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Permit (58) CITY OF TIGARD MECHANICAL PERMIT III 1 '- COMMUNITY DEVELOPMENT Permit#: MEC2017-00986 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 12/14/2017 T f Ca al RD9 Parcel: 2S102AD01601 Jurisdiction: Tigard Site address: 9037 SW BURNHAM ST Project: Deangelos Catering Subdivision: None Lot: None Project Description: Gas furnace replacement. Contractor: SPECIALTY HEATING&COOLING INC Owner: 9037 BURNHAM LLC 7500 SW TECH CENTER DR STE 130 9037 BURNHAM ST TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-620-5643 PHONE: FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/14/2017 $170.37 Class of Work: ALT Type of Const: Plan Review 12/14/2017 $42.59 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/14/2017 $20.44 Stories: Info Process/Archiving-Sm$0.50(up to 12/14/2017 $3.00 11x17) Project Valuation: $3,750.00 Fuel Air Handlers Fuel Types: Electricity 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: 4 Heat Pump: Appliances Vent Fans: Vent Systems: Total $236.40 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 otain acoy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 Bf.1D.r3.32.2344. ,, !` g > A ,. Issued By: iFie:eyzo€4.....7 Permittee Signature: 6.,, F /L'j-/f 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 :� Received �/ _ ` LGA/ Permit No.: #1t !` 13125 SW Hall Blvd.,Tigard,OR 972 (\'0 DateBy: S ori k IS 1J Plan Review — -7 Other Permit: . - III Phone: 503.718.2439 Fax: 503.598.1960 '` DateBy: -- ,; V — g T t G A R U Inspection Line: 503.639.4175 s\\, ,.' k * ReadyBy El See Page 2 for Internet: www.tigard-or.gov �� � � � 'ed/Method: 1? /L/ l �� Supplemental Information � . 6 ,.r TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ' Mechanical permit fees*are based on the value of the work ❑New construction . 1=:A.—ddition/alteratiorAplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$371j� CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling 1,Commercial/industrial ❑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: 903 7 c51 ) 814; I/OM 51. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: r� Furnace 100,000+BTU(ducts/vents) 54.91 l t�c�vi ��` 970 � , /! Heat pump 61.06 Suite/bldg./apt.no.: Project name: ie/1������� cd,/,,,,,i.. 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 Other: 23.32 Subdivision: Lot no.: 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 Ikr e ex/.S /_/ 4/ / i 0/J� ld�t int9Cl,GJC'!O fireplace 23.32 t / f Log lighter(gas) 23.32 / 't Aiei,/ '7 /6,/ _fes 7©,ti/C�';7Lt6*(1C2l' Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 4EOROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: z,, /1�� ���; ��,�/,Ly Range hood/other kitchen // equipment 33.39 Address: C ,,(:),_3v7' sai /')�.�`© s' _ Clothes dryer exhaust 33.39 City/State/ZIP: 7 YY�i Single-duct exhaust(bathrooms, Y (ka A, tJ07o2 3 \/ toilet compartments,utility rooms) 23.32 Phone:( P3)Gal 90j° Fax:( ) Attic/crawlspace fans 23.32 APPLICANT CONTACT PERSON Other: 23.32 ' Fuel piping: Business name:S�0rf // / fj C uC� $14.15 for first four;$4.03 for each additional Contact name: J e xw qb ✓ Furnace,etc. 7 -7;.,„efQ , o//e /.... ...) Gas heat pump Address: � `jW1 �"/ ` `' Wall/suspended/unit heater City/State/ZIP: ('/, . ki n 9202,73 Water heater Phone:( -j) b/6 9773 Fax::( ) Fireplace t Range E-mail: J e g),...5 G J�eC/a /'�//`Z�ciri 'eepe-n Barbecue CON/TRACTOR Clothes dryer(gas) Business name: /eCc2 1 i // ,y, 7- j ///� Other: ✓ MECHANICAL PERMIT FEES* Address: 756r) .SO i���/ (-76 -1,;--7-- A---. Subtotal City/State/ZIP: 7Z,42,,,.-// g� 073 Minimum permit fee($90.00) � �h' 't Plan review(25%of permit fee) UIQ Phone:(5(0) .�Q 773 Fax:( ) State surcharge(12%of permit fee) CCB lie.:/ i7 TOTAL PERMIT FEE y ,e(7._ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: / 'k� * Fee methodology set by Tri-County Building Industry Service Board Print name: NY'e,i- SrAzAye2 Date:/a7///7/7 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#: /"1px,2v(7—Wq Contact Name: Phone #:a(J 3-6/6 — 0 77.3 Business Name: /5 -�/,J6 Appointment Date: /c//4/,7 ,cQ l©,eme9 Site Address: 90g 7 /.6-e14/1/f Bldg/Suite #: Project Name: Project Description: Related Record#: GENERAL INFORMATION *Class of Work: A Occupancy Group: 4 Type of Construction: j> *Type of Use: CaA Oregon Specialty Code: 2z)(-7)1-7 Number of Stories: FUEL FURNACES Type: e 1G Furnace< 100K BTU Furnaces>= 100K BTU Gas Pressure: Roof Top Unit(RTU) Tons Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning 4 'To yl 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: $ - 7.�4 tre $ 7 0 .37 Mechanical Permit Fee $ c1 S 4 Plan Review $ ao ,i y.. 12%State Surcharge $ Info Proc/Arch,Lg(over 11x17$2.00) $ 3 Info Proc/Arch,Sm(up to 11x17$0.50) $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: • Date/Time: $ a36,4 0 TOT• FEES DUE I:\Building\Forms\OTC_MEC_021116.docx