Permit CITY OF TIGARD MECHANICAL PERMIT
• t � � Permit #: MEC2012 -00438
^ �. COMMUNITY DEVELOPMENT
"° 1312 SW H all Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012
w ?IGARD Parcel: 2S101DCO3800
Jurisdiction: Tigard
Site address: 7190 SW SANDBURG ST 5
Project: McCormack Properties Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Replace (2) 4 -ton GP and (2) exhaust fans. Add (3) GP, ductwork and grilles.
Contractor: ARROW MECHANICAL Owner: MCCORMACK PROPERTIES LP ... ,
•.
.,
10330 SW TUALATIN RD 7190 SW SANDBURG ST
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 692 -1565 PHONE: 503 - 624 -4649
FAX: 503 -691 -1879
FEES
Specifics: Description •, Date Amount
• Type of Use: COM Permit Fee 09/25/2012 $1,312.91
Class of Work: ALT Type of Const: IIIB Plan Review . • 09/25/2012 $328.23
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 09/25/2012 $157.55
Stories: 2 Info Process /Archiving - Lg $2.00 (over 09/25/2012 $4.00
11x17)
Project Valuation: $47,993.00 Info Process /Archiving - Sm $0.50 (up to 09/25/2012 $25.50
11x17)
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 $1,828.19
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: registers and
Duct Work: 1 grills
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 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 insp tion 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 / FOR OFFICE USE ONLY
City of Tigard `�"`.' D Rey: -6 o i l / ! Permit No.: / ! geA0ta -616 T 3 8
iii
- • 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.7182439 Fax: 503.598.1960\ I1j (3 2 1 2012 Dat Re view. li , 1 q 1`d_ other Permit: / I.( , ,.. e
T I G A R D Inspection Line: 503.639 Date ReadyBy. or ris 0 See Page 2 for
Internet: www.tigard-or.gov CITYOFTIGARD No / ged/M ,,,. 0 / % Supplemental Information
BUIIDIN i ► . • , i 7 -ail f :iW
TYPE OF WORK r; !•� • CIAL FEE* SCHEDULE - USE CHECKLIST
anical permit fees* are based on the value of the work
❑ New construction ® Addition/: teratio ; re .lacemen performed. Indicate the value (rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 7, L( j ; t
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: I
Air conditioning
Job site address: - 7 e o S ri S�., a g. , 4 6- S T (requires site plan showing placement) 46.75
City/ State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
Tt, J,� + d 04 g 7 223 Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg./apt. no.: '/ Project name: , Heat pump
I��l i ��.- Am.. (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.:
- - --- - - - - -- - - -- - - - - - - -- -- - - -- - - - - -- - - - - appliances:
Other fuel
DESCRIPTION, OF WORK - Water heater 23.32
Gas fireplace 33.39
P(i el•) LITe':te (rA‘1 t k ÷ £ 2 -) igX1;/ALY.) M, 41.-. Flue vent for water heater or gas
A i 7 C3) b-A ei. /� rji Pty; =1 CAL y ,Ij & t l it; S
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
,p Other: 23.32
Name: C /,,,,AC/& i l`e p67LT1 to Environmental exhaust and ventilation:
Address: `7) 9 b � 4A7 Bc,2 /- �' % Range hood/other kitchen
equipment 33.39
City/ State/ZIP: T�Jyp � A 7 12.3 Clothes dryer exhaust 33.39
J Single-duct exhaust (bathrooms,
Phone: (669) 605 G3i t0 Fax: ( ) toilet compartments, utility rooms) 23.32
. . - _ , :g APPLICANT. ®. CONTACT'rERSON Attic/crawlspace fans 23.32
• Other: 23.32
Business name:
A0.6/ .c'., , bre- h'Ml it 11 / Fuel piping:
Contact name: ye- F e _olAiox. $14.15 for first four; $4.03 for each additional
Address: I 033o 6w 7 . - rt. 4 f , Furnace, etc.
` Gas heat pump
City/State/ZIP: `- u A 6 AT,. ok 1706z WalUsuspended/unit heater
Phone: (5- b. el . -/ 5 I Fax: : (9 ,3 x,9 i 679 Water heater
E -mail Fireplace
Range
CONTRACTOR Barbecue
Business name: A40,,,,,, ` r44 4I LAf Clothes dryer (gas)
r J Other
Address: 033 , � j r•v . 1 t9 ,,i - -- , , P /e' . MECHANICAL PERMIT FEES*
City /State /ZIP: To jar e,ie 1'70064 Subtotal
� -1 Fax: Minimum permit fee ($90.00)
Phone:
( 3) I I' / ( ''�) ( l �� Plan review (25% of permit fee)
CCB lie.: 5 l er 3 4 State surcharge (12% of permit fee) -
!X TOTAL PERMIT FEE
Authorized signature:
`v This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
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