Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: MEC2011 00443
Date Issued: 10/11/2011
TI ARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S113AB00300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 200
Project: Oregon State Bar Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: Install (2) VAV boxes, controls and SA & RA distribution.
Contractor: JNB MECHANICAL INC Owner: OREGON STATE BAR, THE
1304 NE 125TH AVE 16037 SW UPPER BOONES FERRY RD
VANCOUVER, WA 98684 TIGARD, OR 97224
PHONE: 360 - 433 -9067
PHONE' 503 - 620 -0222
FAX. 360- 433 -9439
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 10/11/2011 $257 79
Class of Work: ALT Type of Const: Plan Review 10/11/2011 $64 45
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 10/11/2011 $30 93
Stories: Info Process /Archiving - Lg Sheet (over 10/11/2011 $2.00
11x17)
Project Valuation: $6,750.00
Fuel Air Handlers
Fuel Types 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 $355 17
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
issua , or i ork is suspended for more the 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon
Ut" y Notification Ce -r. Th. -:- rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090 You may obtain a copy of the rules
direct que.tions to OU • calling 50. 32.1987 or 1 800 332.2344.
I sued By: �� Permittee Signature: C ^ � (" Z .. 1
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.
OS 6 . 3r� r-k-e_\ Con} rotA r n 6--..,L .
Mechanical Permit Application FOR OFFICE USE ONLY
ill City of Tigard Date /Byd �offir��� Permit No - r ,
q 13125 SW Hall Blvd., Tigard, OR 97223 Ai" ''
Plan Review
Phone 503 718.2439 Fax 503 598 1960 Date/By Other Permit
' TI G A RD Ins Line 503 639 4175 Date Ready /By Juns ® 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.
Value $ $6,750.00
CATEGORY OF' CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty Ea Total
1100 7 JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: Upper Boones Ferry Road (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZiP: TOgard, Oregon
Furnace 100,000+ BTU (ducts /vents) 54 91
Suite/bldg. /apt. no.: a96) Project name: r d 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
Install two (2) owner provided VAV boxes with controls and SA & RA distribution Gas fireplace 33 39
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 ID TENANT Chimney /liner /flue /vent 23 32
Other 23 32
Name: Oregon State Bar Environmental exhaust and ventilation:
Address: Upper Boones Ferry Road Range hood /other kitchen
equipment 33.39
City /State /ZIP: Tigard, Oregon Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23 32
g APPLICANT . ❑ CONTACT PERSON Attic /crawlspace fans 23 32
� q > Other. 23.32
Business name:
O v Wk. ' Fuel piping: .
Contact name: $14.15 for first four; $4.03 for each additional
Address: \i./ Furnace, etc
Gas heat pump
City /State /ZiP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
`� ( Fireplace
-J
E -mail: 01JV� a ,�r,bfy\ i L PeN Range
CONTRACTOR Barbecue
Business name: JNB Mechanical Inc. Clothes dryer (gas)
Other
Address: 3315 NE 112 Ave A40 -41 MECHANICAL PERMIT FEES*
City /State /ZIP: Vancouver, WA 98684 Subtotal
Phone: (360) 433 - 9439 Fax: (360) 433 - 9439 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 176150 State surcharge (12% of permit fee) -7
TOTAL PERMIT FEE 6,x.1 4
Authorized signature: . This permit application expires if a permit is not obtain within 180
days after it has been accepted as complete.
Print name: Jason El Date: 10 -10 -11 * Fee methodology set by Tn- County Building Industry Service Board
I \Budding \Permits\MEC -PermitApp doc 09/09/10 440 -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.
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