Permit (107) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00676
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2017
Parcel: 25101 CA00200
Jurisdiction: Tigard
Site address: 7920 SW HUNZIKER RD
Project: TerraFirma Subdivision: None Lot: None
Project Description: (1)exhaust fan for locker room.
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 09/06/2017 $69.06
Class of Work: ALT Type of Const: Plan Review 09/06/2017 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/06/2017 $8.29
Stories: Info Process/Archiving-Sm$0.50(up to 09/06/2017 $0.50
11x17)
Project Valuation: $500.00
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: 1 Vent Systems: Total $95.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC - calling 50 .,232.1987 or 1.800.332 2344.
r / L
Issued By: ; Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
- City of Tigard of i "` , ' `tya C. /� Permit No.:`/ G /- 4-
" 13125 SW Hall Blvd.,Tigard,OR 97223 Kr I
Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: /
TIGARD Inspection Line: 503.639.4175 Date Ready/By. Juris 0 See Page 2 for
Internet: www.tigard-or.gov SEP 06 2017 Notified/Method. Supplemental Information
TY OF TIGARI)
TYPE OF WORK COMMERCIAL FEE* SCHEDULE– USE CHECKLIST
r__, t (i It ' '"/icigl ? Mechanical permit fees*are based on the value of the work
New construction Addition/alteratio ilia performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ ,if�'ej C/y�.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES+*"
❑ 1-and 2-family dwelling ril 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:.I jtI Air conditioning 46.75
Job site address: 79`LO (,I) l+tth 7. Ih'2✓ Z(i Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I �e C/c. p 7'' y Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: 11......— _/ Q t Heat pump 61.06
vrbe't }-1 Duct work 23.32
Cross street/directions to job site: 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 WORE.. Gas fireplace/insert 33.39
Flue vent for water heater or gas
Ex lal.h 5 4 otiei cot- totCK-e.r,....r...,/ 04,`1-4.9oori, 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 0 TENANT Other: 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
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Rm Lj 14,eoty 1 L t /� c0/,rt. Fuel piping:
"1 `7 $14.15 for first four;$4.03 for each additional
Contact name: a'�Y>� V J Fumace,etc.
Address: ?O ioh itz,6 s Gas heat pump
�{^� � Wall/suspended/unit heater
City/State/ZIP: (At,h,� C� 9,01.3 Water heater
Phone:sh)') 'c6 h4 Fax: :( ) Fireplace
E-mail:
re`Yk-1. ( Range
�e.1'v 1 Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
L MECHANICAL PERMIT FEES*
Address: J
61.-' Q„.. Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: IyCO S C TOTAL PERMIT FEE is/2.
n This permit application expires if a permit is not obtained within 180
1 days after it has been accepted as complete.
Authorized signature: 1 * Fee methodology set by Tri-County Building Industry Service Board
Print name: S. .rent il a.t i i_)arJerl Date: 9%.,..5".....j>,
I.\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)