Permit (80) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00235
Date Issued: 04/05/2017
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 102AB04500
Jurisdiction: Tigard
Site address: 12436 SW MAIN ST
Project: Beach Hut Subdivision: None Lot: None
Project Description: Modifications for TI:duct work,instant hot water heater,venting&gas line and(2)exhaust fans.
Contractor: SWICH LLC Owner: CACH, CHRISTOPHER J
PO BOX 10893 14420 SW 114TH AVE
PORTLAND, OR 97296 TIGARD, OR 97224
PHONE: 503-913-3192 PHONE:
FAX: 503-926-9200
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/05/2017 $115.11
Class of Work: ALT Type of Const: VB Plan Review 04/05/2017 $28.78
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 04/05/2017 $13.81
Stories:
Project Valuation: $2,000.00
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: 2 Vent Systems: Total $157.70
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 Other Desc: Water heater
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.2 -. °. . =15.332.2344.
Issued By: • mittee Signature: �y
Call 503.639.4 by a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of th- •ro•e
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE LSF OM.)
, , .. , .„.,.. ,, , , , ,, Received
P
City of Tigard lir
i Permit No.:tife,c26 1-7-ob a35-
Illq w 13125 SW Hall Blvd.,Tigard,OR 972 •-•:::', I it' 7-';' 1 * Date/Bi.R
e/Beyifi
Review i e
w
I Phone: 503.718.2439 Fax: 503.598.1960 ' ' ' Date/By: Other Permit:
0. /0p10/7-"eldei
Inspection Line: 503.639.4175
T I GA R D Date Ready/By: q Juris: El See Page 2 for
Internet: www.tigard-or.gov A V', 4. ' ''1 Notified/Method: Supplemental Information
TYPE OF s11 'OF ['GAR ) COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction 'IA.Addition/a1*.iii)001aceiii‘tt , performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,eQuip •,. , .•• ,••- v.---,1,.1 •pro .
Value:$ 2L1D 0.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El 1-and 2-family dwelling lg.Commercial/industrial 0 Accessory building For al information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: /2_5,,e6-' 5Cv // a',', .57" Furnace 100,000 BTU(ducts/vents) 46.75
-
City/State/ZIP: 7;, , --di al? 977 0 y Furnace 100,000+BTU(ducts/vents) .. 54.91
0 if Heat pump 61.06
Suite/bldg./apt.no.: Project name: ,67e (I #o 1- 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: Lot no.:
Other fuel appliances: _
Tax map/parcel no.: Water heater / 23.32
DESCRIPTION OF WORK : t Gas fireplace/insert 33.39
Flue vent for water heater or gas
0-e_ qa:130;--44424,--i: 7cor h,-5-71 /Aly7 fireplace 1 23.32
Log lighter(gas) 23.32
,t v•e/-e_r A e a-7-e,-r- / ''e w e,..,&7,-7,1_,- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
d
1/ Chimney/liner/flue/vent , 23.32
Other: 23.32
0 PROPERTY OWNER , 0 TENANT
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,
2 23.32
toilet compartments,utility rooms)
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
lit APPLICANT in,CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 5i.A.- /c t- C__C-
/ $14.15 for first four;$4.03 for each additional
Contact name: cr-ki,,-;15 Furnace,etc.
Gas heat pump
Address: f76 a..),... //?s 3
Wall/suspended/unit heater _
City/State/ZIP: n2,7//,,,,,,,,,6( c7v,--2- (y.,•7z..(/ Water heater /
Phone:(503) e?/'S3 207 3 Fax::( ) Fireplace
Range
E-mail: -4,,,_-z- e ...,,,,--,,4 e./(...?c:-I r-i c„ 60,4 Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 5, ,1 (__ (- C Other:
/ MECHANICAL PERMIT FEES*
Address: IV eox /7Zgz Subtotal ii 5- 14
City/State/ZIP: /q7C-//a/I4C1 01C7-- 9 7// Minimum permit fee($90.00)
Plan review(25%of permit fee) gl•71
Phone:( O3) (753' z 05 7_.,- Fax:( ) State surcharge(12%of permit fee)- i 3. U
CCB lie.: / ---F ,S---.7 g TOTAL PERMIT FEE /6-7.70
, /
Authorized signature: .,_ ..--"I ..--
... 0155;11' ..
. .r7 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
-:::---
Print name: ----X des/3- Ar Date: 1....- Y-/TZ
I.\Building\Permits\MEC_PermitApp_040113.doc , 440-46I7T(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:
12436 SW MAIN ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00235
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor