Permit (33) CITY OF TIGARD MECHANICAL PERMIT
.1111
a: ' COMMUNITY DEVELOPMENT Permit#: MEC2018-00148
t GAR L3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/01/2018
Parcel: 2S 102AC00800
Site address: 12553 SW MAIN ST Jurisdiction: Tigard
Project: Spec Space Subdivision:
Project Description: (2)new gas furnaces with existingNone Lot: None
gas piping and(2)exterior A/C units located in the back of the property.
Contractor: ANDERSEN HEATING, INC.
Owner: XU, YU
16285 SW 85TH AVE STE 410 HAN,ZIYE
TIGARD, OR 97224 10755 SW NAEVE ST
TIGARD, OR 97224
PHONE: 503-992-6664 PHONE:
FAX: 503-536-6615
FEES
Specifics: Description
Date Amount
Type of Use: COM Permit Fee 03/01/2018 $550.91
Class of Work: ALT Type of Const: Plan Review 03/01/2018 $137.73
12%State Surcharge-Mechanical 03/01/2018 $66.11
Occupancy Grp: Occupancy Load:
Stories: Info Process/Archiving-Sm$0.50(up to 03/01/2018 $12.50
Project Valuation: $18,000.00 11x17)
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 2 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: 2
Heat Pump:
Appliances
Vent Fans: Vent Systems:
Hoods: Total $767.25
Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by callin. i 2.1987. -
Issued By:
t� �c ,,tures
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application, FOR OFFICE [SE ONE\
City of Tigard eceived
E ,...ate/By: ?lilt r 477- Permit No.:fel E.T.42e)i 45...41_4 lig
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Revie
1111 I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T GARD
Inspection Line: 503.639.4175 MAR : 2018
1 Date Ready/By: Juris. gi See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
1 ' ().!('‘11 CARD ..
COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Titl'E OF WOINI TIM(' IIII/Ieltilkl
1301(,)I I.i IP 11‘13 I Fl 1'I,J1‘..11N ' Mechanical permit fees*are based on the value of the work
I:1 New construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition I:1 Other: mechanical materials,equipment,labor,overheackand profit.
Value:$ /j?pe->o.i
CATEGORY OF CONSTRUCTION :._-__
REsIDENTML EQUIPMENT/SYSTEMS FEE
,
11 1-and 2-family dwelling CI Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
LOCATION Heating/cooling:
JOB SITE INFORMATION AND 'LOCATION , -
' -/ - Air conditioning 46.75
,,i.„.7 ,44., $.f..
Job site address: fp7 ------; .5-(1) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: q4/7-2,-2---; Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: /2)--p,fr 537 e,-0,," " ir c e Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
-- '-
ON -4- Gas fireplace/insert
OR wo. - -#. ,- 33.39
', /I Flue vent for water heater or gas
4-- t.C4' -2 fireplace
:ij 1$
- (1:'r14317/ -111)f;fitaitce 5, i'7 '''de- - --7 . Log lighter(gas) 23.32
23.32
-k-e/
tvxrel 6,-4-.6:45 a- 1)/11. ---t7A.2%, 40-44.0 ( 0
x:y- af-'--t4 Ckqi/e-15
t
0 Wood/pellet stove 33.39
je
Wood fireplace/insert
23.32
Chimney/liner/flue/vent
23.32
Other: 23.32
P PROPERTY OWNER '-='' ' a,', ,„..-0 TENANT---
Environmental exhaust and ventilation:
Name:
(2---ri\C(. k/L4.) > 1Range hood/other kitchen
equipment 33.39
Address: 70 75 --- S1 A,40.4.?.. 5-?--,
Clothes dryer exhaust 33.39
City/State/ZIP: 77.5,r,,,,e1) NZ. q/72_12-(4.- Single-duct exhaust(bathrooms,
/ toilet compartments,utility rooms) 23.32
Phone:(Q/ ) 2..A."__ ___--,3,e11.3 Fax:( ) Attic/crawlspace fans 23.32
LI
...... APPLICANT 44''' - 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR .,_ Clothes dryer(gas)
Business name: Acbt_c.4..„ilitedtaftilCa c , ,
MECHANICAL PERMIT FEES*,
Address: .2._le?
/6 'c 514,1 .04 Aw. 7- ,a ei/z- (--)? -2-q-
,..)e Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(4-c.9) 31.1.6.. .,.-11-7 ? Fax:( )
State surcharge(12%of permit fee) .
CCB lie.: g21(t TOTAL PERMIT FEE- 76 7.4...)
This permit application expires if a permit is not obt ned within 180
-
.--' "----"?-',7, -------7 --7 _____.--------. days after it has been accepted as complete.
Authorized signaturs.-*,--- * Fee methodology set by Tri-County Building Industry Service Board
Print name: -(_ -1‘C( k-4) X..*
Date: .--/---15)
IABuilding\Permits\MEC_PermitApp_04 113.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:
12553 SW MAIN ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00148
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor