Permit (37) CITY OF TIGARD MECHANICAL PERMIT
11;4 -i COMMUNITY DEVELOPMENT Permit#: MEC2019-00022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2019
T l["�IZ i) g Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12194 SW SCHOLLS FERRY RD
Project: Monkey Subs Subdivision: None Lot: None
Project Description: Duct work for TI.
Contractor: FEINAUER&SONS Owner: ATLAS GREENWAY LLC
3278 NE 1ST PL 333 NW NINTH AVE, STE 1009
HILLSBORO, OR 97124 PORTLAND, OR 97209
PHONE: 503-730-6004 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/10/2019 $96.69
Class of Work: OTR Type of Const: Plan Review 01/10/2019 $24.17
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/10/2019 $11.60
Stories: Info Process/Archiving-Sm$0.50(up to 01/10/2019 $1.00
11x17)
Project Valuation: $1,400.00
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 Fumaces: 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 $133.46
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 a obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . 'ttee Signature:///,‘, .
J�'�
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 USE ONLY
City of Tigard � �E Received .A /
Date/By: i ,�� %r;�'
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,.,/)/)
= Phone: 503.718.2439 Fax: 503.598.1960 102 C 19 Date/By: ,' �. 0`(�
TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.goven-Y.r':r:--ir;n, r Notified/Method: Supplemental Information
BUILDING Gl i2,1iVlS!ON
COMMERCIAL FEE*t TYPE yOF WORK
SCHEDULE--USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction UR Additio alteration/re lacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other:
Value $ j i40
�. ;CA 0. RV:OF CONSTRUCTION UIPM N3 f SYSTEMS FEES*
r .. �ETIAL EQ
0 1-and 2-family dwelling NckCommercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
e ° , Heating/cooling:
JOB SITE INFORMA"11 ' CATION
'' ''' '�`' Air conditioning 46.75
Job site address: , 7_1 of -1 SL,,, Ss I.,L i 1 c ' <t 't i.) is a.. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1 1 �' et,i Al a'1, (�'i 22.. Furnace 100,000+BTU(ducts/vents) 54.91
JHeat pump 61.06
Suite/bldg./apt.no.: Project name: /1/1
0 n 14:c5 �L�S Duct work 23.32
Cross street/directions to job site: t Z i 5f Go,d St 1, is FZ T Y 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:
Subdivision: Lot no.: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
u t 1 c 4*,` Gas fireplace/insert 33.39
,' ```' .. `` Flue vent for water heater or gas
1 ti(i— nj('\, r\‘• fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
4:1"12- u y t 1~R . .. .,t x Other: 23.32
` � "�� - °* Environmental exhaust and ventilation:
Name: IC.t�1L. e 1)III—. Range hood/other kitchen
equipment 33.39
Address: -c,:I--1 t1f1/ 1 ,--1-1-' ,4--< Clothes dryer exhaust 33.39
City/State/ZIP: 41-1 Ll n( o ci-1 2 2 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( tly1\) E..'L "1 .- 6 i Fax:( ) Attic/crawlspace fans 23.32
4 'APPLICANT % - , CONTACT PERSOi Other: 23.32
Business name: Fuel piping:
U ��t"11^ Z $14.15 for first four;$4.03 for each additional
Contact name: kt,,.1- {Y�j1 ,y.i.. Furnace,etc.
_ J Gas heat pump
Address: t }
�1 1 �!1,\., I u- Wall/suspended/unit heater
City/State/ZIP: -FC, Al U r1-2 l . O-i •Z 2.al Water heater
Phone:E l) 1 Z''j ---(.) .-3/i Fax::( ) Fireplace
!
�` Range
E-mail: ,.M c✓V IC S (y k k 03.0,a � 1, c( Barbecue
.h
%
} ® x, ,w CONTRACTOR Clothes dryer(gas)
Business name: yL 1
Other:
I 1 L.Ut r v;I^c� Std W3 L[._C— MECHANICAL 1 1 FEES*x6 =;, 3
Address: "�'e_ -(- Subtotal
City/State/ZIP: k.4.-1 t s_L-. ., � o t Minimum permit fee($90.00)
` iv-)/ Plan review(25%of permit fee)
Phone:(cr.) Q'�1 ) — 3i i,-Z.'� Fax:( ) State surcharge(12%of permit fee)
CCB lit.: 1 h`1 B o S TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: e-',--;,-.1 7. e,„,-.-,„‹.--"
,, �, * Fee methodology set by Tri-County Building Industry Service Board
Print name: 1ci `It f t- Date: 1 2..17_ '/ I i---i
\
I:Building\Permits\MEC_PermitApp_040113.doc 440-4617T(111/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
n ith luation ` Pernik 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\Pernuts\MEC_PermitApp_040113.doc 2