Permit CITY OF TIGARD MECHANICAL PERMIT
1 . COMMUNITY DEVELOPMENT Permit #: MEC2012 -00227
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012
Parcel: 1 S136DCO2504
Jurisdiction: TIGARD
Site address: 7275 SW DARTMOUTH ST 160
Project: Benitoite Nail Subdivision: HUNTER POLLOCK NO.2 Lot: G
Project Description: Installation of exhaust fan for nail stations.
Contractor: NAYDEN HEATING & AIR CONDITIONING INC Owner: AMERICAN INDUSTRIES INC
PO BOX 821415 1750 NW FRONT AVE STE #106
VANCOUVER, WA 98661 PORTLAND, OR 97209
PHONE: 360 - 891 -6055 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/09/2012 $99.76
Class of Work: ALT Type of Const: Plan Review 05/09/2012 $24.94
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 05/09/2012 $11.97
Stories:
Project Valuation: $1,500.00
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 $136.67
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 N. • - ion =uter. Tho e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dir- que ions to OU • • calling 503.232.1987 or 1.800.332.2344.
Issu • By: — ' / d//Lt/ .,1 ky 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 completion of the proje
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica a CEIVED iolz OFFICE USE ONl.l
City of Tigard RDeacteiveyd 6A - PermitNo.: NeelQ /a_60
lq a 13125 SW Hall Blvd., Tigard, OR 9722U Ay - 9 2012 Plan Review /�
Phone: 503.718.2439 Fax: 503.598.19 60 Date/By: Other Permit: 6a A a0/o, _ 95
TI G A IZ D
Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: runs: ® See Page e 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
•
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
/ Mechanical permit fees* are based on the value of the work
❑ New construction El Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ f > &01
v
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
, ❑ i- and 2- family dwelling (iCommercial/industrial ❑ Accessory building For special information use checklist.
4 . ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 72 rs .z Ar'aa f4 fi /6 p (requires site plan showing placement) 46.75
City/State /ZIP: �0'! 7r- /er `, - c/ Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: � / / Heat pump
�� �� !r ! (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/insert 33.39
/
L p /14 _E.- daze r / �ek� � ,7e2 Flue vent for water heater or gas
_.f,e .,// `�/� i / 7 fireplace 23.32
/ Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32 .
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 23.32
Other: 23.32
Name: • /Of 6 WC 'QA/ /L/ O /� l r ryer? /AC Environmental exhaust and ventilation:
/ ' Range hood/other kitchen
Address: // � / /7�BZ! 7- ,� S'lC Ao B g
equipment 33.39
City/State /ZIP: / e, f-- r /� p/ D Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) /'' Fax: ( ) toilet compartments, utility rooms) 23.32
ki APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
' Other: - "; 23.32
Business name: 47, VU - J/,P �7 f o! rtiG, Fuel piping:
Contact name: „c e y $14.15 for first four; $4.03 for each additional
Address: / s12 / /f Furnace, etc. . •
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater ,
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
�f [�( Clothes dryer (gas)
-
Other:
Business name: �" r / ),/4 L�G'� y f . Q / � �_ � �C' h d
p � G
Address: ,,p6 t5 • / if / r. MECHANICAL PERMIT FEES*
City/State/ZIP: `��� �� !� 9Qv1 / Subtotal �9�
Phone: ( 6 Fes ( ) Minimum permit fee ($90.00) —
9/ 6 0�1 Plan review (25% of permit fee) A€1.941
CCB lic.: f , • (f / 7 c 3/ /(p //3 State surcharge (12% of permit fee) / / • P77
/ TOTAL PERMIT FEE 310. (07
Authorized sigma 4 : / 4 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: It b / Date: • Fee methodology set by Tri -County Building Industry Service Board
1:1Building\Permits is •emutApp.doc 03/17/12 4404617T (I1/02/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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