Permit (59) CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2017-00578
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2017
Parcel: 2S 101 CA00200
Jurisdiction: Tigard
Site address: 7920 SW HUNZIKER RD
Project: TerraFirma Subdivision: None Lot: None
Project Description: Replace and reroute ductwork for TI
Contractor: ROTH HEATING&COOLING Owner: WALL STREET INDUSTRIAL LLC
PO BOX 1265 7900 SW HUNZIKER RD
CANBY, OR 97013 TIGARD, OR 97223
PHONE: 503-266-1249 PHONE:
FAX: 503-266-3478
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/07/2017 $124.32
Class of Work: ALT Type of Const: Plan Review 08/07/2017 $31.08
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/07/2017 $14.92
Stories: Info Process/Archiving-Sm$0.50(up to 08/07/2017 $0.50
Project Valuation: $2,250.00 11x17)
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 $170.82
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
Utilit • - ion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions • OUNC • calling 503.232.1987 or 1.800.332.2344.
sued By: . , ,, i Permittee Signature: 4
/0
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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 Applicat E—% FOR OFFICE USE ONLY
111 I.
City of Tigard Received �I gyp
v Date/By: ��'� Permit No.:/If`I aG�? D�a/ 0
13125 SW Hall Blvd.,Tigard,OR 97223 AUG 7 Plan Review
Phone: 503 Line: 43. Fax: 503.598.1960 2�17 Date/By: Other Permit://i)14 /',Od I Q
TIGARD Inspection 503.639.4175 O1 OF
Internet: www.tigard-or.gov , f T � ./t p� Date Ready/By: Juris: ® See Page 2 for
U'Ll't�� �`+'l/1{�r/4 Notified/Method: Supplemental Information
LJ ��t/Ia�lO 1
TYPE',OF WORK COMMERCIAL FEE* SCIIEDULE-- USE CIIECKLIST
❑New construction Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTkIJCTTON Value:$$2,250.00
RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
0 1-and 2-family dwelling ®Commercial/industrial
0 Accessory building For special information use checklist.
❑ Multi-family 0 Master builder ❑Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address:790 SW Hunziker Rd Air conditioning 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.: Project name: Heat pump 61.06
�Q r '2�ii— Duct work 23.32
Cross street/directions to job site: Hydropic 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
Replace and reroute ductwork for tennat improvement 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
Chimney/liner/flue/vent 23.32
El PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Terra Firma Range hood/other kitchen
Address:Same 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
al APPLICANT ❑.CONTACT PERSON Other: 23.32
Business name: Roth Heating Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Jerry H Furnace,etc.
Address:PO Box 1265 Gas heat pump
City/State/ZIP:Canby Or 97013 Wall/suspended/unit heater
Water heater
Phone:(503)266-1249 I Fax: :( ) Fireplace
E-mail: roth@roth-heat.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same Other:
Address: MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) I Fax:( )
State surcharge(12%of permit fee)
CCB lie.: 14008 TOTAL PERMIT FEE 9/7,,.t:4
(.- This permit application expires if a permit is not obtained within 180
t r days after it has been accepted as complete.
Authorized signature: ,' Fee methodology set by Tri-County Building Industry Service Board
Print name:Jeremiah I Har on � I Date:8/3/17
I.\Building\Permits\MEC_PermitApp_0401 13.doc
440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7920 SW HUNZIKER RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00578
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor