Permit CITY OF TIGARD MECHANICAL PERMIT
:111 a COMMUNITY DEVELOPMENT Permit #: MEC2012 -00456
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/05/2012
Parcel: 25101AB01606
Jurisdiction: Tigard
Site address: 7357 SW BEVELAND RD 200
Project: Mission Inc Subdivision: HERMOSO PARK Lot: 17
Project Description: Install (1) ductless split system for upstairs server room.
Contractor: DOERING MECHANICAL CONTRACTOR LLC Owner: MIF LLC
15648 SE 114TH AVE SUITE 104 5665 SW MEADOWS RD #160
CLACKAMAS, OR 97015 LAKE OSWEGO, OR 97035
PHONE: 503 - 305 -6664 PHONE: 503 - 855 -3482
FAX: 971 - 269 -2845
FEES
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Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/05/2012 $158.09
Class of Work: ALT Type of Const: Plan Review 09/05/2012 $39.52
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/05/2012 $18.97
Stories:
Project Valuation: $3,342.00
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 $216.58
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 Notifica ifo 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 OtTC by calling 503.232.1987 or 1.800.332.2344.
Issued BY / , 4 Permittee Signature: `Al
Call 503.639.4175 by 7:00 a.m. for the next available inspection dat :.
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
cigrai ^
City of Tigard EIVED Received Date/By 7 S lA ( Permit No.::ifte J mss, J c-04/5-,
13125 SW Hal Blvd. Tigard, OR 97 3 Plan Review T/�CJ
Phone: 503.7182439 Fax: 503.598.1960 Other Permit:
DateBy:
T IGARD Inspection Line: 503.639.4175 S E P 0 5 2012 Date Ready/By. bins: El See Paget for
Internet www.tigard- or.gov Notified/Method: Supplemental Information
CITYOFTIGARD
TYPE OF WING DIVISION COMMERCIAL FEE' SCHEDULE - USE CHECKT.TST
Mechanical permit fees* are based on the value of the work
❑ New construction 14 Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION RESIDENTIAL EQ� /SYSTEMS FEES*
❑ 1 - and 2 -family dwelling gCommercial/industrial ❑ Accessory building For special information use checMist
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 7s3/ "r 41Q.... {3et, a ict .6i-pee 4 (requires site plan showing placement) 46.75
Furnace 100,000 BTU ( ducts/vents) 46.75
City /State /ZIP:
-r (QCh e5 r . q 7 2 Z3, Furnace 100,000+ BTU (ducts/vents) 54.91
g
Suite/bld / t no.: 0 2 0 6 Project name: t v c v I I. a Heat pump
y (requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
SW 721%A not. Hydronic hit water system 23.32
/ 1 ► --1-v ��Y`Ll6C LJG[ Mf t/ Residential boiler (radiator or
7Z ttiJ(m Ey, ( d- irnst.4 e $ 1 Vvtk rl N - Q,� hydronic) 23.32
j Unit heaters (fuel -type, not electric),
7 2n4 ' eZ� 6 V\ f ee,elc p ` 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 appliance s:
` DESCRIPTION OF WORK Water heater 23.32
Gas -�•
=v1a tilt 11 s m C L') 2000 Q� l Flue re t fireplace/insert
heater or gas
er 33.39
� d � 7 1 � � I (N . 5 �1A. Ic(� Flue vent for water uG 4rtes6 spill- s bsd -cWl SoV` p6icu'v server v fireplace 23.32
_
U �'T Log lighter (gas) 23.32
rQ, Wt .. Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY OWNER I ❑ TENANT Chimney /liner/flue/vent 23.32
Other 23.32
Name: /1 � i Q , v 1 NC f �
Se r d -lnO,4 Environmental exhaust and ventilation:
Address: ■ ,'73 J r. -7 s w 6e e1. s d•r e,e4 Range hood other kitchen
equipment 33.39
City/State/Z P: i' f it ere 47ZZ3 Clothes dryer exhaust 33.39
Phone: (5 6 5 -3 e f F (503) ZId -Q Z, toilet exhaust
compartments, uatityroo ,
331
g t Fat toilet comptmnts utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
T Other: _ 23.32
Business name: aner 1 meCrKJIVNGek. I Gevl iolr, LLC
Fuel piping:
Contact name: j e l eel $14.15 for rust four, $4.03 for each additional
Address: % E4Lf $ E i l y' )QUe ! 1 ' 1 F - V i-1 Furnace, etc.
!' Gas heat pump
C i t y / S t a t e / Z R P : C ( . s ' 6, (e p , Q7 b Wall/suspended/unit heater
Phone: (5 305 _ 4C c ( Fax:: (ern ) 74q- 2gy 5 Water heater
E-mail Fireplace
h - s I A C ii 4 O Ci 1NA Range
■
CONTRA OR Barbecue
Business name: p�, er ivx, �efjl14N> ccd rl1�L_I „_ _ _L_,. 1 �� Clothes dryer (gas)
T7etc:l��r Other:
Address: 1 54,4i g 5 E I N /1 v.p .. 5(..t i d-e 1014 MECHANICAL PERMIT FEES'
City/State/ZIP: G1 G5 Q e 7v, Fl Subtotal /5 •°?
' -1 Minimum permit fee ($90.00)
Phone: (5 -go 5 �L0C4 Fax 7( ) 269 - 28'46 Plan review (25% of permit fee) 3.7.5
CCB lie.: 11332.8 State surcharge (12% of permit fee) /g. 9 7
TOTAL PERMIT FEE 1t� 5g
Authorized signature: This permit application expires if a permit is not obtained wt limo
(` 4...._,,t/e � days after it has been accepted as complete.
Print name: A/ ec I . ) c e f -;,, kt I Date: 9151 i Z • Fee methodology set by Tn County Building Industry Service Board
1:1BuildinglFemuit MEC- PeasilApp.doc 03107/12 MO -46177 (11A2/COMIWi13)
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