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Permit CITY OF TIGARD MECHANICAL PERMIT t; v COMMUNITY DEVELOPMENT Permit #: MEC2009 -00420 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2009 . Parcel: 2S101CA00200 • Jurisdiction: Tigard Site address: 7904 SW HUNZIKER RD Subdivision: Lot: 0 Project: Spec Space Project Description: Mechanical TI - replace rooftop unit and ductwork. Owner: FEES WALL STREET INDUSTRIAL LLC & Description Date Amount A RICHARD VIAL EXEC CENTER LLC, 7000 SW Permit Fee 08/19/2009 $285.50 VARNS ST Plan Review 08/19/2009 $71.38 PHONE: 12% State Surcharge - Mechanical 08/19/2009 $34.26 Contractor: THERMAL FLO INC 7236 SW DURHAM RD 100 PORTLAND, OR 97224 PHONE. 503 - 670 -8343 FAX 503 - 598 -6746 Type of Use: COM Class of Work: ALT Type of Const: VB Occupancy Grp: B Occupancy Load: Stories: 2 Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm Gas Pressue: 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 $391.14 Hoods: Comm Incinerators Required Items and Reports (Conditions) Woodstoves Gas Fireplaces: 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 issuance, or • - ' .ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utilit .• . ification Center .se rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may .'tam a copy of the rules or erect questions to OUNC b - • g '.03 46.6699 or 1.800.332.2344. 41/0 I sued By: / 1 / Perm ittee Signature: i' ile, Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 Applita 1Ii in 7; 9 FOR OFFICE USE ONLY 1 1.1 l l if � >> �� Received /�1{ / j� City of Tigard Date/By. f /4 0 Permit No /eA - 6, D IN q 13125 SW Hall Blvd., Tigard, OR 972 n n ( ur'` rif Date `�v Phone 503.639.4171 Fax. 503 59,�119L10! 009 Plan Revue Date/By / 1 � ' JL Other Permit Inspection Line 503 639 4175 T l G A RD Ready/ By Read inns Internet www tigard gov p� , y y El See Page 2 for �� ay o a 9�Jc-i,. Notified/Method i a1 Supplemental Information PA ;I n:rV:, DIViF4kg?) TYPE OF WORK ��/ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ® Addition/alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit Value $ / 00 0 CATEGORY OF CONSTRUCTION / RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2- family dwelling ®.Commercial /industrial ❑ Accessory building M builder For special information use checklist. Multi -famil ❑ Multi-family ❑ ❑ Other: Description I Qty I Ea I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: j�� �5'� �� � S Air conditioning heat pump �I i (requires ii plan showing placement) 14 00 City /State /ZIP: l , *?-3 Furnace 100,000 BTU (ducts /vents) 14 00 Furnace 100,000+ BTU (ducts /vents) 17 90 Suite/bldg. /apt. no.. Project name: / eget Gas heat pump 14 00 Cross street/directions to job site: Duct work 10 00 ,n \ Hydronic hot water system 14 00 O1_ J �/_ / �J I 07r? gL( o Residential boiler (radiator or hydronic) 14.00 S f 4g- 1--,b C- (L`7 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc 14.00 Flue /vent for any of above 6 80 Subdivision: I Lot no.: Other. 10 00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10 00 Gas fireplace 10 00 Per6 CY . tee) LW I' -t -4— ia, 1/ 4r-5e Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10 00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ®- PROPERTY OWNER I Chimney /liner /flue /vent 10 00 ❑ TENANT Other: I 10.00 I Name. 40 Pia >o Environmental exhaust and ventilation Address: I Range hood /other kitchen IlDC) all- N Z I It �-�/�. equipment 10 00 City /State /ZIP: III,- Clothes dryer exhaust 10 00 ' r ` 7�t�� Single -duct exhaust (bathrooms, Phone: (�3) 16 _ a4 a Fax: ( 5v3) 5-7 ? a t e i toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10 00 Business name: to i / ,4 tA• � W-7.-- Fuel � IiCG�! 6 piping p Contact name. $5.40 for first four; $1.00 for each additional Address Furnace, etc Gas heat pump City /State /ZIP: Wall /suspended/unit heater ��, Water heater Fireplace ‘t' one: (' 9 D. / � Fax: . ( ) mail: Range CONTRACTOR Barbecue Business name: 1 1\.0 ^f p -, I L_ • Clothes dryer (gas) p ` /V Other. Address: ?.D-3lp 5 W f k 'o 6 MECHANICAL PERMIT FEES* City /State /ZIP: l i 1J cif q7 �/ Subtotal Phone: ( Fax: ('Z 7 Minimum permit fee ($72.50) • ' r `� � _ , - i Plan review (25% of permit fee) - CCB lic.: / 1 0 "i State surcharge (12% of permit fee) J / TOTAL PERMIT FEE f7(, of This permit application expires if a permit is not obtained within 180 Authorized signatur • days after it has been accepted as complete. Print name _ �� Date: p----/ y * Fee methodology set by Tn- County Building Industry Service Board 1 \Building Term nslMEC•PermiApp doc 01/19/07 440 -4617T (11/02 OM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231 50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I \ Building \Permas\MEC- PermitApp.doc 01/19/07 2