Permit (43) CITY OF TIGARD
11
MECHANICAL PERMIT
' I ' • COMMUNITY DEVELOPMENT Permit#: MEC2018-00610
f I(;A R!) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2019
Parcel: 2S 102BA00302
Jurisdiction: Tigard
Site address: 9896 SW TIGARD ST
Project: Tigard Industrial Park Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 22
Project Description: Install(2)ductless mini split systems.
Contractor: COMFORT SOLUTIONS HEATING&COOLING Owner: TIGARD INDUSTRIAL LLC
PO BOX 1233 5845 JEAN RD
CLACKAMAS, OR 97015 LAKE OSWEGO, OR 97035
PHONE: 503-698-2665 PHONE:
FAX: 503-658-4011
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/18/2018 $305.56
Class of Work: ALT Type of Const: VB Plan Review 09/18/2018 $76.39
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/18/2018 $36.67
Stories: Info Process/Archiving-Sm$0.50(up to 09/18/2018 $1.50
Project Valuation: $8,500.00 11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 2
Appliances
Vent Fans: Vent Systems: Total $420.12
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 by calling 503.232.1987 or 1.800.332.2344.
Issued By: oe.„Z"- Permittee Signature: ��� ��,^�l/,b„��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. v //� ` � �
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.
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-RIPCEIVED;t2,‘„iimeomm=„00...•_, ,,, ,_
Mechanical Permit Application
City of Tigard AUG 2201 illi Date/By: +17/‘'.74,0--- ,4;21 Permit No/ J /f--1/2 /12
111111 'll 13125 SW Hall Blvd.,Tigard,OR 97223 • Ity Plan Review 0 ..., .-/
: I Phone: 503.718.2439 Fax: 503. ‘
t8i '.ft.ir .: , , , - Date/By: 8 .." ..5 ) Other Permit:
Inspection Line: 503.639.4175 - * • A )
TIGARD Date Ready/By: furls Fa See Page 2 for
Internet: www.tigard-or.gov
. .., 3 .., ,.
Bill D ' C 0, 9* Notified/Metholl:
..,ri •-..--, itY/ -e ' Supplemental Information
-
* ,. ,, ' "" „•''''...,, '-,:',.:. ''''''''':°':"''' ..,-;,^ ,.!.,,,°',.,,,: ,-,-, '"'t-,-, .il'-',,, ,' "„ ',^ '''''4''''06 4,11'.7"4'4:471n,-i'v, I,'i 0 j1 ,na.,. a.,.;
t-,,,,".C:..i, 'lift,,,.:`.:giciLia:,,,`;11,,Z:"4,S,::14'-t:,..;": "7.'';""L 7'7"''':f:'''''''5:"'°,';, ''''''' *' -• ,,:7.:;',...,..;:-,-;.,%,.7, '''''' ' ''' ''''"4444.: 4...-4......41,t ' ' - '..:L
' ''.'' :;,-%'''''..*.' Mechanical permit fees*are based on the value of the work
s fa
U New construction ELAddition/alteratiott e .,•r •nt, i'V, 11.3 performed.Indicate the value(rounded to the nearest dollar)of all
•
1.11).D. SIJIDI mechanical materials,equipment,labor,overheadag_profit
0 Demolition 0 Other- .
Value:$ V.s" e> •
c4AVOIAV;0-F C4)14'.
O 1-and 2-family dwelling gl Commercial/industrial 0 Accessory building For special information use checklist
O Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
",,',>,'• jott.SITEiiteitiaiam.Arijo. LocATION,,.,:- ',, ,,.., , Heating/cooling:
Air conditioning 46.75
Job site address: .71774 S. (A.) --t /1 -.1 ‘_S4/7 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -1 A R...
-h6*e 1 s' 9 7 2 2- 3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump
2-- 61.06
Suite/bldg./apt.no.: 1 Project name:
Duct work 23.32
Cross street/directions to job site: 5, tt) ect--'1P ee i.i'li S S ir• Hydronic hot water system 23.32
Residential boiler(radiator or
-7-7/-S 1"i --i--, 4ed iiocipt.51-0,--1i,c ?/9e/e 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: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Deg.cjipTION,,,or*„.,otg - ,., ,,, ,•,,,,,,,,- .:: ,, - , _ , Gas fireplace/insert 33.39
Flue vent for water heater or gas
,116 -/L711 / ...z4 tit /
e SS' MI A) i fireplace 23 32
_ .
6 pl---t-t Si_ At 5 Log lighter(gas)
23.32
Wood/pellet stove
33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Taioti1y,.4*4,4ii,.,...,„,., r ,:1- 5",; ; , , El i-joioiT- ,-- % ,-,- :- -, Other: 23.32
Environmental exhaust and ventilation:
Name: wgs+ 5;eig 4,iniA)Itsts-c5 neAditetty Range hood/other kitchen
equipment 33.39
Address: ?%9 40 S . R.) 41 6-ffied 54-- Clothes dryer exhaust 33.39
City/State/ZIP: --1--: Gitec,l, / 01 _ Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(rn) 5.7 iis, -- 39 zs-- Fax:( ) Attic/crawlspace fans 23.32
-a-,00EVAP` MO"-,7-. ,, , Other: 23.32
Business name: eFuel piping:
t)MT-0g+ .A.4-i()Pa.S $14.15 for first four;$4.03 for each additional
,.., .
Contact name: t_cf)ie,t Furnace,etc.
Address: -p, 0 ---ffax• I 2_33 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: e 1,tete,Q Aims / 0 12_ 9 ?O/..S-- Water heater
Phone:(5-53) 1.,„g .... 5-- Fax::(5D3) ei,/7 _003y Fireplace
Range
E-mail: 1--Oki 64114 Foef-.56 Li/CM'/J7DDX . Cs(rt Barbecue
Clothes dryer(gas)
Business name: eo Wi ro.(2_4- SoLiA76`04%-)S Other:
Address: 0 0 "3w6 /2-3 3 Subtotal
City/State/ZIP:C t k -r ,74.- 6/ 62_ ct 70 is- Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(co) (, g -zea 4,5 Fax:(9)3) 17/2 7- 0039 State surcharge(12%of permit fee)
CCB lie.: /C714E, 117 2 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signa :-,‘ * Fee methodology set by Tri-County Building Industry Service Board
Date
Print name: •ee _....
-
„..- s2
'mud& ..ermits\MEC_PermitApp_040113 doc 440-4617T(11/02/C01WWEB)
,
,_____ J
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi Family Fee Schedule:
Tota-Valuatio»r "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.
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