Permit CITY OF TIGARD MECHANICAL PERMIT
1.1 v COMMUNITY DEVELOPMENT Permit #: MEC2012 -00110
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/29/2012
Parcel: 2S112BA05900
Jurisdiction: Tigard
Site address: 14058 SW MILTON CT
Project: Transcat Subdivision: BONITA INDUSTRIAL PARK Lot: 7
Project Description: Remove and replace (1) rooftop unit.
Contractor: HVAC INC Owner: GOODHEAD, DAVID D & JAN M
5188 SE INTERNATIONAL WAY 9846 SW PEPPERTREE LN
MILWAUKIE, OR 97222 TIGARD, OR 97224
PHONE: 503 - 462 -4822 PHONE:
FAX: 503 - 462 -6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/29/2012 $212.83
Class of Work: ALT Type of Const: Ill Plan Review 02/29/2012 $53.21
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 02/29/2012 $25.54
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 02/29/2012 $3.00
11x17)
Project Valuation: $5,200.00
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 $294.58
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
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fo low th rules adopted by the Oregon
Utility No • ratin Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. ou obtain a copy of the rules
or dir questions to ■UNC • ailing 503.232.1987 or 1.800.332.2344. t
Iss d By: / 1'1 $ 1 4 �
l + � i Permittee Signature:
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 co .Ietion , f the project.
Approved plans are required on the job site at the time of each ins 'ectio .
Mechanical Permit Applit E1 vED FOR OFFICE: 1;s1: c) :NIN
II °I City of Tigard Received g i I A►o� Permit No.: / ` /ya`
13125 SW Hall Blvd., Tigard, OR 9718 2 9 2012
Deceiv
Phone: 503.639.4171 Fax: 503.59 .1 60 PDla�teB e F �/ .. I other Permit
Inspection Line: 503.639.4175 iV Date y 4
T I G A R D Internet: www.figard-or.gov C ► ° Date ReadyB -- c ® See Page 2 for
BUILDING Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction' Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION •
Value: $ �0._0-.0
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling Conunercial/industrial ❑ Accessory building
For special information use checklist.
Multi - family
1:=1 ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
RM
JOB SITE INFORMATION AND LOCATION Heating/cooling
O'S W
Job site address: ‘ V' ' 1 1 I5 9 Wr ` Air conditioning or heat pump
5 J lA (requires site plan showing placement) 14.00
City/State/ZIP: �(f (J\ D Furnace 100,000 BTU (ducts/vents) 14.00
\ \\ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgiapt. no.: I Project name: i r— 5 (..,c1/44- Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
I Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater , 10.00
/� Gas fireplace 10.00
17Mki\ P v(I 4' \/ I � ) Cl/ \ Flue vent for water heater or gas
)(J`0 `' 0 b lint � fireplace 10.00
V ) Cb W' V ` Log lighter (gas) 10.00
,..e >4 Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other. 10.00
Name: Environmental exhaust and ventilation
Address: 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
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Q X � Other. 10.00
�v `' J-+' ` l/ Fuel piping
Contact name: (k� 9 $5.40 for first four; $1.00 for each additional
Address: ` I C�/ in� k1/ (f.. V Gas heat pump
�/
_..,,,?.\(\
City/ State/ZIP: ( 1 o \�� �' `'1 1'0 / Wall/suspended/unit heater
Phone: ( )1 \ > `4l 0 - 0 , Fax:: 9,1 ) - l b _ toTh--S-- Water heater
� d AVWoL�(�,() r , n,� Range
E -mail: ' b e
/" � Vv` Range
CONTRA Barbecue
, 9 - Clothes dryer (gas)
Business name: v �� l / Other:
Address: MECHANICAL PERMIT FEES*
City/ State/ZIP:
. ,. Cti Subtotal A2,,X
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) •
Plan review (25% of permit fee) 63.9. /
CCB lic.: So VA State surcharge (12% of permit fee) A S•5f
6 - AQ.cif .Jti t=¢� , g.0 0
4 This permit application expires if a permit is not obtain isithi
Authorized signature: ■ days after it has been accepted as complete
Print name: .- ' Date: / A I • Fee methodology set by Tri-County Building Industry Servi B
IABuilding \ PermitAA ¢C- PermnApp�� 1/19/07 440 -461 T1' (11/07ICOM/WEB)
4 019
711
e Building Division
Over- The - Counter (OTC) .Mechanical Permit
T i c n lz ° Check List
Project Description:
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION
*Class of Work: C Occupancy Group: Type of Construction: '3P
*Type of Use: Oregon Specialty Code: 20
Number of Stories:
FUEL FURNACES
Type: Furnace < 100K BTU Furnaces >= 100K BTU
Gas Pressure: Roof Top Unit (RTU) t Tons
Floor Furnaces Unit Heaters
' Vents without Appliances Air Conditioning
Heat Pump
AIR HANDLERS HOODS
Units <= 10000 cfm Type 1 Hood Type 2 Hood _
Units > 10000 cfm Grease Duct 1 Hour Shaft
Fire Wrap
APPLIANCES
Boiler (BTUs) Vent Fans Gas Line
Solid Fuel Fireplace/ Clothes Dryers Gas Outlets
Woodstove Duct Work Gas Fireplace
Fire /Smoke Dampers Other Mechanical Units — Describe:
Total Project Valuation: $ G FEES DUE
$ 1.--( 2,e ) Mechanical Permit Fcc
$ T 3.2( Plan Review
2 5,— 12% State Surcharge
$ Info Proc /Arch, Lg (over 11x17 $2.00)
$ '3,c Info Proc /Arch, Sm (up to 11x17 $0.50)
$ Misc. Admin Fee
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Other:
$ Other:
Building Staff:
Date /Time: $ -°14, TOTAL FEES DUE
*OPTIONS: _
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies);
REP = repair.
I:\Building\Forms \OTC - MEC.docx 01/13/2011