Permit CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT Permit #: MEC2012 -00441
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09!10/2012
Parcel: 2S112DB00700
Jurisdiction: TIGARD
Site address: 15245 SW 74TH AVE
Project: Comcast Subdivision: FANNO CREEK ACRE TRACTS Lot: 13
Project Description: Install (1) new 5 -ton wall mounted A/C unit.
Contractor: MCDONALD MILLER FACILITY SOLUTIONS Owner: HUEWE, ERIC J & JENNIFER E
12801 NE AIRPORT WAY 1199 FAIRWAY RD
PORTLAND, OR 97230 LAKE OSWEGO, OR 97034
PHONE: 971 - 244 -0901 PHONE:
FAX: 971 - 244 -0902
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/10/2012 $347.71
Class of Work: ALT Type of Const: IIIB Plan Review 09/10/2012 $86.93
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 09/10/2012 $41.73
Stories: Info Process /Archiving - Sm $0.50 (up to 09/10/2012 $12.50
Project Valuation: 11x17)
1 $10,000.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $488.87
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, • if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility 'otification • - ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or d' ect questions to O C li 503.232.1987 or 1.800.332.2344.
Iss •d By: . 40 / ( Permittee Signature: .-7)1i `/� LE��7/'
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.
ec anical Permit Application FOR OFFICE USE ()NIA
City of Tigard Date/13y: y e a /).—.(k
i Permit No.: i/eetAt/e2 -G��
07
13125 SW Hall Blvd., Tigard, OR 972 ED Pl Review .
Phone: 503.718.2439 Fax: 503.598.1 60 �EIV DateB I y: I,ZC( Other Permit:
l I G n IZ D Inspection Line: 503.639.4175 Ready/By: )ari
ardor. ov AUG 21 2012 y y p Supplemental See Page 2 for
Internet: www.ti
g g Notif , ethod: 0 ag fA , r , Supplemental Information
TYPE OF IN/, DIVISION • C u MMERC SCHED E - USE CHECKLIST
!WIN
/ 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: $ 1 00 0 V
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For spedal information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 15245 SW 74 (requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: Comcast 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
Gas fireplace/insert one new 5 ton wall mounted A/C unit Flue vent for water t 33.39
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
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Business name: MacDonald - Miller Facility Solutions Other: 23.32
Fuel piping:
Contact name: Kevin Simmons 514.15 for first four; 54.03 for each additional
Address: 12801 NE Airport Way Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, OR 97230 WalUsuspended/unit heater
Phone: (503) 793 -1835 Fax: : (971) 244 -0902 Water heater
Fireplace
E -mail: kevin.simmons @macmiller.com Range
CONTRACTOR Barbecue
Business name: MacDonald - Miller Facility Solutions Clothes dryer (gas)
Other:
Address: 12801 NE Airport Way MECHANICAL PERMIT FEES*
City/State /ZIP: Portland, OR 97230 Subtotal
Phone: (971) 244-0901 Fax: (971) 244 -0902 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 154368 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized SI a �� This permit application expires if a permit is not obtained within 180
j days after it has been accepted as complete.
Print n • ///►►► Date: 8/21/12 • Fee methodology set by Tri - County Building Industry Service Board
I:\Building\Perm C- PermitApp,doc 03 /07/12 440- 4617T(I1 /02/COM/WEB)