Permit CITY OF TIGARD MECHANICAL PERMIT
' •.- COMMUNITY DEVELOPMENT Permit #: MEC2011 -00366
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/04/2011
Parcel: 2S 112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Project: Gerber - Fiskars Subdivision: Lot:
Project Description: Install air conditioner and fan coil.
Contractor: SPECIALTY HEATING & COOLING INC Owner: GERBER LEGENDARY BLADES
7500 SW TECH CENTER DR #130 14200 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/04/2011 $319.61
Class of Work: ALT Type of Const: Plan Review 08/04/2011 $79.90
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 08/04/2011 $38.35
Stories: Info Process /Archiving - Sm Sheet (up to 08/04/2011 $3.00
11x17)
Project Valuation: $8,950.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $440.86
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
issuan -, = • work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili , Notification -ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or d ect ques;ons to OU • by c, g - • . 32.1987 or 1.800.332.2344.
Issued • I. 0 Permittee Signature: ' 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 FOR OFFICE USE ONLY I
• City of Tigard Received
Date /By: trAMPM Permit No.: /1 I � �/_
'' 13125 SW Hall Blvd., Tigard, OR 97223 G � '�!�
Plan Review �7,. I� fl
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: Other Permit:
Inspection Line: 503.639.4175
TIGARD Date Ready/B ady /B : hris. H See Page 2 for
- Internet: www.tigard- or.gov Notified /Method: Supplemental Information
TYPE 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.
.. • CATEGORY 'OF CONSTRUCTION Value: $
R ESIDENTIAL EQUIPMENT / SYSTEMS :PEES*
® 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use check list.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. ] Ea. Total
JOB SITE INFORMATION • AND LOCATION Heating/cooling:
- Air conditioning
Job site address: 1 4a30 S TO, rd 6 e_ (requires site plan showing placement) 1 46.75
City /State /ZIP: p '1 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: f70,1..7_.LAKID
roject name: 6,C6 R5 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 t4 S rA Lb Pf I a_ CON D( - riQN E 4- Flue vent for water heater or gas
F-cm rot 1 fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
PROPERTY OWNER Chimney /liner /flue /vent 23.32
'0 TENANT
. Other: 23.32
Name: - Fiskars Brands Inc C11208 Environmental exhaust and ventilation:
Address: � Fiskars Outdoor Recreation Range hood /other kitchen
equipment 33.39
City /State /ZIP: 1 14200 SW 72nd Ave Clothes dryer exhaust 33.39
Portland Or 97224 -3088 Single -duct exhaust (bathrooms,
Phone: ( ) toilet compartments, utility rooms) 23.32
A ._ _�..__... _ _ .._ -_.i PERSON Attic /crawlspace fans 23.32
Business name: Other: 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /Z1P: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
' CONTRACTOR , - Barbecue
Business name: Specialty Heating & Cooling, Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr #130 MECHA NICALPERMITFEES*
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 lie.: 66578 State surcharge (12% of permit fee)
aon.- TOTAL PERMIT FEE g ik). }"P Authorized signature: This permit application expires if a permitis not obtained within 180
days after it has been accepted as complete.
Print name: Suzie James Date: )5.4 I 1 * Fee methodology set by Tri- County Building Industry Service Board
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