Loading...
Permit (11) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00256 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017 T t t Parcel: 2S102AD02700 Jurisdiction: Tigard Site address: 8970 SW BURNHAM ST Project: Pacific Rim Martial Arts Subdivision: BURNHAM TRACT Lot: 5 Project Description: (4)mini split systems,(1)split system,(4)bathroom exhaust fans,and(1)clothes dryer. Contractor: ROTH HEATING&COOLING Owner: MARTYN PROPERTIES LLC PO BOX 1265 17051 SW RIVENDELL DR CANBY, OR 97013 PORTLAND, OR 97224 PHONE: 503-266-1249 PHONE: FAX: 503-266-3478 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/24/2017 $1,333.23 Class of Work: ALT Type of Const: VA Plan Review 04/24/2017 $333.31 Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 04/24/2017 $159.99 Stories: 3 Info Process/Archiving-Lg$2.00(over 04/24/2017 $2.00 11x17) Project Valuation: $48,750.00 Info Process/Archiving-Sm$0.50(up to 04/24/2017 $12.50 11x17) 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: 1 Heat Pump: Appliances Vent Fans: 3 Vent Systems: Total $1,841.03 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: 4 split Duct Work: systems Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.:00.332.2344. Issued By: r Z Permittee Signature: Aiyf Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. f Mechanical Permit Application FOR OFFICE USE ONLY City Received of Tigard Permit No. III " 13125 SW Hall Blvd.,Tigard,OR 9722 +r Date/By: // / 7 „` ��� 7 _: Phone: 503.718.2439 Fax: 503.598.19 „ a+"� Plan Review I J Other Permit ,,qq,, � Inspection Line: 503.639.4175 DateBy. � f* ������ tJ��ge fort9 oi C�C1e - TIGARD P I1 7587 Date Re y: Juris ® See Page 2 for Internet: www.tigard-or.gov APR d L Notified/Method: .-7-g6„ Supplemental Information TYPE OF WOI I• p OF �71Q COMMERCIAL FEE* SCHEDULE USE CHECKLIST �� Mechanical permit fees*are based on the value of the work ❑New construction [1ij Addition/altera' rep acement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ Ofie3 CATEGORY OF CONSTRUCTION ' RESIDENTIAL EQUIPMENT/STEMS FEES* ❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family D Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: g 7 70 I'd . u,r 1 on S/i Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: `t L' / `1>23 Furnace 100,000+BTU(ducts/vents) 54.91 9rct,r Suite/bldg./apt.no.: Project name: }7 t ` t J d iyl,,. Heat pump 61.063 Q,U�T r�i %?a/+�7 �i�fCQ,/ id- 'J 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 LI 1 h t /t+ Svstervi5 r fireplace 23.32 Log lighter(gas) 23.32 r ��11 9" _Sti S rvt rI,k,✓ CI' Ai C/ (1 r 0r5 pI�"" -- Wood/pellet stove 33.39 Li. 1 c, 1 Co-r 5 v.eri�Jii.he Wood fireplace/insert 23.32 I D Chimney/liner/flue/vent 23.32 ���� C'iY�? 4- Other 23.32 0 PROPERTY OWNER 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, toilet compartments,utility rooms) 23.32 Phone: ( ) Fax:( ) Attic/crawlspace fans 23.32 14. APPLICANT . ❑ CONTACT PERSON Other: 23.32 1i 1 Fuel piping: Business name: eZ b4 14 �/ c6- fit'' ( 011 y J $14.15 for first four;$4.03 for each additional Contact name: 3�"� ) Furnace,etc. „ `, � Gas heat pump Address: F/h62/`y� o BQk $ Wall/suspended/unit heater City/State/ZIP: r_ct,fl ©,, 97013 Water heater Phone:(6-0.. ) �� /1(]�� Fax: :( ) Fireplace F.-mail: 710 ...e Re1-k'-/) .c a ('.<3Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: MECHANICAL PERMIT FEES* Address: _14_ 1 1._"p Subtotal City/State/ZIP: � �� Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: /(,(:)f)3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: /' t i� . Fee methodology set by Tri-County Building Industry Service Board Print name: . .er e Ai Ile,li I h4G /a,7 Date: q,(a.1 1-,Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 8970 SW BURNHAM ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2017-00256 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor