Permit (38) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: MEC2017-00342
Date Issued: 06/05/2017
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439
TI��.1id.� 9
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD
Project: Ways and Means Oyster House Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: Exhaust hood installation for TI.
Contractor: PKNW CONSTRUCTION LLC Owner: BV CENTERCAL LLC
PO BOX 3686 ATTN: FRED BRUNING
HILLSBORO, OR 97123 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
PHONE: 503-536-6427 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/05/2017 $487.41
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 06/05/2017 $58.49
Occupancy Grp: A-2 Occupancy Load: Plan Review 06/05/2017 $121.85
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/05/2017 $15.00
11x17)
Project Valuation: $15,500.00
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 $682.75
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: vent fans
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 Notif tion 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 dire (-questions to O1- C b i g 5 3.232.1987 or 1.800.332.2344.
Issu d By: �J� 411 Permittee Signature:
r lir
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.
Mechanical Permit Application
City of Tigard Received ,
Date/By: 5//,-/ Permit No.:,nizea^
13125 SW Hall Blvd.,Tigard,OR 97223iri 7�jcayA
C Phone: 503.718.2439 Fax: 503.598.1960 n Review
y s '' Other Permit.
TI G A R D Inspection Line: 503.639.4175 VE te/B . C . 1 ` #;71Ari?, Cleit'S
Internet: www.tigard-or.gov Date Ready/By: l ( 7uris: El See Page 2 for
MAY 15 297 Notified/Method: $ /i Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
C{TY OF 116
't title O DIVISION Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteratio iGttt6CMt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ /•- 0 6)
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:
Job site address: 3 �ly�c' 1_ —� Air conditioning 46.75
_5, p _ �J # It.. _ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7 p,die.._1e C 711 J Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: �/�j Heat pump 61.06
CO y.5 d"✓ { J A/7G-7 ,,7 Duct work 23.32
Cross street/directions to job site: 7 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.: Oth
er' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
1 i ��k \ -e)(( � ko o Flue vent for water heater or gas
h ,i-Vr fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:
❑ PROPERTY OWNER l 13 TENANT 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
' ❑ APPLICANTCONTACT PERSON ;: Other: 23.32
Business name: 7( a orrot-
yk-V- Fuel piping:
/ $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
E-mail: Range
�u ���> d(( /�(J,'1 {yl ft I J ( Cahn, Barbecue
CONTRAC R Clothes dryer(gas)
Business name: KN)w , c t c)n Other:
Address: ..2 l 2� ( 8 }q,,,a 4 2 10
MECHANICAL PERMIT FEES*
J �� 1 �'�' (� Subtotal
City/State/ZIP: �,.�t(— (�01Minimum permit fee($90.00)
Phone: �� ( ) Plan review(25%of permit fee)
( �) �'�� Fax: State surcharge(12%of permit fee)
CCB lit..: .....2,0q1 :;) ,A 130 I i _, 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:
* Fee methodology set by Tri-County Building Industry Service Board
Print name: /...,it>,( r& j_„e/+� c C,L Date: 6.- N , --``7
\I:Building\Perntits\MECPermitApp_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:\Bui1dmg\Permits\MEC_PecmitAPP_040113.doc 2