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Permit a CITY OF TIGARD MECHANICAL PERMIT 1111 * - - COMMUNITY DEVELOPMENT Permit #: MEC2012 -00471 Date Issued: 10/09/2012 T L GARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S113AD01800 Jurisdiction: Tigard Site address: 16756 SW 72ND AVE B14 Project: Pacific Realty Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5 -1. Project Description: Installation of an open face paint spray booth. Contractor: PETRA HEATING & AIR CONDITIONING Owner: PACIFIC REALTY ASSOCIATES PO BOX 301205 ATTN: N PIVEN PORTLAND, OR 97294 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 253 -3263 PHONE: 503 - 624 -6300 FAX 503 - 253 -3261 FEES Specifics: Description Date Amount Type of Use: COM Misc Administration Fee 10/09/2012 $2.75 Class of Work: ALT Type of Const: IIIB Permit Fee 10/09/2012 $347.71 Occupancy Grp: S -1 Occupancy Load: Plan Review 10/09/2012 $86 93 Stories: 1 12% State Surcharge - Mechanical 10/09/2012 $41.73 Info Process /Archiving - Sm $0 50 (up to 10/09/2012 $7.50 Project Valuation: $10,000 00 11x17) 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 $486.62 Hoods: Comm Incinerators - Woodstoves: Gas Fireplaces Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Spray room 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 questions to OUNC by calling 503.232 1987 or 1 800.332.2344 Issued By: .1 ■&/ .. / / 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 Applic}. ^ ()NE). OFFICE USE \L) MAWS City of Tigard DateByReceived . Permit No • Vi�f ao /A_ Y7 lig 13125 SW Hall Blvd., Tigard, OR 972 3: D p 1 3 2012 Review • � ME her Permit. T 1 G A k D Phone: 503 43 . Fax: 503.598.19 Date /B DateBy. �/ 1 Q Inspection Line: ine: 503 Date ReadyBy June ® See Page 2 for Internet: www.tigard- or.gov CITE n Notified/Method / r/ I • lr Supplemental Information BUILDING DIVISION 0? 14 TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction gAddition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ /49, 0 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling Ii 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: Air conditioning Job site address: I G 7 56 S w - 7,. si- 4,,t_ (requires site plan showing placement) 46 75 Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: _ , a,a,/ 0 /Z q 7 z1-3 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: 1 y 1 Project name: p t,,, F..4A Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: 1 0 1 4 , h in.. 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: A0 ye 10 J A ir4er/ .1 Lot no.: PTS S _) Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: e l $ // 3A D O t B. O a Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 .. c./ // a - g o.. a 4 11'1e � t It_ e I l f Flue vent for water heater or gas t� fireplace 23.32 5, �! `g A • f � ' Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER RI TENANT Chimney/liner/flue/vent 23.32 Other: 23 32 Name: 10/ `l( 7 .h s. ,. ) 1,, i e S i ..,„ Environmental exhaust and ventilation: Address: 70 s / S w 5 4'n ft h 44 et 5.4. Range hood /other kitchen j equipment 33.39 City/State /ZIP: �, 4 pt./ 0,t 9 7 21 3 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: (S03) (, ?Y- 0 71 ,- Fax: (s ° 3) 6 S y- 073 r toilet compartments, utility rooms) 23 32 a APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Business name: (� �,, \ . Other 23.32 I �1 `�' Fuel piping: Contact name: /r `� h � J 1 py J $14.15 for first four; $4.03 for each additional Address: 0,S"--- Furnace, etc. ©X ?c) I / Gas heat pump t p-, City /State /ZIP: A c3 j_ 7 ?�. ? g Wall /suspended/unit heater Phone: (5 )3) ..„>S3 - 3 0 c, Fax: : (�3 ) 3 _ 310 I Water heater Fireplace E - mail: 2 -# e ,e_4_,--„ 1 g _J , C• ..t... Range CONTRACTOR Barbecue Business name: ee �G,_ p„1.8..... f A (A Co-A. d . L Clothes dryer (gas) �l Other Y D ,aolk 3 Co l 20 MECHANICAL PERMIT FEES* City/State /ZIP: Pa it , 4-4 / Q A- 7 7 2 91.x1 Subtotal '" l / - Minimum permit fee ($90.00) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: / - 7,01 3 5(z6 / y State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized signature: ...lr-��� This permit application expires if a permit is not obtained within 180 /� / days after it has been accepted as complete. Print name: / /Cc1, Date: �/ , Do/ ' Fee methodology set by Tn -County Building Industry Service Board 1\ Building \ Permits \MEC- PennitAppdoc 03/07/12 440-4617T (I 1/02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to $500.00 Minimum fee $69.06 $500.01 to $5,000.00 $69.06 for the first $500.00 and $3.07 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and $2.81 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and $2.54 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and $2.49 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $2,608.71 for the first $100,000.00 and $2.92 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I•\Building\Permrts\MEC- PermitApp.doc 03/07/12 2