Permit Iq CITY OF TIGARD MECHANICAL PERMIT
II I. ' COMMUNITY DEVELOPMENT Permit#: MEC2020-00149
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2020
Parcel: 1 S 126CA00100
Jurisdiction: Tigard
Site address: 9225 SW HALL BLVD A
Project: Dancer's Closet Subdivision: None Lot: None
Project Description: Replacing existing RTU and gas line installation.
Contractor: DYNAMIC HVAC, LLC Owner: GREENBURG CORNERS LLC
12013 NE 99TH ST, SUITE 1670 621 SW ALDER ST, STE 800
VANCOUVER,WA 98682 PORTLAND,OR 97205
PHONE: 503-400-0295 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Info Process/Archiving-Sm$0.50(up to 04/09/2020 $6.00
Class of Work: ALT Type of Const: VA 11x17)
Permit Fee 04/09/2020 $474.71
Occupancy Grp: B Occupancy Load: Plan Review 04/09/2020 $118.68
Stories: 12%State Surcharge-Mechanical 04/09/2020 $56.97
Project Valuation: $14,992.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm: 1
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 $656.36
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 //liinng�5�033..232.1987 or 1.800.332.2344.
Issued By: .. (/''v'_ Cam- Permutes 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ` feD FOR OFFICE USE ONLY
Cl of Tigard CE. _ G Received
g Date/BY: 3166 2- Permit No.: I-_ 'e,rs 1`
• 13125 SW Hall Blvd.,Tigard,OR 97a23 O'tQ PlanReview / ' tl`vaclJ �I��
Phone: 503.718.2439 Fax: 503.598.1960'A AR 2 -•a c• A.� Other Permit:
!V1 Date/By: Ili
n Inspection Line: 503.639.4175 D Date Read B kris:
Internet: www.ti and-or. ov AR Y Y SupplementalfiZ See Page 2 for
g g Ck OF D\IIg�ON Not tied Method y//� � Information
DING' ,rc_ AIM k;t'_1Z
�-,,; L rtF° • ,1,,,t��;�. „,` >¢, 1 ,1Y 1;,:. ,., erf a:e- l , .. ,,;�:, k..3,,,,,_ ^ 'L'KLiS_
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Mechanical permit fees*arc based on the value of the work
❑New construction al Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
, E Value:$�, '� '1 ' ffi f4 a o $ .,.a ,° r4i� , b ' A @st- ..a4. `. 3. . 't :.
❑ 1-and 2-family dwelling 3 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total
'I c 1 4 ,b i t Heating/coaling:
�� Air conditioning 46.75
Job site address: R225 5Wq a ehie1 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:T9aMdi � ' Z3 Furnace 100,000+BTU(ducts/vents) 54.91
'�/1 i w S ^, Heat pump 61.06
Suite/bldg./apt.no.: ,Q. Project name: n}y�f U Duct work 23.32
Cross street/directions to job site: r'W r 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.: er 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
a, 'aSt,��i `5^ l � ' : v„ s. �, Gas fireplace/insert 33.39
t _` Nib `
r � �J � fisag replace vent for water heater or gas
exili'jQl WV,
( � hill 23.32
i Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
I Chimney/liner/flue/vent 23.32
V�t III '' Other: 23.32
I Environmental exhaust and ventilation:
Name: ( Soo (DrrtkNS t 1 / Range hood/other kitchen
Address: /•' y' y� UjJ� equipment 33.39
t W I'I4PCCT - �7n1'f- Clothes dryer exhaust 33.39
City/State/ZIP: j?()k A.rtd pa e TL-(/r Single-duct exhaust(bathrooms,
i toilet compartments,utility rooms) 23.32 _
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
`) � /l„,,r `". rvu i' , c� ,.`_ ,)fit,�`;° l, n r .y,:, s Other: 23.32
l( I.If Fuel piping:
Business name: al nUlfl
$14.15 for first four;$4.03 for each additional
Contact name: ier L WFurnace,etc.
Address: I�13 NE qq /y m .1. "J� 1 d O heat Pump
alUsuspended/unit heater
City/State/ZIP: r��r)wu ep i t u/1 (��� 2
Water heater
Phone:(50(3)9p 9/0 IJR Fax::( ) Fireplace
Range
E-mail: I ,`,11 1 I A li 1 L t C P Barbecue
°
°,arf ' S i M, 1" _ Clothes dryer(gas)
Business name: Other.
Dunarr�jc �1wc, v
Address: /ryy� /�fir- p/y I,�, y . � �4� ,_�-,,t PERMIT l i:11ti'
ZVt M L`71"( l71• 6i"(, ,wit) Subtotal
City/State/ZIP: (Al !/t/l keil; (I h/ (�t�lkl9� Minimum permit fee($90.00)
Phone:(�'a3)Ej0p �2�� Vvr' I{Fax: �� / Plan review(12%25%ofpermitfee)
�e'� ( )i,t State surcharge(12%of permit fee)
CCB tic,: �1 `D 7. 7//7/7.-o TOTAL PERMIT FEE
t This permit application expires fi a permit is 1st
ot obtained within 180
days after it has been accepted as complete.
Authorized signature: / * Fee methodology set by Tri-County Building Industry Service Board
�rintname: Je Date: .3/r/0/W26
1:\Building\Permits\MEC_PermitApp_040113.doc a 440.4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
1 ,
$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\Permits\MEC_PermitApp_040113.doc 2