Permit (182) CITY OF TIGARD MECHANICAL PERMIT
I . .' COMMUNITY DEVELOPMENT Permit#: MEC2017-00482
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2017
T[ aai g Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 70
Project: Bi-Mart Subdivision: None Lot: None
Project Description: Push/Pull(6)Lennox rooftop units
Contractor: HVAC INC Owner: MERCER INVESTMENTS LLC
5188 SE INTERNATIONAL WAY 629 NW SEAN CT
MILWAUKIE, OR 97222 BEND, OR 97703
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/25/2017 $1,687.41
Class of Work: ALT Type of Const: VA Plan Review 07/25/2017 $421.85
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 07/25/2017 $202.49
Stories: 1 Info Process/Archiving-Sm$0.50(up to 07/25/2017 $8.00
11x17)
Project Valuation: $63,000.00
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 $2,319.75
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 follow i he rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo. may obtain a copy of the rules
or direct questions to OUNC by calling 5 .232.1987 or 1.800.332.2344.
7. 1Issued By: , / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date 111 1
This permit card shall be kept in a conspicuous place on the job site until comp •ti•n of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic // n
City of TigardCEWEP RDate/By: asf /7 ��f iio, Pernrit No.:Hee;le,f„ 1 y '2.
,1111 a 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 w 'a 4 , r 1? Other Permit:
DatePlanBReviey:
T 1 G A R IP Inspection Line: 503.639.4175 JUN2017
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: / ,. / /., Supplemental Information
CITY OF IGARD L .�.,
TYPEMA G DW1S14N CO I I RCIAL 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:$$63,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
o 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:
Air conditioning
Job site address:13500 SW Pacific Hwy#70 (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:#70 Project name:Bi-Mart Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: • Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace/insert 33.39
Push/Pull 6 Lennox Rooftop Units
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER I 0 TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name:HVAC,Inc. Other: 23.32
Fuel piping:
Contact name:Jody DePew $14.15 for first four;$4.03 for each additional
Address:5188 SE Internaitonal Way Furnace,etc.
Gas heat pump
City/State/ZIP:Milwaukie,OR 97222 Wall/suspended/unit heater
Phone:(503)462-4822 Fax::(503)462-6555 Water heater
Fireplace
E-mail:jodyd @hvacincorp.com Range
CONTRACTOR Barbecue
Business name:HVAC,Inc. Clothes dryer(gas)
Other:
Address:same as above MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee($90.00)
r, Plan review(25%of permit fee)
CCB fie.:50897 -, State surcharge(12%of permit fee)
�` TOTAL PERMIT FEE
Authorized si afore' This permit application expires if a permit is not obtained within 180
l days after it has been accepted as complete.
Print name:Jody DePew Date:6/28/17 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
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