Permit (2) CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2020-00002
2 COMMUNITY DEVELOPMENT-'
T f CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2020
Parcel: 1S135BB00501
Jurisdiction: Tigard
Site address: 10575 SW CASCADE AVE 100
Project: Biamp Subdivision: None Lot: None
Project Description: Fan and exposed spiral ducting installation for ERSA solder machine.
Contractor: HVAC INC Owner: ICON OWNER POOL 3 WEST LLC
5188 SE INTERNATIONAL WAY BY INDCOR PROPERTIES
MILWAUKIE, OR 97222 2 NORTH RIVERSIDE PLAZA, STE 235
CHICAGO, IL 60606
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/02/2020 $263.41
Class of Work: ALT Type of Const: Plan Review 01/02/2020 $65.85
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/02/2020 $31.61
Stories: Info Process/Archiving-Lg$2.00(over 01/02/2020 $2.00
11x17)
Project Valuation: $7,000.00
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 Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $362.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 y obtain a copy of the rules
or direct questions to OUNC by calling 503.232. aaz or 1.800.332.2344.
Issued By: Permittee Signature:
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 complet of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONL1
City311 of Tigard ry V Received , , _
_ g FiECE� Y Date/By: { j/1() !fJ7'• PermitNo.: �✓t7&G _ U
" 13125 SW Hall Blvd.,Tigard,OR 972 3 a Plan Review / QQ{j ��J��
Phone: 503.718.2439 Fax: 503.598.1960 020 Date/By: Other Permit: /Pi/ Q((J{e/—(5�, O a
TIGARD Inspection Line: 503.639.4175 JAN 02 2 Date Ready/By: runs: t+7 See Page 2 for
Internet: www.tigard-or.gov F TIGARD Notified/Method: Supplemental Information
CITY G nIVISION 6
TYPE OF WORK ('K BUILDING COMMERCIAL FEE* SCHEDULE— USE CHETIST
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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$7,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10575 SW Cascades Ave. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: /0() Duct name:BiAmp ERSA 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 .
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert , 33.39
Flue vent for water heater or gas
Install fan and eposed spiral ducting for ERSA solder machine fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove , 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:HVAC,Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Jody DePew Furnace,etc.
Address:5188 SE International Way Gas pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukie,OR 97222 Water heater
Phone:(503)462-4822 Fax::(503)462-6555 Fireplace
Range
E-mail:jodyd@hvacineorp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:HVAC,Inc. Other:
MECHANICAL PERMIT FEES*
Address:Same Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.:50897 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: / , ' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jody DePe Date:1/2/20
I.\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB)