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Permit (168) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00955 Date Issued: 12/04/2017 T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BB01500 Jurisdiction: Tigard Site address: 12242 SW GARDEN PL Project: Chester Labs Subdivision: CROW PARK 217 Lot: 3 Project Description: Replacing existing RTU with new 7.5 ton RTU. Contractor: SPECIALTY HEATING&COOLING INC Owner: ICON OWNER POOL 1 WEST LLC 7500 SW TECH CENTER DR STE 130 BY RYAN TIGARD, OR 97223 PO BOX 460169 HOUSTON, TX 77056 PHONE: 503-620-5643 PHONE: FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/04/2017 $368.03 Class of Work: ALT Type of Const: VB Plan Review 12/04/2017 $92.01 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/04/2017 $44.16 Stories: Info Process/Archiving-Sm$0.50(up to 12/04/2017 $7.00 11x17) Project Valuation: $10,800.00 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 $511.20 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OU C by calling 503. 32.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspecif on date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Received - Cityof Tigard 7 / g k u. Date/By: L Permit No.: � i ill III13125 SW Hall Blvd.,Tigard,OR r, i / ��, - ' 41 -II i `5 Plan Review Phone: 503.718.2439 Fax: 503. '8. '.I Date/By: i `. Other Permit: T I G A R D Inspection Line: 503.639.4175 rr{ 4 2017 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov L)L_1, Notified/Method: Supplemental Information c✓iTY Qt- 1 iG/\ ) TYPE', j(q}ff W ivisI )�.¢ COMMERCIAL FEE* SCHEDULE -USE CHECKLIST 11 Mechanical permit fees*are based on the value of the work ❑New construction , ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$`p/ gQp 12 RESIDENTIAL EQUIPMENT J SYSTEMS FEES* ❑ 1-and 2-family dwelling Wommercial/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 46.75 Job site address: /12/107 6'1/.9 &CZfrC/eA1 place_ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: T,'VV o v ©,A 9 707 ,3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:CA .›Sf'/' L 1/fle_f• Heat pump 61.06 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 17 1 / ,( r Flue vent for water heater or gas E'�I/a C(� [�X Z S f/Lig, f 7-a G✓ f-/!/1 �E�Lcf 7t�/ f D4/ fireplace 23.32 y7 ,/ L/ Log lighter(gas) 23.32 �C �L Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER TENANT Other: 23.32 Environmental exhaust and ventilation: Name: G ti ,mss e L q Range hood/other kitchen ,� / equipment 33.39 Address: /a� 17 .5W 6 P,,,i it()/ et G e, Clothes dryer exhaust 33.39 City/State/ZIP: 9 G,,--d �6 9 07 73 Single-duct exhaust(bathrooms, V toilet compartments,utility rooms) 23.32 Phone:(.c03)477 yam.7/0 Fax:( ) Attic/crawlspace fans 23.32 E APPLICANT 'Q;CONTACTPERSON Other: 23.32 J / // Fuel piping: J Business name: /ece42_ Z4' /T t.ce A �`c,/�A./7 $14.15✓ 14.15 for first four;$4.03 for each additional Contact name: J'e.�.1 sCA,,/q b Furnace,etc. ' Gas heat pump Address: 7,312 d, ,�' "�p Ce,ate," �lr Wall/suspended/unit heater / City/State/ZIP: Q pd Of). 4?7,,707.3 Water heater Phone:(3 ) b/6,-69773A l 1Fax: :( ) Fireplace /a-C$$`j l �Ci Range E-mail:J f-�S J p� �� f, e �,,.t Barbecue CONTRACTOR Clothes dryer(gas) Business name: AI ea,/ A. (,a��f Other: � / MECHANICAL PERMIT FEES* Address: 750o ,5c,/ le Ci 6....,i,7„, j`, Subtotal City/State/ZIP: / a vd 0A 97,;?R 3 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( e: ) 616-0713 Fax:( ) State surcharge(12%of permit fee) CCB lic.: ,6,5 7g TOTAL PERMIT FEE 0This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: J Sc1 Gt/4Ze Date: /2///07p/' 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-Family 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\MEC_PermitApp_040113.doc 2 City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Mechanical Permit Appointment Checklist Permit Record#: / env( '- Contact Name: Ti.{ SC 4tc✓at 6 Phone #: 67.1S -( �( -Lv 773 Business Name: i „ �, �' ' Appointment Date: Site Address: ,SG• �� L / 0-2kt l,(� fr-6-i, /. Bldg/Suite #: Project Name: krsfrc- Project Description: Krt�� ems(�yy'� /(7 ��t.W 7S- 17))-1 x-ITt. Related Record#: T-- GENERAL INFORMATION *Class of Work: Occupancy Group: [3 Type of Construction: V—(� *Type of Use: a Oregon Specialty Code: ao� 7 Number of Stories: FUEL FURNACES Type: 4-s Furnace< 100K BTU Furnaces>= 100K BTU Gas Pressure: Roof Top Unit(RTU) 1 Tons 7. Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units<= 10000 cfm Type 1 Hood Type 2 Hood Units> 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler(BTUs) Vent Fans Gas Line Solid Fuel Fireplace/ Clothes D ers Gas Outlets Woodstove Duct Work Gas Fireplace Fire/Smoke Dampers Other Mechanical Units-Describe: Total Project Valuation: $ )0� g 00 $ 3 6$ •03 Mechanical Permit Fee $ 9 . • O 1 Plan Review $ 1.,, Li. 6 12%State Surcharge $ Info Proc/Arch,Lg(over 11x17 $2.00) $ 7 . 0 0 Info Proc/Arch,Sm(up to 11x17$0.50) $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: � „ �I I-,iLLL4.L., Date/Time: 42/47 it> I; ?U $ s ) J .toO TOTAL FEES DUE I:\Building\Forms\OTC_MEC_021116.docx