Permit p CITY OF TIGARD MECHANICAL PERMIT
` ' ! COMMUNITY DEVELOPMENT Permit #: MEC2011 -00162
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/14/2011
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 300
Project: Consumer Cellular Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: Modification of existing grilles for TI
Contractor: ARJAE SHEET METAL CO, INC. Owner: PACIFIC REALTY ASSOCIATES
5510 SE MCLOUGHLIN BLVD. 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97202 PORTLAND, OR 97224
PHONE: 503 - 231 -7717 PHONE: 503 - 624 -6300
FAX: 503 - 230 -4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/14/2011 $151.95
Class of Work: ALT Type of Const: Plan Review 04/14/2011 $37.99
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04/14/2011 $18.23
Stories:
Project Valuation: $3,200.00
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 $208.17
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, Sta of OR. Specialty C••es and all other
applicable law. All work will be done in accordance with approved plans. This permit will expir if wor is not starte' within 1:! days of
issu. • -, or i is suspended for more the 180 days. ATTENTION: Oregon law requires you to foIl• the rules ad pted • the Oregon
U ity Notification Cente . Thos- rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -1090. •u m- obtain • •py of the rules
•r direct questions to OUNC . ' -Ili ! e .232.1987 or 1.800.332.2344.
ssued By: r ( Permittee Signature: j L
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 1 SE ONE)
City of Tiaand Received Permit No.:
b Date/By: r -∎ 6 r
• II I I 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: Other Permit:
t I (i ,\ u I Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov Notified/Method: Supplemental Information
E 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.
CATEG
Value: $ 1212420 %
Y OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
7 :(:)(( JOB SITE INFORMATION AND LOCATION Heating/cooling:
�/�� Air conditioning
7-6.4.9-Z,
Job site address: G.I T (�� 4 4-v (requires site plan showing placement) 46.75
City/State/ZIP: n� N �1 � � Furnace 100,000 BTU (ducts /vents) 46.75
y b"�` ✓ Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: DnS6 U of. ' (
(� `v Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: 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
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
{i be,."-T n / X < < J T ) 1 ] d k Flue vent for water heater or gas
1 �eIhvg. 7) , r i b ` T � J fireplace 23.32
` Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
PLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: 14 1 nXA � ,� �1Cr 4Tw piping:
Fuel
`
.�I
Contact name: G}k'l-t-• � ln a- i **T7P $14.15 for first four; $4.03 for each additional_
Address: ?"I6- / a /4 v 1-2.7 3 4 iii// Gas h ea t p
Gas heat pump
City/State /ZIP: �0.2 7 - /jq -,r✓GZ 6L Wall /suspended/unit heater
Phone: ( ) 23 / 17 / 7 Fax: : ( ) 2 J , zicr _ Water heater
Fireplace
E -mail: ��q tig-fr� Lpr- -_ Range
CONTRA
`�T OR Barbecue
Business name: �;.5,14,,,e, Clothes dryer (gas)
1,..,,,v/i O her:
Address: 53 `/ ��� / h � 4 J _ MECHANICAL PERMIT FEES* s
City/State /ZIP: �f -,_! / 0 47 Subtotal /57. -S
Phone: ( ) - 731 -7 - 1 -7 Fax: ('Z5. 14 g � Minimum permit fee ($90.00)
Plan review (25% of permit fee) 3 7. 9 7
CCB tic.: , 7/ State surcharge (12% of permit fee) / g, a 3
d s permit TOTAL PERMIT FEE A .17
Authorized signs e: ( ¢f l ' This application expires if a permit is not obtained within 180
� / .li Ar days after it has been accepted as complete.
Print name: pie ii 1n Pin i Date: * Fee methodology set by Tri -County Building Industry Service Board
I:\Building\Permits\Mgc PermitApp.doc 09 /09/10 440.4617T (11 /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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