Permit 11 CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT
Pe
COMMUNITY MEC2012 -00640
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/03/2013
Parcel: 2S 112AA00400
Jurisdiction: Tigard
Site address: 14280 SW 72ND AVE
Project: Leifs Autobody Subdivision: MILLMONT PARK Lot: 49
Project Description: Add (2) radiant (gas) tube heaters,
Contractor: SHOP EQUIPMENT CO INC Owner: WALTON CWOR NELSON 13 LLC
7340 SW BONITA RD BY CTMT - WALTON RE TAX
TIGARD, OR 97224 4678 WORLD PARKWAY CIR
ST LOUIS, MO 63134
PHONE: 503 - 620 -2794 PHONE:
FAX: 503 - 620 -1763
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/03/2013 $229.69
Class of Work: ALT Type of Const: VB Plan Review 01/03/2013 $57.42
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 01/03/2013 $27.56
Stories: 1 Info Process /Archiving - Lg $2.00 (over 01/03/2013 $4.00
11x17)
Project Valuation: $5,795.00 Info Process /Archiving - Sm $0.50 (up to 01/03/2013 $10.00
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 $328.67
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Radiant
Duct Work: Heaters
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 OA - -I ii -;'90. You may obtain a copy of the rules
or direct questions to 0 by calling 503.232.1987 or 1.800.332.2344.
Issued By: PermitteeSi• nature -4. , ...
Call 503.639.4175 by 7:00 a.m. for the next ava able inspe • • n date.
This permit card shall be kept in a conspicuous place on the job suwuntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApnliECEIV FOR OFFICE USE ONLY
Received e �
/ �^� O
City of Tigard � A Permit No.: � n(
13125 SW Hall Blvd., Tigard,OR 97� 2012 Plan Review
11,11 E Phone: 503.718.2439 Fax: 503.598.11 0 6 Date/By: 410 '' 1 ` ( Other Permit:
I I c i ,% I: a Inspection Line: 503.639 G Date Ready : y: kris: : ® See Page 2 for
TA Q(�
Internet: www.tigard or.gov CITY OF 1 IGA D Notified/Method:041 ! *� %∎ - Supplemental Information
BUILDING DIVISION u9/5 rfV , c1
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
,, / Mechanical permit fees* are based on the value of the work
E l New construction lQ9_ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, aid profit.
Value: $ 4) / 775^
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT`/ SYSTEMS FEES*
❑ 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: I L i 1-8 n 3 (A) -7 2 w (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: T 6.....4... a re 91 22' Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: r Heat pump
"4 �� �V (• (requires site plan showing placement) 61.06
Cross street/directions to job site: l 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.: Other fuel appliances:
16 DESCRIPTION OF WORK Water heater 23.32
Gas fireplace/insert 33.39
2 1 r?' N fri" (- as 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 � TENANT Chimney/liner /flue /vent 23.32
^- Other: 23.32
Name: Lu Es I �a t p ..r Environmental exhaust and ventilation:
Address: Q,
`� Range hood/other kitchen
2 cs t^'7 r7 2 v equipment 33.39
City/State /ZIP:■75 (b...rIY''p Q>2 Q ( 21-7 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (so ) '(e L.4 ,.., 6 9 Fax: ( ) toilet compartments, utility rooms) 23.32
APPLICANT 32ICCONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business rlame:S yh c t-- � �� „„ Fuel piping:
Contact name: Y�� % 7 JA CV ,_ $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: , ' `{ 0 sW 3 y,, 19.1 Gas heat pump
City/State/ZIP , 'i D D( P 1,1-y WalUsuspended/unit heater
Phone: i>]) (p to _1:1 9 ki Fax:: (503) (pZo — i1 t 3 Water heater
Fireplace
E -mail: `, 1 e .71,1.-2 p ( fr-Q k (poi r i4 L4 I N L _ C. w� Range
CONTRACTOR Barbecue
Business name:
`1 Clothes dryer (gas)
SL>, , _ _/ ��( Y
a1�"� 6 /�� Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP:
Subtotal
Phone: ( ) F ax: ( ) — Minimum permit fee ($90.00)
Plan review (25% of permit fee)
,,�J e(B lie': j 2 n / -7 _�— State surcharge (12% of permit fee)
((//�� � �— TOTAL PERMIT FEE
4 i�i.
Authorized signatu = : SIG ' This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name,` l ea „ 16---t h J L ,,,, i i c I Date: f ( .... 9 ,_ * Fee methodology set by Tri- County Building Industry Service Board
\P
I:\ Building ermits \MEC- PermitApp.doe 0 • 440- 4617T(I1 /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.
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