Permit q CITY OF TIGARD MECHANICAL PERMIT
IN
a .,, COMMUNITY DEVELOPMENT Permit #: MEC2010 -00411
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/17/2010
Parcel: 2S101 BB01500
Jurisdiction: TIGARD
Site address: 12256 SW GARDEN PL, BLDG# 1
Subdivision: PARK 217 Lot: 0
Project: CTA Lab
Project Description: Relocate ducts and grilles for new office area.
Owner: FEES
WALTON CWOR PARK BC 8 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 325, PO BOX
Permit Fee 08/17/2010 $240.93
4900 12% State Surcharge - Mechanical 08/17/2010 $28.91
PHONE:
Contractor:
ACCURATE HEATING INC
27350 SW 95TH AVE SUITE 3010
WILSONVILLE, OR 97070
PHONE: 503 - 650 -1229
FAX: 503 - 650 -4845
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $269.84
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 • • • • • - suended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili , otification Center. .s . es are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may of - ••py of the rules
or :irect questions to OUNC • calling • •699 or 1.800.332.2344.
sued By: � Permittee Si natur : �,���l.
.....J Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Ol'I ICE USE ONLY
City �f Tigard Received Permit No. q�
° 13125 SW Hall Blvd., Tigard, OR 97223 Q ! (0
11 dap /(, -60
; Date /By: - C Plan Review
11 Ph one: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit:
T 1 G A R D Inspection Line: 503.639 Date Ready /By: _furls: ® See Page 2 for
- . Internet: www.tigard - or.gov Notified/Method: Supplemental lnformation
TYPE OF WORK _ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
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.
•
CATEGORY OF CONSTRUCTION Value: $ $6,200.00
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2-family g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. 1 Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12254 SW Garden Place Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, Oregon 97223 - Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: CTA Lab
Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
t, • 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
‘.;\ Other: . 23.32
/ Tax map /parcel no.: Other fuel appliances
. DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
• .. _
' (1) supply and (1) return Flue vent for water heater or gas
air diffuser in n ew office area, (1) Greenheck 125 CFM ceiling mounted of with fireplace 23.32
Log lighter (gas) 23.32
venting for Chemical Storage, (1) Greenheck 1000 CFM ef, (1) Greenheck 1000 FCM Wood /pellet stove 33.39
supply fan, (2) supply air diffusers and (1) return air grille for Lab. Wood fireplace /insert 23.32
❑ PROPERTY OWNER ® TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: CTA Labs Environmental exhaust and ventilation
Address: 12254 SW Garden Place Range hood /other kitchen
equipment 33.39
City /State /ZIP: Tigard, Oregon 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
: ® APPLICANT ') ❑ CONTACT PERSON Attic /crawlspace fans 23.32
i Other: 23.32
Business name: Accurate Heating, Inc.
Fuel piping
Contact name: Kim Williams . i $14.15 for first four; $4.03 for each additional
Address: 27350 SW 95' Avenue, Suite 3010 Furnace, etc.
Gas heat pump
City /State /ZIP: Wilsonville, Oregon 97070 Wall /suspended/unit heater
Phone: (503) 650.1229 '` Fax: : (503) 650.4845 Water heater
Fireplace
E -mail: service2 @accurateheating.com Range
CONTRACTOR Barbecue
Business name: Accurate Heating, Inc.
Clothes dryer (gas)
Other:
Address: 27350 SW 95 Avenue, Suite 3010 MECHANICAL PERMIT FEES*
City /State /ZIP: Wilsonville, Oregon 97070 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 650.1229 Fax: (503) 650.4845 Plan review (25% of permit fee)
CCB tic.: 88423 Illail■ �` State surcharge (12% of permit fee)
gm ir.411 TOTAL PERMIT FEE
Authorized si a This permit application expires if a permit is not obtained within 180
//� .�.- ���� days after it has been accepted as complete.
— � * F ee methodology set by Tri -Count Building name: Kim t tam Dat e: 08.05.10 6'Y Y y B Industry Service Board
1:\Building \Permits \MEC- PermitApp.doc 10/01/09 440- 4617T(11 /02 /COMM'EB)