Permit IN ,
CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2017-00975
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2017
Parcel: 2S102AC00800
Jurisdiction: Tigard
Site address: 12555 SW MAIN ST
Project: Barber Shop Subdivision: None Lot: None
Project Description: Replacing existing furnace and adding a new 3-ton air conditioning unit.
Contractor: ANDERSEN HEATING, INC. Owner: FINKE,ALEX& LOTTI
16285 SW 85TH AVE STE 410 % KADEY, GEORGE S JR
TIGARD, OR 97224 12551 SW MAIN ST
TIGARD, OR 97223
PHONE: 503-992-6664 PHONE:
FAX: 503-536-6615
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/21/2017 $151.95
Class of Work: ALT Type of Const: VB Plan Review 12/21/2017 $37.99
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/21/2017 $18.23
Stories: Info Process/Archiving-Sm$0.50(up to 12/21/2017 $10.50
11x17)
Project Valuation: $3,200.00
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: 1 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $218.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 by calling 503.232.1987 or 1.800.332.2344.
---2Issued By: Permittee Signature: ,� !'-_
/;
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Call 03.639.4175 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 a g, Received
;. t Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97 I �' �'� ��l7 r /f�''c„"Jlo17' d 7S—
_ Phone: 503.718.2439 Fax: 503.598. f10.1
Plan Review
TI G A R D Inspection Line: 503.639.4175 r �) �1 Date Re ' �2—� Other Permit:�.yl1- i✓1 j�_
Internet: www.tigard-or.gov p - Date Ready/By: Jur s: l� See Page 20flor
- otified/Method:
4,,..,
Ot.. ,c!I I art'°')''' // -- Supplemental Information
i:.///�TYPE OF W1"DllAVa+ COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
❑New Construction Mechanical permit fees*are based on the value of the work
®Addition/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:$$3,200.00
❑ 1-and 2-famil dwellin RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
y g ®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:
Job site address:12555 SV Main St Air cpnditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:Barbur Shop 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Replace existing 80%furnace with new.Add new 3 ton air conditioner Hue
rep vent for water heater or gas
place 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 1 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
<+ APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Andersen Mechanical Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Matthew Kinne Furnace,etc.
Address:16285 SW 85th Ave#410 Gas heat pump
City/State/ZIP:Tigard,OR 97224
Wall/suspended/unit heater
Water heater
Phone:(503)992-6664 Fax::( ) Fireplace
E-mail:Matthewk@andersenmechanical.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Andersen Mechanical Other:
Address:16285 SW 85thAve#410 MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Tigard,OR 97224 Minimum permit fee($90.00)
Phone:(503)992-6664
F./( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:168214 , / - TOTAL PERMIT FEE
This 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: jkik(lik-6,..) l4;YL� Date: f Z—6- (
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
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12555 SW MAIN ST, TIGARD, OR, 97223 December 29, 2017 at
10:32:24 AM
Record Type: Record ID:
Commercial - Mechanical MEC2017-00975
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor