Permit III CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00063
TIGARD . 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2008
PARCEL: 25101 AA - 08700
SITE ADDRESS: 12511 SW 68TH AVE ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT: 029 JURISDICTION: TIG
PROJECT: HPNORTHWEST
Project Description: Installation of (1) new a/c unit mounted on rooftop. Project Value: $2,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 8 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
. FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
THE BEVELAND BUILDING LLC Description Date Amount
12511 SW 68TH AVE
TIGARD, OR 97223 [MECH] Permit Fee 2/8/2008 $72.50
[MECPLN] Plan Rev 2/8/2008 $18.13
[TAX] 12% State Surch 2/8/2008 $8.70
Phone: 503 -597 -1600 Total $99.33
Contractor:
WILLAMETTE HEATING & AIR CONDITION
4370 NE HALSEY ST
PORTLAND, OR 97213 -1566 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 284 -3740
FAX 503- 284 -2821
Reg #: LIC 154438
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
`
Issued By: 2 Permittee Signature:
/ Call 503.639.4175 by 7:00 a.m. for inspections that bu e ss 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.
1VYech?cnicak Permit Application fo lP FOR OFFICE USE ONLY
Cl of Tigard Received
q `J g Date/By: . HQ g PermitNo.:
—4
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Q DateBy:
Other Permit:
T I G n R D Inspection Line: 503.639.4175 Date Ready/By: RI El See Page 2 for
Internet: www.tigard or.gov Notified/Method: if Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead, and profit.
CATEGORY OF CONSTRUCTION Value $ / DO 0 •
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling 2 ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description 1 Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: f z / / 'j ie 0. Air conditioning or heat pump
I (requires site plan showing placement) / 14.00
City/State /ZIP: Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Project name: j ak.. T— Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
• Hydronic hot water system 14.00
• Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.:
Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
4— l �+ G . T Gas fireplace 10.00
` , (10G(� kJ l / Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
V. PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name E -a,--. J F.[ 1 01D 1 LL Co i--Le_ . Environmental exhaust and ventilation
� Range hood/other kitchen
Address: equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: 55.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
C . Fireplace
E -mail:
Range
CONTRACT R Barbecue
Business name: / Clothes dryer (gas)
Other:
✓ - Address: ... 7 D /( MECHANICAL PERMIT FEES*
City /State /ZIP: 0 - - 2 . - , 7 " — D rue, Subtotal
1 Phone: ( 2 j "3 7 cr-vl Fax: ( ) Minimum permit fee ($72.50) 7a , 50
Plan review (25% of permit fee) / ' j , II
• CCB tic.: / Li • • 54. State surcharge (12% of permit fee) . - 7 0
/ TOTAL PERMIT FEE 5 3
Authorized signature: / / i
expires if a permit is not obtained within 180
__ days • permit application e days after it has been accepted as complete.
Print name: _ / =; W W • Fee methodology set by Tri-County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07. 440-4617T (1 I/02/COM/WEB)
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_
Mechanical Permit Application - City of Tigard '
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\ Building\Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISIO PERMIT #: MEC2008- 00063
13125 SW Hall Blvd., Tigard, OR 97223 ,� DATE ISSUED: 2J0/2008
Phone: (503) 639 -4171 Aznffr 1;1\
Inspection Requests (24 Hrs.): (503) 639 -4175 .d...-•
INSPECTION WORKSHEET FOR DATE: 21 _008 TIME: 7 :O5AM PAGE: 37
SITE ADDRESS: 12611 SW 60TH AVE CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 029 TYPE OF USE:
PROJECT NAME: FIPN(RTHWEST
DESCRIPTION: Installation of (1) new a/c unit mounted on rooftop. Project Value: $2,000
OWNER: THE BE:VELAND BUILDING.: LLC, PHONE #: 603 -597 -1600
CONTRACTOR: WILLAME=TTE HEALING & AIR CONDITION PHONE #: 503 284.3740
Inspection Request Scheduled For: Date: 2/12/2008 Pour Time: 1 : 30
Code # Inspection Description Confirm # Contact # Message.
G99 Mechanical final 064873-01 503-803-7074
4
Corrections/Comments/Instructions:
PASS i PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
El FAIL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: L Phone #: (503) 718 - ag