
Stories: Info Process/Archiving-Sm$0.50(up to 04/03/2017 $9.00
11x17)
Project Valuation: $22,000.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $902.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan -, • ' is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Ur Notification Cent- . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions to OUNC . ing 503.232.1987 or 1.800.332.2344.
sued By: Am,./ / Permittee Sig ature: , A
,,
rte
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site un ' completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ON El
City of Tigard Received ,
il t'l CFnj 11 Date/By: 4"7
. u 13125 SW Hall Blvd.,Tigard,OR 97223 , .,* '41 . 4, ''
74 Plan R vie fr , A.-7 Permit No.:14.7bse49.6(7_60 40,
, II Phone: 503.718.2439 Fax: 503.598.196 ' Date/Byll '-‘...... c7 Other Permit:EZ.4, 1 7..../41/i
Inspection Line: 503.639.4175
TIGARD Date Rea., t y: Juris. gi See Page 2 for
Internet: www.tigard-or.gov
FEB 1 3 ?.017 Notified/method:4i- ,21/7 our,, Supplemental Information
" -0
F 11G-AttiA -gtel04044-744gE FEE*
TYPE OF WOCiliti 0 41,,A CD ., RCIAL SCHEDULE - USE CHECKLIST
,
, ,, n,„r, in,T f1C111 IN t 60..,.. „, Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteralitittll 1. ,"-f' CA." performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 22- b o 0
CATEGORY OF CONSTRUCTION i ___
RESIDENTIAL EQUIPMENT/SYSTEms FEES*
El 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
, Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: ctiL 0 776/4-AD i , Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: --n6/1../z,b, ci 7-ZZ'-i Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: &60 /9raw, .....i- . ..1,A,1, betiL._. 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
Other: 23.32
Subdivision: 1 Lot no.:
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
AD b.w 67 A- /0 Teiv/ e-rit W/TH fireplace 23.32
1)VC114 ClIZ-14.-.. Log lighter(gas)
Wood/pellet stove 23.32
33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
CI PROPERTY OWNER I ' '.-. 0 UNANT
- , •- - - Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ,. ' 0 CONTACT' 11ERSO4 : Other: 23.32
Business name: Co L.,v fiA, /,4. Fuel piping:“Lyeri A, Li A.../4,
6-7 „, Cog $14.15 for first four;$4.03 for each additional
Contact name: 47)/4" i-40/„.5c k.e."-E. Furnace,etc.
Address: He Z VS- 6 t,,..) ,g9-44,& 00,- 41' :g 0-1- Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: -n c,,,,,,o_b eyk_ cif zi zt Water heater
Phone:(93) (:)2.1- 2,:121.9 Fax: :05 ) . 0 a,To Fireplace
Range
E-mail: ,j3ZA/ice" G144,A-I L .. C CP/IA- Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Cot__tj AA,0 i jek i+e-A-7,,,„.. Other:
cc,L i ifivili
MECHANICAL PERMIT FEES*
c74"ilk
Address: Re/2...V41- ii.) -75,./ z--- ,At-vir 4 3 01-- Subtotal
City/State/ZIP: -ri c,A,,,e,D etl,2.7.-q Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 7 ) ki-t - Z.„--/ 0L1' Fax:(955 ) 78-1Z00 State surcharge(12%of permit fee)
CCB lie.: /A0.5 c iTOTAL PERMIT FEE
i‘kil This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: At AAA. Iht..-9C aff..- Date: Z(i 3/ ii
I:\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_PeimitApp_040113.doc 2