Permit (181) CITY OF TIGARD MECHANICAL PERMIT
li " COMMUNITY DEVELOPMENT
Permit#: MEC2018-00109
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2018
T t t;,ti It.n g Parcel: 2S102AA04100
Jurisdiction: Tigard
Site address: 12230 SW MAIN ST 100
Project: Live Laugh Love Subdivision: None Lot: None
Project Description: Install(1)hood.
Contractor: OWNER Owner: HOBO PROPERTIES LLC
HOBO PROPERTIES LLC PO BOX 8087
PO BOX 8087 PORTLAND, OR 97280
PORTLAND, 0 R 97280
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/15/2018 $69.06
Class of Work: ALT Type of Const: IIIB Plan Review 02/15/2018 $17.27
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/15/2018 $8.29
Stories: Info Process/Archiving-Sm$0.50(up to 02/15/2018 $1.00
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: Vent Systems: Total $95.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Hood for
Duct Work: glass blowing
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 952-00 -0190. You may o ain a copy of the rules
or direct questions to OUNC by calling 503.232., 987 or 1.800.332.2344.
/ I
Issued By: —r ‹c ', /'� ; ttee Signature 4
`>/J,
Call 503.639.4175 by 7:00 a.m.for the next availabl• .ection 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.
A
Me&anical Permit Application FOR OFFICE t SF Oyl.)
eEZiew
PermitNo.:ill g RECEIVE . � l , moi. cX1 ,
13125 SW Hall Blvd,Ti ard,OR 97223 / l
I Phone: 503.718.2439 Fax: 503.598.1960 t� J VI Other Permit:
Inspection Line: 503.639.4175 Date Re �.'y J
1 l C;n ft U FEB � � �O�� Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: / yfr Supplemental Information
tDI' O f cE••'1.- • E l ! i !x tri
,;.�. ��',+�,.3'ns -x,+.rt iry N '�.` x ng ,'. ;.� 'P �g ffi} axj ` .c w,>o_ � ,.-c .x-..--._ � �- s� �°a - -',+�-d
1 ti ! I, j N Mechanical •permit fees*are based on the value of the work
❑New construction Addition/altera' , t VV performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
; � ,.�` zr" -„ ..'^r g ##r ,v, wtrs+r,�y rYtt. ....5.-,,,,,,,-714.-"" k- "* Value $ 5-�'�
� iA,; x f-^..s l giii' ;i-:' .x ice: 'A-' -' °`5 i t E r E i E t j,. ,. , �+;� &.
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building h For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
--Or� : r ' `s Heating/cooling:
"..`''.w.�. r, xm xw�^c� l:f c.a, 4 1 Y t 1-u 1 ,w#�- t- ', ,,,. 3..,. ..
7Jy/� 1 p " Air conditioning 46.75
Job site address: / "Z_ 6 SL,a.,/ /i' : , i Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP C/' & � / �3 Furnace 100,000+BTU(ducts/vents) 54.91
S /A� Heat pump 61.06
Suite/bldg./apt.no.: Project name: L„✓L U � Duct work 23.32
Cross street/directions to job site: /` H drone hot water system 23.32
`�l�,C�:t� A. �'�,�;,,t� Y Y
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
t )- a 4t � t t r ` .,` ` i .z Gas fireplace/insert 33.39
-' '�4 " :/' " ' "' . "''';64-444 71-'"4".".'"-" d Flue vent for water heater or gas
AIFap . // /e5-4) fireplace 23.32
�L%� Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
r Other: 23.32
" , : i. s . f -vim r„ 4..:.'. 4
�7 Environmental exhaust and ventilation:
A Name: gu4 0 c4 ov/lf t--/A'4.5• Range hood/other kitchen
equipment 33.39
Address: /' 16()''"‘,-. ,� ( i'
Clothes dryer exhaust 33.39
City/State/ZIP: �a y e d c-----:L-77,t2 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
'k4,'71:7' 4 1 "d (I z ' 7. '»'' _ 31 1 '3 Other: 23.32
ii s _ .�. -:_. --,f.,,,.r ,. .. "_4--�, � ,". .,;.,.1,'",.,07:4:j., P piping:Fuel > in
/ ` g:
041 Business name: v� !�U tier -r $14.15 for first four;$4.03 for each additional
V► Contact name: , 77 `i44,..„�''r- Furnace,etc.
„ r /14,. Gas heat pump
Address: (�1C.J ��/ Wall/suspended/unit heater
--. City/StateCity/State/ZIP: / /;411( ILZZ Water heater
41 Phone:(<0.C) e 44. 78// 97 Fax::( ) Fireplace
RanE-mail: 4) 7713 Z,,,„,„,. (-.,L(L/ h Zede ,a,-.7:-C.6;01"1 Barbecue
+C�JNCT4$ Clothes dryer(gas)
Other:
Business name: �/�� 14Ecii*N1040..PEI MIT 1**
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 77 7 2 6 G Fax:( ) State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
k 1 days after it has been accepted as complete.
Authorized sign yr 1 _%j, ,; 4. i,,,,,/ 4V * Fee methodology set by Tri-County Building Industry Service Board
_if
Print name: _/. 1 _'J' 4` ,,,,s/,t^ I Date: 0/j c/i g,I:\Buildine\Permits\MEC P ' nn 040113.doe 440-4617T('171`/02/COM/WEB)
Mee,hanal Permit Application
FOR OFFICE USE O�'Ll'
City of Tigard flit1 eceived
13125 SW Hall Blvd.,Tigard,OR 97223 '" to/By: PermitNo.:
• Phone: 503.718.2439 Fax: 503.598.196RE(1Ei%'1
'Ian Review
T 1 G A R D Date/By: Other Permit:
Inspection Line: 503.639.4175
Internet: www.tigard-or.gov c Date Ready/By: Jur
FEB 41 1 l)I Notified/Method: S See Page 2i nr
Supplemental Information
TYPE OF WO ! I'
COMMERCIAL FEE* SCHEDULE -USE CHECKLIST .`
❑New construction i\ Addition/altera...,1 1 Int L t `< i `1 Mechanical permit fees*are based on the value of the work
❑Demolition Other: performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials, -•ui.ment,labor,over -.d,and.rofit.
-CATEGORY OF,CONSTRUCTION
❑ 1-and 2-family dwelling t: Commercial/industrial - " K RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description
'" SOB SITE,INFORMATION .AVD LOCATION.` Qty• Ea. Total
Hearin'coolin.:
Job site address: /1 � Air conditioning
A
�.,"9 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
f Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: r! Awns
�+� ,� 61.06
Cross street/directions to job site: Duct work 23.32
?►�� �9 GrifiriliMWA Hydropic hot water system
Residential boiler(radiator or 23.32
h dronic . 23.32
Unit heaters(fuel-type,not electric),
U.
in-duct,sus.ended,eta . 46.75
Flue/vent for an of above 23.32
Subdivision: Other: _
Lot no.: 23.32
Tax map/parcel no.: Other fuel a liances:
W
_ ". - DESC I5 1ON,OF M K '' Gas fireplace/insert er e -eater 23.39
��-- , r . . 33.39
�t' 1L� �( �. ��}.c� Flue vent for water heater or gas
fir-'lace . 23.32
WO
li_hter :as _ 23.32
Wood/pellet stove 33.39 —
Wood fireplace/insert 23.32 —
Chimney/liner/flue/vent 23.32
1:OPERTY7 OWWVER : TENANT
i= - Other: 23.32
Environmental exhaust and ventilation:Range hood/other kitchen
I. Address: / equi•ment V33.39
n }► City/State/ZIP: ,/., {% Clothes. er exhaust 33.39
�1 /� �'t" 1 Single-duct exhaust(bathrooms,
Phone:( ) ( Fax: toilet com.artments,utili rooms) . 23.32
' : `❑ APPLICANT s # ( 'PERSON Other: 23.32
�!t -CONTACT� 23.32
r rIMMIIII
{
$14.15 for first four;$4.03 for each additional
qt Contact name:
.,,, 410/!..4s,1
Furnace,etc.
Address: ��j�
—
__—
t--.....
Wall/sus.ended/unitheater
( ) Water heater
M Phone: z 44_ 7 /7 Fax::( )
% E-mail: 1›...,e,77-4 Z.art Z.41 Ca 6/ 4,f e G1,-7 - Range
" CO s CTOR ' ' �. Y7 Barbecue _==
' Clothes. er(_as
VV L Other:
Address: MECHANICAL PERMIT FEES*". .:
Subtotal —
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
CCB lic.: State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Sign days after it has been accepted as complete.
Print name:
�— * Fee methodology set by Tri-County Building Industry Service Board
- I Date:
1:\Building\Permits\ME C_PermitApp_040113.doc
440-4617T(11/02/COM/WEB)
OP 1,6
Mechanical Permit Application - City of Tigard
Mechanical
Page 2 - Supplemental Information
Commercial&Multi-Famil Fee Schedule:
Total Va nation: 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.
000.00 and
$50,000.01 to$100,000.00 r the first$50,
$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:IBuilding\Permits\MEC_PermitApp_040113.doc 2