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14 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00168
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2011
TIGARD Parcel: 25101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Commercial Vehicle Group Subdivision: BEVELAND CORPORATE CENTER Lot:
Project Description: Exterior gas line. 5/10/11, added existing abandoned gas line to scope of work. BT.
Contractor: CROREY MECHANICAL ENGINEERING & CONSTRU( Owner: CVG OREGON LLC
PO BOX 1066 7800 WALTON PKWY
CANBY, OR 97013 NEW ALBANY, OH 43054
PHONE: 503 - 266 - 9086 PHONE:
FAX: 503 - 266 -9766
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/20/2011 $69.06
Class of Work: ALT Type of Const: Plan Review 04/20/2011 $17.27
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04/20/2011 $8.29
Stories:
Project Valuation: $400.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $94.62
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, 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 0 . sy calling 503.23 .:::.
III IP
Issued By: / ��� . _ Permittee Signature:
Call 5l3.• •.4175 by 7:00 a.m. for the next available inspection date. /
This permit card shalt 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.
p CITY OF TIGARD MECHANICAL PERMIT
1/1 ■ COMMUNITY DEVELOPMEN Permit #: MEC2011 -00168
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/20/2011
Parcel: 2S101 BD00200
Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD
Project: Commercial Vehicle Group Subdivision: BEVELAND CORPORATE CENTER Lot:
Project Description: Exterior gas line.
Contractor: CROREY MECHANICAL ENGINEERING & CONSTRU( Owner: CVG OREGON LLC
PO BOX 1066 7800 WALTON PKWY
CANBY, OR 97013 NEW ALBANY, OH 43054
PHONE: 503 - 266 -9086 PHONE:
FAX: 503 - 266 -9766
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/20/2011 $69.06
Class of Work: ALT Type of Const: Plan Review 04/20/2011 $17.27
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04/20/2011 $8.29
Stories:
Project Valuation: $400.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $94.62
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, 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 t. • - • C by calling 503.232. • • • = i r . w
Issued By: r �� ` Permittee Signature:
Call 503.6. • • 44 :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 ONLY
City of Tigard Received Pmt No.:
" 13125 SW Hall Blvd., Tigard, OR 97223 ` Date/B • i 7 m� �, �ft)1�0
Phone: 503.639.4171 Fax: 503.598.1960 ` Plan Review
Date/By: Other Permit:
T I G A R I) Ins Line: 503.639 � 11 Date Ready/By: - t , � uns: �� H See Page 2 for
Internet: www.tigard- or.gov PO � ) Notified/Method: i4, Supplemental Information
TYPE OF WORK �e � -i ;��N COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction Addition /alteration /replad itik ��) Mechanical permit fees* are based on the value of the work
V performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: �j V mechanical materials, equipment, labor, overhead, profit.
CATEGORY OF CONSTRUCTION Value: $ ela' v•
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling 'Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: ?/ 0 sr" 5' e.. J ,[L _ k ; A ie4" 5' f . (requires site plan showing placement) 46.75
City/State /ZIP: ! `i / d A , 7 7 '7 22 Furnace 100,000 BTU (ducts /vents) 46.75
� �
Suite/bldg. /apt. no.: Project name: /" Furnace 100,000+ BTU (ducts /vents) 64.0
w. ,,,..fax...‘ (,._,° Heat pump 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
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
. 4 ,45( ) (4,7„.... (., 4// ) , ],,L 61 a -1,..... 7 I ) 6.........4--- Flue vent for water heater or gas
r 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
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: 4 ,,,, �^ ` 6,,,,,„,„ �t Fuel piping
�!� 2 / f ��� � Contact name: �� �cr.*/ $14.15 for first four; $4.03 for each additional
Address: Ao ‘ �i ` d Furnace, etc.
l Gas heat pump
City /State /ZIP: ( ' ad 70 ( 9 Wall/suspended/unit heater
Phone: ( 3-4) 2i ' t'I 9'6 Fax: : ( foo) 3,<t/ 7 ?`1 Water heater
Fireplace _
E -mail: Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: d L �C Other: r
/ 2 / J //
Address: MECHANICAL PERMIT FEES*
3 City /State /ZIP: ` ( 6 (/ /< -y) /7 Subtotal —
/� `' ! Minimum permit fee ($90.00) _
Phone: ( .) t [ / ) 2 _ y 6 p y Fax: ( r , „ / ) 2 _ 7 7eq Plan review (25% of permit fee)
CCB lic.: ” '3S 72_ T State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature:
�/ I days after it has been accepted as complete.
Print name: C1,,t 6. Ss:. / ' Date: v //ft_ /, t * Fee methodology set by Tri -County Building Industry Service Board
r:\Building \Permits \MEC- PermitApp.doc 10/01/09 440 -46I7T (t 1 /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.
I: \ Building \Permits\MEC- PermitApp.doc 10/01/09 2
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CITY OF TIGARD
Approved [
Conditionally Approved [ ]
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OFFICE CO Y Permit Number: ( 2 I I —0 01CA
Add"ess• OdS f ;nn
By: P\ Date: F 0 —//
P.O. Box 1066, Canby, OR 97013 • 503/266 -9086 • FAX 503/266 -9366 • CCB #63572