Permit (112) CITY OF TIGARD MECHANICAL PERMIT
f 2° COMMUNITY DEVELOPMENT Permit#: MEC2017-00229
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2017
T fes' ° g Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11525 SW PACIFIC HWY
Project: Emerald Outdoor Living Subdivision: VILLA RIDGE Lot: 7
Project Description: Install(1)gas stove with venting and gas line,(1)pellet stove with venting for sales room.
Contractor: EMERALD OUTDOOR LIVING INC Owner: MCLELLAN ESTATE CO
2520 SILVERTON RD NE 707 OLD COUNTRY RD
SALEM, OR 97301 BELMONT, CA 94002
PHONE: 503-370-9355 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/18/2017 $207.21
Class of Work: ALT Type of Const: Plan Review 04/18/2017 $51.80
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 04/18/2017 $24.87
Stories: Info Process/Archiving-Sm$0.50(up to 04/18/2017 $10.00
11x17)
Project Valuation: $5,000.00
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: Vent Systems: Total $293.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: 1 Gas Fireplaces: 1
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fo low the rules adopted by the Oregon
Utility N tion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo, may ob i a copy of the rules
or ect question . OUNC b calling 503.232.1987 or 1.800.332.2344.
Is ued By: / 4 A01' Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A li • E+ FOR OFFICE LSE ONE
City of Tigard EI Y`/ED Received v // • Permit
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 7 /7 Q� aQ 17-QQa o2
7 Plan Review- /k I 1 7
_ Phone: 503.718.2439 Fax: 503.598.AOR 4 2 Q 17 .'►,� l� Other Permit: I
Date/By: j
T t G A R D Inspection Line: 503.639.4175 n Date Rea : Jur s: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: y�/7 / .." Supplemental Information
BUILDING DIVISIO
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 500O
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*.
❑ 1-and 2-family dwelling Commercial/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:
r /1 Air conditioning 46.75
Job site address: //5 2 5 c5 L r-0,,C.l I 1 L 1,-- L Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ! t C I q 72z 3
Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: 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
DESCRIP1 ONy F WORK Gas fireplace/insert /23.32 33.39
Flue vent for water heater or gas
Xl Z. �'Cl Ci,I,( 1-1.12_,i/C).. W6 6 Y'-1.o.- C\C�.S 5 (1--C._ fireplace / 23.32
i _..J _ Log lighter(gas) 23.32
0%)",.-CL (I L T 5 70('f - i � �Q L' vas Wood/pellet stove ' 1 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent - Z 23.32
�' i Other: 23.32
❑ PROPERTY OWNER TENANT
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Vequipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
0 toilet compartments,utility rooms) 23.32
----. Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
br&APPLICANT, CON' AC"T PERSON Other: 23.32
Business name:L kc
(� /} Fuel piping:
Ld 1 lk 14-ti�k t%L`i 'l '� L V) 1'.-- $14.15 for first four;$4.03 for each additional
Contact name: �'i,� ` e f Furnace,etc.
1 J l z ^S N.
�`�! �� Gas heat pump
y J Address: �y i I Lr �; 6G e Wall/suspended/unit heater
ti City/State/ZIP:
(Jk. � VC%, VI. � 730 r Water heater
Phone:5-0 3 70-C7 3 S$` Fax::( ) Fireplace I
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:
6„` "0...Q.._ (A.5 C O 17e- MECHANICAL PERMIT FEES*
Address: 5 Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: I `7 ! (l,C/ TOTAL PERMIT FEE 'tom. ?c3.?8
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signs Cru - eiVt•13 "i �/� * Fee methodology set by Tri-County Building Industry Service Board
Print name: Date: I/
I.\Building\Permits\ _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:
11525 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00229
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor