Permit , CITY OF TIGARD MECHANICAL PERMIT
. 2 . 2 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00328
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/27/2011
. Parcel: 2S101BB01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: Lot:
Project Description: 20 ton RTU.
Contractor: SPECIALTY HEATING & COOLING INC Owner: WALTON CWOR PARK BC 8 LLC
7500 SW TECH CENTER DR #130 BY CTMT - WALTON RE TAX
TIGARD, OR 97223 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/27/2011 $703.31
Class of Work: ALT Type of Const: VB Plan Review 07/27/2011 $175.83
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/27/2011 $84.40
Stories: 1 Info Process /Archiving - Sm Sheet (up to 07/27/2011 $4.00
11x17)
Project Valuation: $23,910.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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 $967.54
•
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 if work is - spended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center. os- ules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or d ect quesf to OUNC by :.fling 50 .232.1987 or 1.800.332.2344.
Issu d By: ., / 4 Permittee Signature: Wt )7?
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 , , 4i..,,-.....:-... ... .,
z' ' ar FOR _ U SE ONL , 7 -- °i• r=
City of Tigard y Dat eived � Permit N o.: , / r � . • 71 e By: 7 - I -
w 13 125 SW Hall Blvd., Tigard, OR 972.E ` � Plan Revte � 6111% � � I �
Phone: 503.718.2439 Fax: 503.59' ` 9 , c,I 1 ' Date/By: - � 71 /
/ Other Permit.
- ' - Tigard Dat
7IGARD Inspection Line: 503.639.4175 '� � _ Date Ready Juris: El See Page 2 for
'.x x -A,L. Internet: www.tigard- or.gov ,\ � . �� , •
. TYPE L OF WORK \ Notified/Method. .--wt c) Supplemental Information
, V COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
` � !
�, Mechanical permit fees* are based on the value of the work
El New construction ®Addition /alteration /tItcement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ S23,910.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMSFEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling:
Air conditioning
Job site address: 11950 Sw Garden Place (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: Tigard, OR
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 97223 Project name: Vesta 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 pack unit Gas fireplace 33.39
Install rooftop g p Flue vent for water heater or gas
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: Walton CWOR Park BC8, LLC Environmental exhaust and ventilation:
Address: One Columbia ST Suite 950 Range hood/other kitchen
equipment 33.39
City /State /ZIP: Portland, OR 97258 Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
' ❑ APPLICANT; , ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: 514.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
•,, CONTRACTOR . , . ' , . � , Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr # 130 . MECHANICAL PERMIT FEES"
City /State /ZIP: Tigard, OR 97223 Subtotal
Phone: (503) 620 -5643 Fax: (503) 598 -0718 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
. CCB lic.: 66578 State surcharge (12% of permit fee)
• TOTAL PERMIT FEE
i r1 f f . � This permit application expires if a permit is not obtained within 180
Authorized signature: �� ��� (a days after it has been accepted as complete.
Print name: Suzie James m Date: 1 1 ` 1 Fee methodology set by Tri- County Building Industry Service Board
I \Building\ Permits \MEC-PermitApp.doc 09/09/10 440 -46 t 7T (I I /02 /COM /WEB)