Permit •
CITY OF TIGARD MECHANICAL PERMIT
11 1 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00251
TIGAJZD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/21/2012
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A -1
Project: Petco Subdivision: 1997 -016 PARTITION PLAT Lot: 2
Project Description: Gas piping
Contractor: REED PLUMBING LLC Owner: TRC MM LLC
PO BOX 2603 5973 AVENIDA ENCINAS STE 300
OREGON CITY, OR 97045 CARLSBAD, CA 92008
PHONE: 503 - 572 -3784 PHONE:
FAX: 503 - 656 -1374
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/21/2012 $90.55
Class of Work: ALT Type of Const: VB Plan Review 05/21/2012 $22.64
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 05/21/2012 $10.87
Stories: 1 Info Process /Archiving - Lg $2.00 (over 05/21/2012 $2.00
11x17)
Project Valuation: $1,200.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces' > = 100K BTU: 3 -15 HP:
Floor Fumaces: 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 $126.06
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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 -0 90. You may obtain a opy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 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 project.
Approved plans are required on the Job site at the time of each Inspection.
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Mechanical Permit Application Foll OFFICE 11SI: ONLY
City of Tigard 11ECEVED Date/B ive
d Sff PennitNo.: W 642-DDaSI
V 13125 SW Hall Blvd., Tigard, OR 9 7 I Plan Revie R
C Phone: 503.718.2439 Fax: 503.598.1960 Date/Byawjau Other Permit:
T I G A R D Inspection Line: 503.639 MAY 16 2012 Date Ready/ay: kris: ® See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OFTIGARD
TYPE Oy3auda
crririftiNG DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical.pennitfee§'are bas - d on the value of the work
❑ New construction ❑ Addition/alteration/replacement performed. Indicate the value (rou r ed to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e. i r ment, I . i sr, overhead, and profit
`S Value: $ / ,c,0 CATEGORY OF CONSTRUCTION
RESIDENTIAL EQ I' , NT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building r• Information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND CATION � en C Heating/cooling:
Air conditioning
Job site address: j 5 ° T L t f
(requires site plan showing placement) 46.75
k
City/State /ZIP: q / Furnace 100,000 BTU ( ducts/vents) 46.75
r 7 �.�� -� Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: if e 1 , a 3. 7 : Heat pump
*= (requires site plan showing placement) 61.06
Cross street/directions to job site: /4„,,,, / / 5) 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
r Gas fireplace/insert 33.39
&G'. p, J I J 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 I ❑ 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:
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 /Z1P: Wall /suspended/unit heater
Phone: ( 4 ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: r / G p 1 h ,() Clothes dryer (gas)
D Other:
Address: tl ,t " c�;+ / U .. , C 6 MECHANICAL PERMIT FEES*
City/State /ZIP: Gv„CQ c �,_, i- ✓ 9'� Cyr Subtotal
Phone: (5;7 ) 5 Z,- 3-? `/ (S' ) J7 c Minimum (25% fee r mit fee
Fax: D3 C s t� I Plan review (25% of permit fee)
CCB lic.: 13 G j t- State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: ."))7C4 ��P days after it has been accepted as complete.
Print name: jr +e 4, � e I Dater / ( 2/3/ 2 • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 03/07/12 440-4117T (I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supple Information
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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.
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$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.
1:\Building\Permits \NEC - PermitApp.doc 03/07/12 2