Permit 1111 q CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT MECHANICAL
MEC2012 -00641
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2012
Parcel: 1 S135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY
Project: Driving School RTU Subdivision: METZGER ACRE TRACTS Lot: 9
Project Description: Replace existing RTU with new.
Contractor: ROTH HEATING & COOLING Owner: COMMERCIAL ENTERPRISES LLC
PO BOX 1265 8320 NW HWY 99
CANBY, OR 97013 VANCOUVER, WA 98665
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 12/17/2012 $347.71
Class of Work: ALT Type of Const: Plan Review 12/17/2012 $86.93
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 12/17/2012 $41.73
Stories: Info Process /Archiving - Sm $0.50 (up to 12/17/2012 $4.00
11x17)
Project Valuation: $10,000.00
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 $480.37
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State o •R. Specialty Codes and all other
applicable law. All ork will be done in accordance with approved plans. This permit will expire i work is not started within 180 days of
issuan or if work is s nded for more the 180 days. ATTENTION: Oregon law requires you to follow e rules ado ed by the Oregon
Uti . Notification Center. Th e rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -10' 0. You • ='n/ copy of the rules
• direct quest •ns to OUNC • - ing 503.232.1987 or 1.800.332.2344. /
ssued By: / � 4/, V 6 Permittee Signature:
LA ird
/ Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion • eject.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLI'
Received ' / w P N
City of Tigard E Date /By: �O't a �' Jv, a- 0D/
II
_ '. 13125 SW Hall Blvd., Tigard, OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date /By: t 2( (3 ( Other Permit: "'b
T I GARD Inspection Line: 503.639 DEC 06 2012 Date Ready lun 0 See Page 2 for
Internet: www.tigard- or.gov Notified/Metho$ 47/2 - 11 p Supplemental Information
CITY OFTIGARD « tea � � � 5 E" - USE CEOI I , ii -
TYPE ovi DI CID 1 ` .FEE* $c H
®Addition <,' - . .. , . 4 '
Mechanical permit fees* are based on the value of the work
❑ New construction /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
$10,000 00 IA
;, CAT GORX OF CONS IC U ? C It N "
Value:
■ " ';',;,11,,1'.':%'%," RES CDENTIAI'EQUIPMENT l .SI*O4 I+EE -
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. V
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SIFF: INFORMATION AND LOCATIO ' ,, Heating /cooling: n �;
' Air conditioning
Job site address: 11945 SW Pacific Hwy (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts vents) 46.75
City /State /ZIP: Tigard, OR 97223
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: Driving School RTU 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
Replace exisitng RTU with new. Customer has no heat. r ate 33.39
water Flue veent nt for w ar heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
""
• Chimney /liner /flue /vent 23.32
❑ ''PROPERTY' OWNER ' I ❑ TENANT`
Other: 23.32
Name: Tigard Plaza LLC Environmental exhaust and ventilation:
Address: 8320 NE Hwy 99 Range hood /other kitchen
equipment 33.39
City /State /ZIP: Vancouver, WA 98665 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (360)566 -8192 Fax: ( ) toilet compartments, utility rooms) 23.32
,APPLI : " 0 CONT TE r Attic /crawlspace fans 23.32
Business name: Roth Heating & Cooling Other: 23.32
Fuel piping:
Contact name: Jesse Manselle $14.15 for first four; $4.03 for each additional
Address: PO Box 1265 Furnace, etc.
Gas heat pump
City /State /ZIP: Canby, OR 97013 Wall /suspended/unit heater
Phone: (503) 266 -1249 Fax: : (503) 266 -3478 Water heater
Fireplace
E -mail: jessem @roth- heat.com
Range
ONTRACT(?I2' Barbecue
Business name: Roth .: �.._�..,... .
h Heating & Cooling Clothes dryer (gas)
Other:
Address: PO Box 1265 RiI PIIAN C pE1tz I+ ES*
City /State /ZIP: Canby, OR 97013 Subtotal
Phone: (503) 266 -1249 Fax: (503) 266 -3478 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 14008 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
fill This permit application expires if a permit is not obtained within 180
Authorized signature: -...__ days after it has been accepted as complete.
Print name: Jesse Ma . Date: 12/4/12 * Fee methodology set by Tri- County Building Industry Service Board
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