Permit rt CITY OF TIGARD MECHANICAL PERMIT
" COMMUNITY DEVELOPMENT Permit #: MEC2012 -00005
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012
Parcel: 2S112AA00300
Jurisdiction: Tigard
Site address: 14200 SW 72ND AVE
Project: Gerber Blades Subdivision: MILLMONT PARK Lot: 49
Project Description: Replace unit heater.
Contractor: SPECIALTY HEATING & COOLING INC Owner: GERBER LEGENDARY BLADES
7500 SW TECH CENTER DR #130 14200 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503 - 620 -5643 PHONE:
FAX: 503 - 681 -0793
FEES
Specifics : Description Date Amount
Type of Use: COM Permit Fee 05/09/2012 . $164.23
Class of Work: ALT Type of Const: IIIB Plan Review 05/09/2012 $41.06
Occupancy Grp: F -1 Occupancy Load: 12% State Surcharge - Mechanical 05/09/2012 $19.71
Stories: Info Process /Archiving - Sm $0.50 (up to 05/09/2012 $2.00
11x17)
Project Valuation: $3,535.00
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: 1 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: - Vent Systems: Total $227.00
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 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 may obtain a copy of the rules
or direct questions to UN by calling 503.232.1987 or 1.800.332.2344. _ ///
issued By: Permittee Signature: em/ ,Z. /(�nO
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.
JAN /06 /2012 /FRI 01:29 PM FAX No, P.002
Mechanical Permit A lie CEIVED FOR OFFIC'L USE ONLY
- City of Tigard 2012 Received ,�;•.
JA 0 - Date�By; / Az thnit No FCao %z ODoOS
n 13125 S W Hall Blvd., Tigard, OR 9722 �1
Phone: 503.718.2439 Fax: 503.598.1960 � Plan i y " � J er Perr
T 1 C;AR L) inspection Line: 503.639.4175 CITY OF TIGAi-ID Date Reedv /By: 61 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: ' Supplemental Information
• ..: . . . • ; ;TYPE.OF WORK• ' : , . • rir•:SCC131ED
..: • .. , � - CO • ...1
. • - ''LTSE atECKIJST: •
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, labor, overhead, and profit.
. CATEGU1tY.OF:.CONSTItt er 01 • . ... . Value: $ ,� �. • RESib)ENTIAt )l7QhaN'I /�^YSxEM£ FEES':.; .:
!
❑ I- and 2- family dwelling ' Commercial /industrial ❑ Accessory building For special information use checklist.
El Multi- family ❑ Master builder ❑ Other: Description I Qty. I ):a. I Total
v.
-..:f,.., ....:....;'::;7.-.1 , t_ '. :.'.. : ?" . •JOB :S TE . ARMi[ AND ea
Air conditioning
Job site address: IL( 2 c. .4..0 - ) L A (requires site plan showing placement) 46.75
City/State/ZW: Furnace 100,000 BTU (ducts/vents) 46.75
I i32.,, - / 7 �.. Z Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg./apt. no.: I Project name: 6 ?2 F� bLf9 L) Heat pump
(requires sire 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; I L Flllvent y of above _ 23.32
Other 23.32
Tax map /parcel no.: Other fuel app noes:
DF96RLP.'TION OF WORK IWater heat 23.32
Gas ace , 33.39
V l \ vent for water heater or gas
( yt- ) P i`,'lac lige 23.32
.1\j-1°44'4-C— p R ^ t //uV b Log hter (ges) 23.32
Wood/pellet stove 33.39
)' e 1* -- tom/ et rt 6h,..,,.,.f a,. S `'753 --6,f6 l Wood fireplace/insert 23.32
...... : :. .... . Chimney/liner /tlue/vent 23.32
PROPERT . � � :: . ' . ❑ TENANT � .
� ' s- A Other. 23.32
Name: J c h 7 F S �g4'r Environmental exhaust and ventilation:
Address; Range hood/other kitchen
of men[ 33.39
City/Stete/ZIP: Clothes dryer exhaust 33.39
�p 3 b I Fate: ( ) toilet om t exhaust (bathrooms,
Phone: ( )
5 lr paRmerits, utility rooms) 23.32
. • •0 APPLICANT. : ❑ CONTACT PERSON • Attic/crawlspace fans 23.32
Other 23.32
Business name:
Contact name: itsk\tiN q6 li?(l Fuel piping: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
( Gas heat pump
M City/State /ZIP: Wall/suspended/unit heater ,
y, Phone; ( ) Fax: : ( ) Water heater ,
E-mail; Fireplace
Range • • CONTRACTOR • . • Barbecue
f Business name: Specialty Heating & Cooling Inc Clothes dryer (gas)
Other:
Address: 7500 SW Tech Center Dr Suite #130 MECgA1VICAL
City/State /ZIP; Tigard, OR 97223 Subtotal
Minimum permit fee ($90.00)
one: (503) 620 -5643 I Fax: (503) 598-0718 Plan review (25% of permit fee)
-
CCB tic.: 66578 State surcharge (12% of permit fee) _
TOTAL PERMIT FE
Tbis permit application expires it a permit Is not obtained within 180
Authorized signature: -,y days after It has been accepted as complete.
Print name: r ,01, 4 , I Date: 1 4 /, L. I ; Fee methodology set by 7ti -County Building Industry Service Board
i: BcildingPermiasMEC- PermirA99.doc 0909'10 440.4617T(1 1.02•COM•WEB)
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
11 City of Tigard
Buildin g Division
TIGARD
TRANSMITTAL LETTER
TO: DATE RECEIVED:
DEPT: BUILD DIVISION
RECEV
•
MAY 1 2012
•
FROM: f CITY OF TIGARD
• BUILDING DIVISIO N
COMPANY.- ,4 �;�
_ w' ') .
PHONE: • • 2 j — ?: — d
P(•
RE: /% oe, b J
(Site Address) (Permit Number)
10-u)
roject name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
i V- £2t / REMARKS: /
•
FOR OFFICE USE ONLY
Routed to Permit Tech�nic Date: �j /' �L Initials: �r'•/,,
Fees Due: El Yes lid'No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
l:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011