Permit • . n CITY OF TIGARD MECHANICAL PERMIT
``�! ; 0 .- - COMMUNITY DEVELOPMENT Permit #: MEC2012 00548
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/22/2012
Parcel: 25101 DA01700
Jurisdiction: Tigard
Site address: 7130 SW FIR LP
Project: FTDI Subdivision: 72ND BUSINESS CENTER Lot: 7
Project Description: Installation of fan for server room.
Contractor: OREGON HEATING & AIR CONDITIONING Owner: FTDI LTD
PO BOX 241 7235 NW EVERGREEN PKWY STE 620
DUNDEE, OR 97115 HILLSBORO, OR 97124
PHONE: 503 - 691 -9699 PHONE: 503 - 547 -0988
FAX: 503 - 691 -8556
FEES
Specifics: Description Date Amount
•
Type of Use: COM Permit Fee 10/22/2012 $72.13 ••
Class of Work: ALT Type of Const: _ Plan Review 10/22/2012 $18.03
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 10/22/2012 $8.66 .
Stories:
Project Valuation: $600.00
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: 1 Vent Systems: Total $98.82
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 r les adopted by the Oregon
Utility Notifi ' n Cente . Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You m o tain a copy of the rules
or direct estions to OUNC b ,c- ng '03.232.1987 or 1.800.332.2344.
Issued y: / / . ■ i 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 Applicati FOR OFFICE. USE ONLY
City of Tigard R ECEIV E D Received Permit No.: `e 7 4 `J g DatDate/By: ( O_,,, l � OD 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 OCT Plan Review /1 ,[ A/ Cam/
N' /
2 2 2012 Date/13y: Other Permit.
Inspection Line: 503.639.4175 y
f I G n R D Internet: www.tigard- or.gov E�h � Notified/Method: Jun Supplemental See Page 2 for
C mental Information
c �
TYPE OF BION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
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
El Demolition Other: mechanical materials, equipment, lab , ov ead, and profit.
Value: $
CA EGORY OF CONSTRUCTION RESIDENTIAL EQUIPME T / SYSTEMS FEES*
El 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:
Air conditioning
Job site address: 9/3/) 9/1/ ni/ ( requires site plan showing placement) 46.75
/State /ZIP: � f
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: / / ! --C Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project Aame: f r Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
/f W Hydronic hot water system 23.32
/� y l 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
�5 �'�/ ,�Q� /� Gas fireplace/insert 33.39
' P' P/o ��/V n Flue vent for water 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
Single -duct exhaust (bathrooms,
Phone: ( ) i Fax: ( ) toilet compartments, utility rooms) 23.32
/u I APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
/ ),�� Other: 23.32
Business name: vat' / '[ Fuel piping:
Contact name: _ ` j � ( / 7 - 4 _ / $14.15 for first four; $4.03 for each additional
Address:
v( / /•/ Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) i °/ Sib v Fax: : ( ) Water heater
E -mail: �y Fireplace
/ .Z� C��/, /n � Range
CONTRACTOR / Cam/ , ( -
Business name: Barbecue
7 0 /I Clothes dryer (gas)
Other
�'` � //J
1 �, 2 ! / r:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: by � o✓ 1-2/1 < jl Subtotal z .. 6
L' / )
Phone: l Fax:
16) C � � ( ) Plan review (25% of permit fee) /,. 05
CCB lic.: / l 7� 7 � 5 State surcharge (12% of permit fee) 8 .(
I TOTAL PERMIT FEE g + R80
signature( ,...471----- This permit application expires if a permit is not obtained within 180
Authorized signatt //
l 7 days after it has been accepted as complete.
Print name: �C — 4 h ate: / v * Fee methodology set by Tn- County Building Industry Service Board
I:\ Building \PermitsU�C- PermitApp.doc 03/07/12 440 -461 T (I I/02/ ;/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.
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