Permit (141) CITY OF TIGARD2. MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT
Permit#: MEC2018-00184
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/22/2018
Parcel: 2 S 102AC00800
Jurisdiction: Tigard
Site address: 12551 SW MAIN ST
Project: Spec Space Subdivision: None Lot: None
Project Description: Landlord work:Installing(1)new furnace,(1)NC unit on a concrete pad,(1)gas hot water heater,and gas piping
to furnace on main floor.
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 03/22/2018 $398.51
Class of Work: ALT Type of Const: VB Plan Review 03/22/2018 $99.63
Occupancy Grp: B Occupancy Load: 12%State Surcharge Mechanical 03/22/2018 $47.82
Stories: Info Process/Archiving-Sm$0.50(up to 03/22/2018 $12.50
11x17)
Project Valuation: $12,000.00
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: 3
Heat Pump: 1
Appliances
Vent Fans: Vent Systems: Total $558.46
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 2 Other Desc: tankless
Duct Work: 1 water heater
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.
.--
Issued
Issued By: //+ Permittee Signature: J "�
all 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 Applicat' ECvp FOR OFFICE USE ONEI'
City of Tigard 1 VED Received 3 b, t r� permit No.: 7 t1, t
14
13125 SW Hall Blvd.,Tigard,OR 97223 }y�{Q Date/By: {d f ? jt!
Phone: 503.718.2439 Fax: 503.598.1960 A1 9t t)!8 Plan Review p —CST
Date/By: 'au - / $ Other Permit:
T i C A R D Inspection Line: 503.639.4175 /� �g Date Ready/By: Jur s: H See Page 2 for
Internet: www.tigard-or.gov ITY OF HEARD Notified/Method_j a// /eP pp
ILDIN__ DIVISION
IVISIO , 6� �/ �i �` Supplemental Information
�S W
TYPE OF WORK <' 'COMMERCIAL FEE* SCHEDULE =USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑Other: mechanical materials,equipment,labor,overhead and profit.
Value:$ /*:, ,2 '-'17.
'` CATEGORY OF CONSTRUCTION :„t RESHNIiAL EMENT,S! SS FEES*
r
1=I 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family ❑Master builder ❑Other: Description Qty. Ea. Totalx Heating/cooling:
-" ip#3 SITE 1NFRMATi N AND LOC�'ION r` `
° �^ "'' Air conditioning 46.75
Job site address:
1.,)44-1 Si,') ROA/t; /17/91A, . Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: f, (_, :t/?- 1 17 Z'z3 Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: I Project name: C
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
' „ ; ESCR1P t N O l k :- , 4 z, Gas fireplace/insert 33.39
/ �L /2y/-4,, ue vent for water heater or as
S cl""t y(d�,Aa 'iC c r_[2.I7 .3 i:{ i„f eplace g 23.32
/j - Log lighter(gas) 23.32
'ini'fi t4( 4e cl f �l('�/"/t C?6-te /"!i'1 /he'lef fi llic-f xi",(.' Wood/pellet stove 33.39
6%)(73T1et2.. -- /int.?i yv Ai, )t,^. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0`PR a ,'TY O ► ER ,x" ,.TENANT ga.*. :,
Other: 23.32
" -- .t. Environmental exhaust and ventilation:
Name: \c C 1 fit ) Range hood/other kitchen
/� �, equipment 33.39
Address:
/017,-1, „5-1-1/ /V` 7�" 5f"..) Clothes dryer exhaust 33.39
City/State/ZIP: •-7_;?,,,,1/ -rZ �/2 Z'LV Single-duct exhaust(bathrooms,
7 Fax: toilet compartments,utility rooms) 23.32
Phone:,( 1/ )2-q- ✓J'! ( ) Attic/crawlspace fans 23.32
1;i1:-,,-'47,7- 0 40'LICANT '' f .❑ CONTACT-PERSO1 Other: 23.32
Business name: �_- 1 Fuel piping:
`�"L S .qtr x` $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
E-mail: Range
Barbecue
i`' «n NTRACTOR !x; ' Clothes dryer(gas)
yv Ai, ),/
:PERI�IIT'' 'EES* Z'Af
Address: v u,
`6.2- 't.J c-/1"7 .J ' 'et '�'' Subtotal
City/State/ZIP: n '' -`.^ ,_ -)/")�,; - Minimum pernut fee($90.00)
Phone: L / / Plan review(25%of permit fee)
(S'-5) 5 `2 (66 Fax:( )
State surcharge(12%of permit fee)
CCB lie.: ^I TOTAL PERMIT FEE
/rr' / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: f' -- * Fee methodology set by Tri-County Building Industry Service Board
Print name: t Date: Ci
t
I:\Build ng\Permits\MEC_PbrmitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Tota)Valuation.µ Permit F `.
$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\Pem its\MEC_PennitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12551 SW MAIN ST, TIGARD, OR, 97223 November 20, 2018 at
8:38:08 AM
Record Type: Record ID:
Commercial - Mechanical MEC2018-00184
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor