Permit CITY OF TIGARD MECHANICAL PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: MEC2020-00170
ftGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2020
Parcel: 2S112AB00400
Jurisdiction: Tigard
Site address: 7400 SW LANDMARK LN
Project: LANDMARK LANE Subdivision: None Lot: None
Project Description: Installing new gas piping to separate building tenants.
Contractor: WESTERN PLUMBING Owner: LANDMARK LANE LLC
9460 SW TIGARD AVE SUITE 101 ATTN GLENN HAYTER
TIGARD, OR 97223 23643 SW STAFFORD HILLS DR
WEST LINN, OR 97068
PHONE: 503-639-5296 PHONE: 503-804-4349
FAX: 503-684-9015
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/05/2020 $370.57
Class of Work: ALT Type of Const: VB Plan Review 05/05/2020 $92.64
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/05/2020 $44.47
Stories: Info Process/Archiving-Sm$0.50(up to 05/05/2020 $0.50
11x17)
Project Valuation: $10,835.00
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 $508.18
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: J Permittee Signature:
a 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 F'OR OFFICE USEONLY
City of Tigard _ _ R,ea„`'
r.*. Dale/Bs: / -ten /,i// en nil No.: 'LL.:-.�-�644 `y'/70
1111 -r 13125 SW Hall Blvd.Tigard.OR 972 �.,. 1-•1,/: - /�� ✓•`,•' Z /-r{~.� -("U /
g' Plan Reviers
Phone 503.718.2439 Fax: 503.598.1 6 rle.r _*z,l+' $-/GjQ /711/ het Permit:
D llei By:
TIGARD Inspection Line: 503 639.4175 Date Ready/By: mds. ei See Page 2 far
Internet: www.tigard-or.gov MAR 1 2 20 Notifled'Method: 7 Supplemental Information
'r'n 6 5. a ��.ss� J -J'
- i'il YS1!F y). a
TYPE OF_, k _ COMMERCIAL FEE* SCHEDULE, - USE CHECKLIST
.a �w
-73+ � ��lI?", jiS1' N Mechanical permit lees*are based on the value of the work
❑New construction Addition/alrer Ir fro,na,h 1 v performed Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials.equipment.la r,overhead.and pr fn
Value.S \0467.5..),PC.)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling rt.Commercial/industrial ❑Accessory building Far special information useclechlist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
.lob site address: I..% 00 1 . ( Furnace 100,000 BTU marts/vents) 46.75
City/State/ZIP: C�" 6.. NC Furnace 100.000+BTU(ducts/vents{ 54 91
' `" Heal pump 61.06
Suite/hldg.lapl.no.. 1 I'rnject name: I,UMOar'IDA L + n ,t,`� Duct work 23.32
Cross street/directions to job site: ��I��yt,,,,,r���_ ///��� Hydronic hot water system 23.32
/ •/C. Residential boiler(radiator or
w►7 � �dronic) 23.32
G� Unit heaters(fuel-type.not electric).
7- Qr/.yj Nq iv.,,/ 4...k..5 An71- in-wall.in-duct-suspended.etc. 46.75
_ r .J Flue/vent for any of above 23.32
I/v l YdVV i Other 2332
Subdivision: Lot no.:
S- Other fuel appliances:'
Tax map/parcel no.: J'T Wafer heater 2332
DESCRIPTION.OF WORK Gas fireplace/insert 33.39
t`��\t� •
) Flue vent for water heater or gas
11V , JV i St O p ,S'(�e1 ,y'C1 ‘Ni- > 'o[ fireplace 2332
�� � � "7V4v-x `" log Wood/pelletlighte (gas) 33.39
stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23 32
Other: 23.32
0 PROPERTY OWNER I 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 rooms) 23.32
Phone:( ) Fax:I I Attic/crawlspace fans 2332
V APPLICANT 0 CONTACT PERSON Other: 23 32
r� t\"`s Fuel piping:
Business named s ltx� � A it I t ,v,fy �-�,
�lJ�.stk T �Jx.teN l $IJ.IS for firstfour;84.03 foe each additional
Contact name: y-f%xi x.\S C n Furnace.etc.
Address: A4‘QC� slAA.�Th ' ` S �� 1 ) Gas heat pump
V n s l I _ GWall/suspended/uniteatump heater
City/State/ZIP:'} ArJ VIG.. `� Water heater
Phone:5 2.3 ''I .1f 1_ 0 Fax::( ) Fireplace ,
�fC Range
E-mail t1Y�-/y,C WQkiflOkinAiri (] \Y C. Y Th Barbecue
CO RACTOR ` '�'\\J Clothes dryer(gas)
Other.
Ilusiness name' MECHANICAL PERMIT FEES*
Address: Ctkilk \( �ixC\ �1 QQ+ • Loco � Subtotal 3io�,(33
i urn Minimum permit fee($90.00) _
City/Slate//-fP:"� l I q� a'� Plan review(25%of permit fee) to 0/
Phone:(�-y-C.l � /n Tax:( I State surcharge(12%of permit fee) -q r,I(p
CCR lie c��, aj1� Y TOTAL PERMIT FEE v4,�
IF'i',"J'-( This permit application expires if it permit is not obtained within ISO
l+ days after it has been accepted as complete.
Authorized signature' U
!` * Fee methodology set by Tri-County Building Industry Scone Board
Print natni7O rt Date:�) I 2
I-AmWing'Penults\MEC PernnslAAPp JNul O dor 440-461711 I lfll_'COM.WEOI