Permit (81) CITY OF TIGARD MECHANICAL PERMIT
IN2 : ' COMMUNITY DEVELOPMENT Permit#: MEC2017 00773
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2017
f �'" g Parcel: 2S102CC09000
Jurisdiction: Tigard
Site address: 13545 SW PACIFIC HWY
Project: Fast Lane Subdivision: 2008-058 PARTITION PLAT Lot: 1
Project Description: Replacing waste oil heater.
Contractor: CARSON OIL COMPANY INC Owner: JABRA INVESTMENTS LLC
PO BOX 10948 PO BOX 1789
PORTLAND, OR 97229-0948 TUALATIN, OR 97062
PHONE: 503-224-8500 PHONE:
FAX: 503-227-8521
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/10/2017 $291.51
Class of Work: ALT Type of Const: VB Plan Review 10/10/2017 $72.88
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/10/2017 $34.98
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/10/2017 $32.50
11x17)
Project Valuation: $8,000.00
Fuel Air Handlers
Fuel Types: Oil 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 $431.87
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Waster oil
Duct Work: heater
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 .. e•' 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_19.87 88or 1.:10.332.234'.
/
C _._._._
G% a Signature: l /j �J \l
Issued By: .//r .....` k. L– — J
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.
e.
Mechanical Permit Application FOR OFFICE USE ONLY
1,1 : City of Tigard s Received c
Date/By: D ��1( Permit NorJ,/£�e ] 7/j9773
w 13125 SW Hall Blvd.,Tigard,OR 97223 /���` r�(// (/C/
Plan Rev
Phone: 503.718.2439 Fax: 503.598.1960;c I ) . 1)37 DateBy: , ,7 Other Permit:
Inspection Line: 503.639.4175 pT I G A RD Date Read/y By: Juris ® See Page 2 for
Internet: www.tigard-or.gov f'
� Notified/Methodd/do Supplemental Information
m,;.,,,,, ,F�,,.,,,.. COMMERCIAL EEE*':SCHEDU E — 'USE CHECKUST
' i'!.-'!-4,,.1;,''';,,' 'TYPE OF WORK
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
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$$,000.00 4 c>c DD
CATEGORY OE.CONSTRUCT N _,,, ,.. .�--
- .R!SIDENT1AL UIPM1tN 1'.l SYSTEMS `EES*
0 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOBSITFt FORMATION AND..,LOCATION' Heating/cooling:
Air conditioning 46.75
Job site address:13545 SW Pacific Hwy 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.: Project name:Fast Lane 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 WORK'•' Gas fireplace/insert 33.39
Flue vent for water heater or gas
Installing Like for Like waster oil heater under existing ducts. fireplace 23.32
Clean burn 2501-MP Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
ItI PROPERTY"(1WNER', 0 TENANT `
" " ,,- Environmental exhaust and ventilation:
Name:Fast Lane Range hood/other kitchen
equipment 33.39
Address: 13545 SW Pacific Hwy Clothes dryer exhaust 33.39
City/State/ZIP:Tigard OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)620-5112 Fax:( ) Attic/crawlspace fans 23.32
. .. . ►4 APPLICANT - ®`cOl>FTA PERSON— Other: 23.32
Fuel piping:
Business name:Carson Oil Co
$14.15 for first four;$4.03 for each additional
Contact name:Athena Casciano Furnace,etc.
Address:3125 NW 35th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland OR 97210 Water heater
Phone:(503)471-4317 Fax: :(503-)222-0186 Fireplace
Range
E-mail:Casciano@carsonteam.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Carson Oil Co Other:
MECHANICAL,PE_MIT FEES*.
Address:3125 NW 35th Ave Subtotal
City/State/ZIP:Portland OR 97210 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)471-4317 Fax:(503)222-0186 State surcharge(l2°/a of perismit fee)
CCB lic.:8388 /�// TOTAL PERMITpermitnot FEE
-- -- This permit ion expires ifi a obtained within 180
days after it has been accepted as complete.
applicat
Authorized signatu
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Athena Casciano Date: 10/4/17
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-FamiIy 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.
I:\Building\Permits\MBC_PermitApp_040113.doc 2