Permit .,� CITY OF TIGARD MECHANICAL PERMIT
� COMMUNITY DEVELOPMENT
Permit #: MEC2009 -00571
TI I? AR
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/28/2009
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 105
Subdivision: Lot: 0
Project: Spec Space
Project Description: Add new bath fan, relocate (3) ducts.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee 10/28/2009 $130.46
PORTLAND, OR 97224 12% State Surcharge - Mechanical 10/28/2009 $15.66
PHONE: 503 - 624 -6300
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115
PHONE: 503 - 691 -9699
FAX: 503- 691 -8556
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: -
Gas Pressue: 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: 1 Vent Systems: Total $146.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 3
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 adoptedk'y the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obt.in a a. py t the rules
or direct ques ions to OUNC by calling 503.246.6699 or 1.800.332.2344. I I /
Issued B : 1/ 4 ` J Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 � gyp, FOR OFFICE USE ONLY l
lc City of Tigard I . „. , 11\ , 1 -. 0 ° DateBy /0 a� i 9 tJ�I Permit No: / c) q A 7 v
v 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
l 2 : Phone: 503.639.4171 Fax: 503.598.19600 C T 2 8 ZOOS DateBy: Other Permit:
Inspection Line: 503.639.4175
TIGARD g g Notified/Method: ®S lemental Information
Internet: www.ti and -or. ov CITY OF T IGARD pp
DI iii l' t ..le' no ra 'tr .s i
brsr.l.esut Vi.N
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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: $ '? j c(jv
RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
❑ l- 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
Job site address: /
' 41A/ a J a D ` � tit) /
Air conditioning
l N 1 V Iil - (reqq uires site plan showing placement) 46.75
City /State /ZIP: 14-Y/ 1. Furnace 100,000 BTU (ducts /vents) 46.75
/ , ,- !� Q � Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: (JC Project name: 17 . d -1"� Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
1.'t4 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
Ale'''. ek J f /� / Gas fireplace fe 33.39
f/jCra IN Flue vent for water heater or gas
C 4 / L° ��-!� 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
❑ T ENANT Other: Oth
J / � (J 7 ,�/ 23.32
Name: 7�1.- Environmental exhaust and ventilation
Address: l 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 ii' CONTACT PERSON Attic /crawlspace fans 23.32
77 DM - Other: 23.32
Business name: : Fuel piping
Contact name:
e.---4//r.fr G ,.. t r it i(/Y"-- $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: (0j) Pf 5 5 /7V Fax: : ( ) Water heater
Fireplace
E -mail: alit 0 Or t1 ) 1 Range
CONT' (. CTOR Barbecue
Business name: ' I' Clothes dryer (gas)
Other:
Address: f, C 6 4 MECHANICAL.PERMIT FEES*
nI
City /State /ZIP: 0V .- C ° J 2 ' tj Subtotal ,I /_
Phone: (f0 1 ZA�3 Fax: ( ) Minimum permit fee ($90.00) /DO. `► y`�
S Plan review (25% of permit fee) —et"
CCB lie.: t') 2 L State surcharge (12% of permit fee) / 5 . (0(v
TOTAL PERMIT FEE /i/63• a
Authorized signature: ,� /( This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: C L.! ” f Date: 1,p/ 7,4))d ei * Fee methodology set by Tri- County Building Industry Service Board
I. \Building\Permits\MEC- PermitApp doc 10/01/09 440 -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.
I: \Building \Permits \MEC- PermitApp.doc 10/01/09 2
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