Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2011 -00005
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/04/2011
Parcel: 2S101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 102
Project: Plaza Home Mortgage Subdivision: Lot: 0
Project Description: Relocate ducts and grilles for TI.
Contractor: RELIABLE MECHANICAL Owner: HILLTOP BUSINESS CENTER LLC &
13215 SE MILL PLAIN BLVD C -8 HUNZIKER LLC
VANCOUVER, WA 98684 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 360 - 693 -7379 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/04/2011 $176.51
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 01/04/2011 $21.18
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $4,000.00
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: Vent Systems: Total $197.69
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, • • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility '.otification Cent . T.. e ules .re set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0091. You may obtain a copy of the rules
or direct questions to OUN• • callin, 5► .232.1987 or 1.800.332.2344.
Issu d 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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE usE ONLY
City of Tigard Received / Permit No.: ge
• 13125 SW Hall Blvd., Tigard, OR 97223
Date/By: '
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
1 I (i A R D Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
ID New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rou ti. - net : . ) of all
❑ Demolition ❑ Other: mechanical materials, et r ment, labor, overhead, and pro 1
CATEGORY OF CONSTRUCTION Value: $ G` -(J�
RESIDENTIAL EQU IEbRt3YST EES*
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ' I ,o J Air conditioning
7 3 ZU 5 / ✓ 1- 41 2; K / .5f / o2. (requires site plan showing placement) _ 46.75
City/State /ZIP: J,3 e , Z.:2--6 Furnace 100,000 BTU (ducts/vents) 46.75
J Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Id Z / Project name: P14 _ek T ( )
Heat pump 61.06
Cross street/directions to job site: ii t -1g_ Hot r .' € Duct work 23.32
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.:
Other: _ 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
�
/ / o tJ e . 9 r: //5 'V 1/1-i.../ T __T , Flue vent for water heater or gas
1 4 '''e -7 /U S r.// `5 1,-/ 1 (A✓e. fireplace 23.32
Log lighter (gas) 23.32
3 vs,' / /' Wood/pellet stove 33.39
Wood fireplace /insert 23.32
0-PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: R b1' tr‘G} / !� />r, . Environmental exhaust and ventilation
/ ( ^n q /� / / [� Range hood/other kitchen
Address:
2( 3 e �J / I/ / T(/1''!h'Lf4 /�/Z /d_ equipment 33.39
City /State /ZIP: it-i //5 J 01‹ 9 7 J Z Clothes dryer exhaust 33.39
) C ii5 _ 9 Single-duct exhaust (bathrooms,
`l
Phone: :3 O toilet Fax: ( ) toilet compartrt mennts, utility rooms) 23.32
(( APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
/ I _ J � /
Business name: Other: 23.32
�t r. ✓/ e. i"/ ec- tictH. CGi / Fuel piping
Contact name: lc ., r ,.._, rklC r - f r / $14.15 for first four; $4.03 for each additional
Address: / .3 275--- g L yyy 7/ p /G1, ,n 4 /,. d < c i Furnace, etc.
Gas heat pump
City/State /ZIP: t,‘ C l S i__./q- q,? .6 Wall/suspended/unit heater
Phone: (31Z)) CS 3 - 7 3 75 I Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: �F-1 - ,' ,J Clothes dryer (gas) _
Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal / 74, 57
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: / d Cf 2 $ / 1 - / y , State surcharge (12% of permit fee) Al. / S'
TOTAL PERMIT FEE 197, (P
This permit application expires if a permit is not obtained within 180
Authorized signature: 1 days after i t has been accepted as complete.
Print name: �� � f`c_ I Date: 0 - / /C//J * Fee methodology set by Tri-County Building Industry Service Board
1:\Buildingwermits\MEC- PermitApp.doc 10/01/09 440-4617T(I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit Fee:
$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.
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