Permit (135) CITY OF TIGARD MECHANICAL PERMIT
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"'• COMMUNITY DEVELOPMENT Permit#: MEC2017-00540
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2017
Tf Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12284 SW SCHOLLS FERRY RD
Project: Cyclebar Subdivision: None Lot: None
Project Description: Install(3)new RTU's and duct systems.
Contractor: MILL CREEK HEATING Owner: FW OR-GREENWAY TOWN CENTER LLC
PO BOX 428 PO BOX 790830
AUMSVILLE, OR 97325 SAN ANTONIO, TX 78279
PHONE: 503-749-1000 PHONE:
FAX: 503-743-2469
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/31/2017 $1,600.26
Class of Work: ALT Type of Const: IIB Plan Review 07/31/2017 $400.07
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/31/2017 $192.03
Stories: 1 Info Process/Archiving-Lg$2.00(over 07/31/2017 $8.00
11x17)
Project Valuation: $59,500.00 Info Process/Archiving-Sm$0.50(up to 07/31/2017 $24.00
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:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $2,224.36
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
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 1.800.332.2344.
Issued By: ,t / r 74., !/G � Permittee Signature:
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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.
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Mechanical Permit Application -7 FOR OFFICE USE ONLY
City of Tigard RDateBy: /2 /�! i agar
i 'ermit No/y C /'7.�-e0.5-yo
11 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review Other Perm �J
Phone: 503.718.2439 Fax: 503.598.1960 ,,r Date/By: 7-a[�-i 7 l/'400/ya
7-1 c,A tt I) Inspection Line: 503.639.4175q eCi `� Date Ready/By: Jure See Page 2 for
Internet: www.tigard-or.gov �N Notified/Method: /, �/� ��� I ®Supplemental Information
TYPE OF WORK'� PRO COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
f11 tcAOMechanical permit fees*are based on the value of the work
ElNew construction ®Addition/alteratiOViac ON performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: BO`t'V mechanical materials,equipment,labor,overhead,and profit.
Value:$$59,500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12284 Sw Scholls Ferry Road-Suite A Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:A Project name:CycleBar _
Duct work 23.32
Cross street/directions to job site:SW 121st Ave 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
Install 3 new RTU's and duct systems fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:CycleBar Range hood/other kitchen
equipment 33.39
Address:12284 SW Scholls Ferry Road Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
- toilet compartments,utility rooms) 23.32 _
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
10 APPLICANT ® :CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Mill Creek Heating
$14.15 for first four;$4.03 for each additional
Contact name:Rob Simpson Furnace,etc.
Address:PO Box 428 Gas heat pump _
Wall/suspended/unit heater
City/State/ZIP:Aumsville OR 97325 Water heater
Phone:(503)749-1000 Fax::(503)743-2469 Fireplace
- Range
E-mail:rob@millcreekhtg.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Mill Creek Heating Other:
MECHANICAL PERMIT FEES*
Address:PO Box 428 Subtotal 1600.2
City/State/ZIP:Aumsville OR 97325 Minimum permit fee($90.00)
Phone:(503)749-1000 Fax:(503)743-2469
Plan review(25%of permit fee) 400.07
CCB lie.:159527 y//.5/11 State surcharge(12%of permit fee) 192.03
( TOTAL PERMIT FEE 2192.3
This permit application expires if a permit is not obtained within 180
Authorized signature: 4 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Rob Simpson Date:7/13/17
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(]1/02/COM/WEB)
s
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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12284 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00540
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor