Permit s a CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00476
`RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 09/23/2009
Parcel: 2S113AB01400
Jurisdiction: TIGARD
Site address: 7324 SW DURHAM RD
Subdivision: Lot: 0
Project: Performance Systems
Project Description: Move grilles, add duct, relocate gas line for unit heater.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 Permit Fee 09/23/2009 $136.90
PORTLAND, OR 97224
Plan Review 09/23/2009 $34.23
PHONE: 503 -624 -6300 12% State Surcharge - Mechanical 09/23/2009 $16.43
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: Vent Systems: Total $187.56
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 withi , 80 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopt:, by he Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You ma obtain - co)' of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ec k , l � A Permittee Signature: J
(j ` 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 . F OR OF USE ONLY . : .
,r REiew ,, y EG� V �® DD D 9 � � PermitNo.: pp. L/7
1, .
131SW Hall Blvd, Tigard, OR 9722 Rt �C/+
2 • Phone: 503.639.4171 Fax: 503.598.1960 c - Other Permit:: �+ /
Ins Line: 503.639.4175 SEP 0 9 2009 DateBy: „A g111 k /(; -' e / - r
T1 GAR'D Date Read „1i. - lung, El See Page 2 for
. Internet: www.tigard- or.gov �^ ��� Notifie. :, T i
L7/1 � . �`! � � Supplemental Information
� �
CITY OF �G ,7 _,�,T W)JJ /� , _
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Mechanical permit fees* are based on the value of the work
El New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labo , verhead, and profit.
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y R ESf T I I, 3 E Q UIP , ME F E E !* r
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist. .
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
`fi 4 a� ; & OB STrI�E INF "Q.RMATION/ ANDL�LOCATION §'� Heating /cooling
,.,. rt ^s..... i 1rz"'r ,M::F,_ ;wv.vd:,. - -.:.r ,_.:.. s . , , ,, `_, °.rwa:- o ire* u...::r » ^S.:'"'" - ,', .??5, {t Hea /COOhn �'� Air conditioning or heat pump
Job site address:
`)
17' / � /1f ✓ , (requires site plan showing placement) 14.00
City /State /ZIP:
i:/1 `�
i A I el.-- Fumace 100,000 BTU (ducts /vents) 14.00
/ I Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no.: Project name: p ,
° � , ✓t � t , /..4,..., Gas heat pump 14.00
Cross street/directions to job site: / Duct work 10.00
Hydronic hot water system 14.00
1417/4'-- / ed Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: Flue /vent for any of above 6.80
Other 10.00
Tax map /parcel no.: Other fuel appliances
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�.n.W, "' Water heater 10.00
`rv4 ,,s. ° l w :DESCRIP, � ON €OF �4.UCi trar::' ",._,.r
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Gas fireplace 10.00
ylidie 24 _ aC -� ‘� fe . 4i< Flue vent for water heater or gas
,J/ /' -1 fireplace 10.00
✓ Log lighter (gas) 10.00
Wood /pellet stove 10.00
t
Wood fireplace/insert 10.00
10.00
'�� - ,� �:'3`'; _ :,.., .., auc.,sv�erre *.; ,st, � �:�;; c - � Chimney/liner/flue/vent
w =<, f PRQPERTY!, OWNER t ,0, t._Wf.;. ' „_M .
.. >'�:.. .: : x a kLe 4 ' . ,,IKat :k..1 r.:&r.*.1 & -t a. Other: 10.00
Name: ,, -, /� � Environmental exhaust and ventilation
Address: I Range hood /other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
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^ r Attic/crawlspace fans 10.00
_�' a A'PLICANrT .,, ,L `t,& - �' CO[tNTAC.4'1- p
, ."&.«,re - ` v uas^.,,da.%a >.�.a » ,vim; .,...;v �' , >.. _,.. ... attruadNr:zaa:+_s: �i.»a...:w:. -, .. ±��, •
Business name: //f� Other: 10.00
�l�l (r- i" / Fuel piping
Contact name: �� ) / $5.40 for first four; $1.00 for each additional
Address: (y (_ [[[ Furnace, etc
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: (' ) g q_ -6 Fax: : ( ) Water heater
)) Fireplace
E -mail: �lG, ,' , ,,,,, ) d / �6' , � h - Range
l _'.- CON"I' CTOR.r", ~ r k , , .. r ,i " Barbecue
.. .hu w a..r.:, s"k 9;a -�� .. . ... , _..,. v�.2 ra�rr ,:�. � �.,. ss... sa� s 3
Business name: Clothes dryer (gas)
C /
Other
Address : '� .+� ` -'. 1VIEC"I3A1�'ICAL R
PEMI ITREES* y "; r ` ? re
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City/State/ZIP: y r!�. / /?�� , � Jt,,�� 1 2//5 Subtotal
�!1 1!�' Fax: ( ) Minimum permit fee ($72.50)
Phone: ( )
Plan review (25% of permit fee)
CCB lic.: ! 7 L12-4 2 j 7 State surcharge (12% of permit fee)
t 4C� TOTAL PERMIT FEE
Authorized signature: 7 This p ermit application expires if a permit is not obtained within 180
r days after it has been accepted as complete.
Print name: , / -L t.,t .. Date: G G+ * Fee methodology set by Tri -County Building Industry Service Board
i
is \Buildi ng\Permits \MEC- PermitApp doc 01/19/07 440 .17T I I /02 /COM /WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1: \Building \Permits \MEC- PermitApp.doc 01/19/07 2