Permit (59) CITY OF TIGARD MECHANICAL PERMIT
11' COMMUNITY DEVELOPMENT Permit#: MEC2017-00613
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2017
T[ "��° Parcel: 1S136DD03800
Jurisdiction: Tigard
Site address: 11675 SW 66TH AVE
Project: CIS Subdivision: WEST PORTLAND HEIGHTS Lot: 4-8&27
Project Description: Replacement of(9)RTU's.
Contractor: TEMP CONTROL MECHANICAL SERVICE Owner: CITY COUNTY INSURANCE SERVICES
4750 N CHANNEL AVE 1212 COURT ST NE
PO BOX 11209 SALEM, OR 97301
PORTLAND, OR 97217
PHONE: 971-801-4123 PHONE:
FAX: 503-735-3690
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/15/2017 $2,260.11
Class of Work: ALT Type of Const: VB Plan Review 08/15/2017 $565.03
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/15/2017 $271.21
Stories: Info Process/Archiving-Sm$0.50(up to 08/15/2017 $10.00
11x17)
Project Valuation: $86,000.00
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 $3,106.35
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 the rules adopted by the Oregon
Utility Notification Center. Those rules re set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
T
or direct questions to OUN�, calf•. 50 , 2.1987 or 1. 0.332.2344.
/
Issued By: r ^ / •., Permittee Signature: 41(
V . ./:
Call 503.639.4175 by 7:00 a.m.for the next available inspection •at-.
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 Appl' FOR OFFICE USE ONLY
`J g
Cl of Tigard Received
Permit No
711
13125 SW Hall Blvd.,Tigard,OR 9723 Date'By: a//ern'? 161?-2°12
�f�— /y���
} Plan Rc�ietxl �''((JJ
Phone: 503.718.2439 Fax: 503.598. `t Q�� DPate%By It (J Other Permit:
T I G A R D Inspection Line: 503.639.4175 ii Date Ready/By: ]oris: El See Page 2 for
Internet: www.tigard-or.gov ��ry �' �I � L� Notified'Method: 7`e,/ Supplemental Information
BUILDING DIVISION 4-..
TYPE OF:WOR,K
COMMERCIAL FEE* S biz _-'USECHECIO AT
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 ❑Other: mechanical materials,equipment,labor,overhead,and profit.
7 � y
Value: STE
_, .. : CATEGORY OF C.ONSTRiCTION : . . � 2FSn>~ lIIAfOtPJ# T 1 S3S7CM
x x
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
"JOB HTE INFORMATION AND LO( T101s Heating/cooling:
Job site �v J� Air conditioning 46.75
address:11675 SWAve Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/OR/973 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name:CIS Duct work 23.32
Cross street/directions to job site:Off of Baylor 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: 1 Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
1 �' v: Gas fireplace/insert 33.39
IESCRiP ON OE Ari ORK : �m *. .
Flue vent for water heater or gas
Replacement of Package Units(9)Like for Like fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
.;', '7,-,t..::4"7"� I +OAR ':„.,-...0' TENAN i ;a;
Other: 23.32
`"`�"'` "`v ,g,'' ' �y`" v�- yEnvironmental exhaust and ventilation:
Name:CIS Range hood/other kitchen
to equipment 33.39
Address: 11675 SW 67 Ave
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
6 APP i ANT . v '" .... .0`CONTACT P /tn SC ' hh Other: 23.32
Fuel piping:
Business name:TCMS
$14.15 for first four;$4.03 for each additional
Contact name:Aeric Estep Furnace,etc.
Address:4750 N Channel Ave. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97217 Water heater
Phone:(971)8014123 Fax::( ) Fireplace
Range
E-mail:aestep@tmlgroup.com Barbecue
k• ,
xh,,z ,h: On A "OR v ' ,. h1' Clothes dryer(gas)
Business name:TCMS Other:
Address:4750 N Channel Ave. Subtotal
City/State/ZIP:Portland,OR 97217 Minimum permit fee($90.00)
n
Plan review(25%of permit fee)
Phone:(971)8014123 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:103165 (/44 ii 6 TOTAL PERMIT FEE 43/vG,35-
This
SThis permit application expires if a permit is not obtained within 180
//77%
days after it has been accepted as complete.
Authorized signature: / , * Fee methodology set by Tri-County Building Industry Service Board
Print name:Aeric Estep Date:8/14/17
t:Building Permiis MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)