Permit CITY OF TIGARD MECHANICAL PERMIT
® COMMUNITY DEVELOPMENT Permit #: MEC2012 00360
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/25/2012
Parcel: 1 S126DB02800
Jurisdiction: Tigard
Site address: 9735 SW SHADY LN 307
Project: Dr. Weinberg Subdivision: 1991 -018 PARTITION PLAT Lot: 1
Project Description: Push/Pull 4 ton. Same style of unit being replaced.
Contractor: WILLAMETTE HVAC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
3075 SW 234TH AVE. #206 BY NORRIS & STEVENS
HILLSBORO, OR 97123 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503 - 503 -3200 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/25/2012 $283.08
Class of Work: ALT Type of Const: Vg Plan Review 07/25/2012 $70.77
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/25/2012 $33.97
Stories: Info Process /Archiving - Sm $0.50 (up to 07/25/2012 $3.00
11x17)
Project Valuation: $7,620.00
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 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 $390.82
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 questio • . • - C by calling 503.232.1987 or 1.800.332.2344.
Issued By: �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 completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati ECEt R
VE� FOR OFFICE USE ONLY
City of Tigard '®° eceived Date/By: Z It 2 iZ Permit PIEMOla - L�31eD
13125 SW Hall Blvd., Tigard, OR 97223 1 2012 Plan R
2 iew�t Q R ` • her Permit:
z.: • Phone: 503.718.2439 Fax: 503.598.1960 JUL �+ Date/By: � fi c � ii (/
T I G A RD Inspection Line: 503.639 D ate Ready /By: 3uris: ® See Page 2 for
Internet: www.tigard- or.gov O�(OFTIGARD Notified/Method:0 i i /_ Supplemental Information
j ING DIVISION ,r , 4 ,< / f�
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ 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. •
Value: $ $7,620.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use check list.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 9735 SW Shady IN (requires site plan showing placement) 46.75
City /State /ZIP: Tigard OR Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 307 I Project name: Dr Weinberg 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: I 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
push /pull 4 ton RTU�'`� Gas fireplace /insert 33.39
dC1 t Flue vent for water heater or gas
FleC.I �..� Log fireplace igh 23.32
_ 6 Log lighter (gas) 23.32
•- C,(m, 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: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: same as below 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 /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
- Business name: Willamette HVAC, LLC Clothes dryer (gas)
Other:
Address: 3075 SW 234 Ave Suite 206 MECHANICAL PERMIT FEES*
City /State /ZIP: Hillsboro, OR 97123 Subtotal
Phone: (503) 259.3200 Fax: (503) 848.2597 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 56951 State surcharge (12% of permit fee)
.— / TOTAL PERMIT FEE I
o This permit application expires if a permit is not obtained within 180
Authorized signature: / r1
days after it has been accepted as complete.
Print name: michael malstrom Date: 5 /29/12 • Fee methodology set by Tri- County Building Industry Service Board
I:\ Building\Permits\MEC- PermitApp.doc 03 /07/12 440.4617T (11 /02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9735 SW SHADY LN 307, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
03/21/2013 00:00
MEC2012-00360
PASS - No C of O
Violation Summary:
Inspector Contractor