Permit CITY OF TIGARD MECHANICAL PERMIT
1 4 a • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00324
T iGAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/25/2012
Parcel: 1 S 135AB01006
Jurisdiction: Tigard
Site address: 7800 SW DURHAM RD 500
Project: Kor Subdivision: ASHBROOK FARM Lot: 6
Project Description: TI. Add (1) 5 -ton RTU, install ductwork and start -up.
Contractor: UNIVERSAL HVAC INC Owner: METZGER VENTURES, LLC
PO BOX 1950 PO BOX 400
GRESHAM, OR 97030 SHERWOOD, OR 97140
PHONE: 503 - 329 -6183 PHONE:
FAX: 503 -482 -5895
FEES
Specifics: Description Date • Amount
Type of Use: COM Permit Fee 06/25/2012 $263.41
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Class.of Work: ALT Type of Const: Plan Review 06/25/2012 $65.85
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/25/2012 • $31.61
Stories: Info Process /Archiving - Sm $0.50 (up to 06/25/201 $6.50
Project Valuation: $7,000.00 11x17)
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 $367.37 •
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 •
iss . • -, or i -; is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
ility Notification Cen - 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 OUN . cal ' g 03.232.1987 or1.800.332.2344. .
Issued By: • � ' / Permittee Signature: -
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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.
Mechanical Permit Application FOR OFFICE USE ONLY
City s perm No.: • Ci}� of Tigard R CP ed / � �� f � • Date/B 13125 S W Hall Blvd., Tigard , OR 9BEC �
' C Phone: 503.718.2439 Fax: 503.598.1960 2 C Date/By: plan Review �� f� / 1q U--- � Other Permit: .
T I G A It D Inspection Line: 503.639 JUN 2 5 . 2012 Date Ready runs. See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
CITY OFF TIGARD - q�
TYPE OF Li AWING D01f iSi(_ r! i COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction • I Addition/alteration /replacement performed. Indicate the value (rouided to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
Value: $ 7$$0 m -
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Cal Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family • ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
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JOB SITE INFORMATION AND LOCATION Heating/cooling:
• Air conditioning
Job'site address: 7 0 - 0) S•lw.) V { • ■ \`� (requires site plan showing placement) 46.75 .
City /State /ZIP: ` Fumace 100,000 BTU (ducts/vents) 46.75'
rfi - 19�PCJ •
Fumace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 5'p / Project name: K o f. 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
'1 Gas fireplace/insert 33.39
AM t f C�) j ' �In t'br r tP� r ► C+ 1 �' Flue vent for water heater or gas •
'i'9D *v K � � S i +'tS , (1 Ni- '&71- 1, IC fireplace 23.32
11 L r Log lighter (gas) 23.32
cil rf 110 • 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
Phone: Single -duct exhaust (bathrooms,
( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 '
Other: • 23.32
Business name: k-A1\ I Vnct . L l ,Lt V1 t n C Fuel piping:
Contact name: &fir. 6'1 pvV1 $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: t� �_ - �q S� •
P Gas heat pump
City /State /ZIP: �'rf vv. q 70 3 0 Wall /suspended/unit heater
Phone: (s.03) %2 ci 6 (g. 3 Fax: : ( ) Water heater
Fireplace
E -mail: e e -0(VA a, l) il-vFc r e AA Range
9 CONTRACTOR Barbecue . •
Business name: ' czt elne 4 s 410 DUB Clothes dryer (gas)
Other:
Address:. MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal .
Phone: ( ) F es: ( ) Minimum permit fee ($90.00) ' -,
• Plan review (25% of permit fee)
CCB lic.: 15 7 y if 3 l� /�/ *J State surcharge (12% of permit fee) ` \
TOTAL PERMIT FEE sr 3(Q7, 3 l
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: ��, G C 1,0 I Date: j..�/ f . • Fe e methodology set by Tri- County Building Industry Service Board j •
I: V3 uildinglPermits\IMEC- PermitApp.doc 033/07/12 - 440-46I7T (I I/02/COM/WEB) - .
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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 I
$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 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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