Permit (263) CITY OF TIGARD MECHANICAL PERMIT
✓'h Permit#: MEC2017-00988
COMMUNITY DEVELOPMENT Date Issued: 01/18/2018
-r[GA _R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AB01902
Jurisdiction: Tigard
Site address: 9386 SW TIGARD ST
Project: Allred Industries Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: None
Project Description: Push-pull RTU replacement.
Contractor: CLEAN AIR ACT INC Owner: ALLRED INDUSTRIAL LLC
16582 S CARUS RD. 17902 S HIDDEN LAKE DR
BEAVERCREEK, OR 97004 OREGON CITY, OR 97045
PHONE: 503-632-1563 PHONE:
FAX: 503-632-7158
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/18/2018 $328.04
Class of Work: ALT Type of Const: VB Plan Review 01/18/2018 $82.01
Occupancy Grp: R-3 Occupancy Load: 12%State Surcharge-Mechanical 01/18/2018 $39.36
Info Process/Archiving-Sm$0.50(up to 01/18/2018 $35.00
Stories: 11x17)
Project Valuation: $9,300.00
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $484.41
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions tg o1' N .y callin• :03.232.1'; or 1.800.332.2344.
i
Issued By:
r / /J y Permittee Signature: Ilk
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
Received Permit No.:
City of Tigard Date/By: 1'l 7 il (- 7-C `i y
1111 . 13125 SW Hall Blvd.,Tigard,OR 97223��(p r plan Review 0.2
■ Phone: 503.718.2439 Fax: 503.598.196 Date/By: j a ) 1`• I Other Permit:
Inspection Line: 503.639.4175 1 )O�� Date ReadyBy: Juris: El See Page 2 for
T I G A R D 1 G. Supplemental Information
Internet: www.tigard-or.gov � �, Not fied/Method 2 -rx.... , PP
% -y if. C'' R i� "vI` CIA-1101, tE*�'S`CHEDULE - USE CHECKLIST
TYPE OF W• 'I r DIVISION L CO
IL{�IN Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ el, 30d '"--
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION Air conditioning
(requires site plan showing placement) 46.75
Job site address: !a f// 'Tr;�,t46.75
p"' J Furnace 100,000 BTU(ducts/vents)lace )
City/State/ZIP: ir+t✓1(,C/g Furnace 100,000+BTU(ducts/vents) 54.91
/ R
Suite/bldg./apt.no.: Project name: /l A 1'a ? Heat pump
_ (requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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.: 23.32
Other:
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace/insert 33.39
Arti._ I f RI t4 cyA .cenZa Flue vent for water heater or gas
fireplace 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 I 0 TENANT Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms, 23.32
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans
Other: 23.32
Business name: 7 Z _ , ' .- - Fuel piping:
Contact name: /p-/"'-� � � _ $14.15 for first four;$4.03 for each additional
/" / n� Furnace,etc.
Address: /(51 `S" 44' r„�S /4,, Gas heat pump
DDe Wall/suspended/unit heater
City/State/ZIP: , t�i(t' 4� 'y
3 J f Water heater
Phone:(52) ) .:3 _1 ' ��' Fax::( )
� Fireplace
E-mail: Range
CONTRACTOR Barbecue
Clothes dryer(gas)
Business name:Clean Air Act Inc Other:
Address:16582 S Carus Rd MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Beavercreek Or 97004 Minimum permit fee($90.00)
Phone:(503)632-1563 Fax:(503)632-7158 Plan review(25%of permit fee)
CCB lic.:144650 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: /o�J�, <r 5��a
Date: /v2 —/j_ /7 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)