Permit (180) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00168
T f G;\1=.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2018
Parcel: 2S102CB00302
Jurisdiction: Tigard
Site address: 13185 SW PACIFIC HWY
Project: All That Glitters Subdivision: NORTH TIGARDVILLE ADDITION Lot: 33
Project Description: Replacing 3-ton RTU.
Contractor: R&S HEATING INC Owner: CJ GLOBAL LLC
1123 MEADOWVIEW COURT PO BOX 5668
WEST LINN, OR 97068 ALOHA, OR 97006
PHONE: 503-657-4137 PHONE:
FAX: 503-657-4137
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/19/2018 $207.21
Class of Work: ALT Type of Const: Plan Review 03/19/2018 $51.80
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/19/2018 $24.87
Stories: Info Process/Archiving-Sm$0.50(up to 03/19/2018 $3.00
Project Valuation: $4,995.00 11x17)
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $286.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC calling 503.232.1987 or 1.800.332.2344.
Issued By.
"jPermittee Signature: r!46t,
(„,„\c,
t J
hhh G1E
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. '
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
City of Tigard Received ,".7.7.....„.
13125 SW Hall Blvd.,Tigard,OR 97223 Datemy: 3 /d i Permit No.:Jen ly_i rr.� ,,.!'
III e
Phone: 503.718.2439 Fax: 503.598.1960 I t7tn a ICS
s y; Plan Review
Inspection Line: 503.639.4175 '' ` 2 Datemy. _i C.J c Other Permit:
n u A R D p ct. Date Ready/By: _
Internet: www.tigard-or.gov t" y Y i Juri3- H See Page 2 for
-: Notified/Method:3 11/•g 47- Supplemental Information
TYPE OF WORK v1 NR A2. C��� COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
41
❑New construction ,�Addition/alteration/r t4� ,,* Mechanical permit fees*are based on the value of the work
❑Demolition ", t r > t.� "'R7 leOrmed.Indicate the value(rounded to the nearest dollar)of all
❑Other: (1s i 1 V ' ' t= . mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CON ' Value:$ yGl��.Uc1
❑ 1-and 2-family dwelling Commercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 Accessory building For special information use checklist
❑Multi-family 0 Master builder
0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: Air conditioning 46.75
/3 / �� c CCGL-C`L 1-4 to/ urnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: .774f9 �".1 a q-7- ..,-.a_-3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 47_2, I Project name: 4/0744*0/79-c- /f 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
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
/ Flue vent for water heater or gas
le-ee/AeCir..)1 Leld ti Ni r Gt/� ./GC--. fireplace 23.32
CSAVVle StZC gict'S — X12 Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER I TENANT Other: 23.32
Name:l)/' cc- G it- -re RRan a nmental exhaust and ventilation:
ST 211 e S�u Z Xt , Range hood/other kitchen
Address: f ca sequipment 33.39
I
S wt LC,- 4' t{ GG/`� Clothes dryer exhaust 33.39
City/State/ZIP: ,r,,.l a r _i e2r2 97 a 3 Single-duct exhaust(bathrooms,
Phone:(S03 ) cj 4.,1—q SI Fax:( ) toilet compartments,utility rooms) 23.32
APPLICANTAttic/crawtspace fans 23.32
0ig CONTACT PERSON Other: 23.32
Business name: lZ %,- S N e.nT l C� Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
S 6"0 7- D ra toe 2 Furnace,etc.
Address: / j D...3 .e aG\0 co vi c Ll/ Gas heat pump
_ Wall/suspendedhmit heater
City/State/ZIP:
�J ti�i7- Li AO rlii Q a cq`7 06,, 3 Water heater
Phone:(,511:3 ) G>O _.(-4 v-7 U I Fax::(„ ) 7)3 s . s 3 Fireplace
E-mail: Range
R. S . t�e4-r/a.,,, Ne.L e 0 mAclz, corn
Barbecue
ONTRACFOR Clothes dryer(gas)
Business name: S tic3 M ' ri.S A bo ve Other.
Address: MECHANICAL PERMIT FEES*
Subtotal
Citi/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) 1 Fax:( )
State surcharge(12%of permit fee)
CCB lie.: ''f '7 a a TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized S1gnatutA44A
*ta,/tef,atini
days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry Service Board
I Print name: De Ae e,„ I Date:
I:\Building\Permits\MEC_PermitApp 040113.doc 440-46/17T(11/021COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13185 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00168
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor