Permit 4 CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00098
T t G ARID 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/21/2012
Parcel: 25101 BC00201
Jurisdiction: Tigard
Site address: 8255 SW HUNZIKER RD 102
Project: Spec Space Subdivision: CROW PARK 217 Lot: 4
Project Description: Relocating registers for TI.
Contractor: WILLAMETTE HVAC Owner: JOHANSON TRANSPORTATION SERVICE
3075 SW 234TH AVE. #206 5583 E OLIVE AVE
HILLSBORO, OR 97123 FRESNO, CA 93727
PHONE: 503 - 628 -6841 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/21/2012 $115.11
Class of Work: ALT Type of Const: Plan Review 02/21/2012 $28.78
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 02/21/2012 $13.81
Stories:
Project Valuation: $2,000.00
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 $157.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You ma btain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r'
Issued By: -- S ignature:
_
Call 503.. --. 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
City of Tigard �y� �1 �j� Date/By. : a' Permit No.: z - o — /: I
O
13125 SW Hall Blvd., Tigard, OR 97223 0 Plan Review '
0 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: I t , J
R+
TI G A R D Inspection Line: 503.639 n 1 2 `� Date DateB y L ReadyBy: See Page 2 for
Internet: www.tigard - or.gov FE.. (� + Notified/Method: . Supplemental Information
viAl Cif I v 0
TYPE OF WORKCt∎ '' c Vit• Sl COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
S1� Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition /alteratiotSb cement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $2,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 8255 SW Hunziker Ave (requires site plan showing placement) 46.75
Fumace 100,000 BTU (ducts/vents) 46.75
City /State /ZIP: tigard or 97223
Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: 102 Project name: Hunziker TI 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
relocate registers to accommodate new office layout
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: Environmental exhaust and ventilation:
Address: 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 ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: same as below 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 /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue •
Business name: Willamette HVAC, LLC Clothes dryer (gas)
Other: •
Address: 3075 SW 234 Ave Suite 206 MECHANICAL PERMIT FEES*
City /State /ZIP: Hillsboro OR 97123 Subtotal //'5', //
—
Phone: (503) 259.3200 Fax: (503) 848.2597 Minimum permit fee ($90.00)
Plan review-(25% of permit fee) 2 r7 F'
CCB lie.: 56951 State surcharge (12% of permit fee) /3 . e/
TOTAL PERMIT FEE J 5-7.7b Authorized si nature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: Michael Malstrom Date: 2/7/12 • Fee methodology set by Tri- County Building Industry Service Board
I: \Building\Permits \NEC- PermitApp.doc 09/09 /10 440- 4617T(I1 /02/COM/WEB)