Permit CITY OF TIGARD
MECHANICAL PERMIT
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* .
c COMMUNITY DEVELOPMENT Permit #: MEC2013-00069
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439
Date Issued: 02/11/2013
Parcel: 2S112AD00700
Jurisdiction: Tigard
Site address: 14830 SW 72ND AVE
Project: Pioneer Waterproofing Subdivision: BONITA GARDENS Lot: 4
Project Description: New RTU, exhaust, ducting
Contractor: OREGON HEATING & AIR CONDITIONING Owner. UNION CENTRAL LIFE
19300 SW 118TH AVE TREASURY SERVICES
TUALATIN, OR 97062 ATTN DIANE THOMAS
PO BOX 888
CINCINNATI, OH 45240
PHONE 503- 691 -9699 PHONE
FAX 503 - 691 -8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/11/2013 $601 71
Class of Work: ALT Type of Const: VB Plan Review 02/11/2013 $150.43
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 02/11/2013 $72 21
Stories: 2 Info Process /Archiving - Sm $0.50 (up to 02/11/2013 $15 50
11x17)
Project Valuation: $20,000 00 Additional Plan Review 03/04/2013 $180.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm. 1
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 1
Heat Pump
Appliances
Vent Fans 2 Vent Systems Total $1,019 85
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, . • uspended for more the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon
Utility .otification 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 . ect questions to OUNC b c• ' • 503 232.1987 or 1.800.332.2344.
Is.uedBy: -6 PermitteeSign• ure: y. p"` � J
Call 503.639.4175 by 7:00 a.m. for the next available inspection d .
This permit card shall be kept in a conspicuous place on the job site urn' pletion of the project.
Approved plans are required on the job site at the time of each inspection.
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1111 q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00069 •
•
T [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2013
Parcel: 2S112AD00700
Jurisdiction: Tigard
Site address: 14830 SW 72ND AVE
Project: Pioneer Waterproofing Subdivision: BONITA GARDENS Lot: 4
Project Description: New RTU, exhaust, ducting
Contractor: OREGON HEATING & AIR CONDITIONING Owner: UNION CENTRAL LIFE
19300 SW 118TH AVE TREASURY SERVICES
TUALATIN, OR 97062 ATTN: DIANE THOMAS
• PO BOX 888
CINCINNATI, OH 45240
PHONE: 503 - 691 -9699 PHONE:
FAX: 503 - 691 -8556
• FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/1,1/2013 $601.71
Class of Work: ALT Type of Const: VB Plan Review 02/11/2013 $150.43
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 02/11/2013 $72.21
Stories: 2 Info Process /Archiving - Sm $0.50 (up to 02/11/2013 $15.50
11x17)
• Project Valuation: $20,000.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 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: 2 Vent Systems: Total $839.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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 if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ru es adopted by the Oregon •
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. Yo ma obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /411tA U n l n Permittee Signature:
.0 LAC
J
Call 503.639.4175 by 7:00 a.m. for the next available inspection dat-.
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.
FOR OFFICE USE ONLY — SITE ADDRESS: zka dW 7. , T v
This form is recognized by most building departments in the Tri -County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 4 Transmittal Letter
:rn Ii -1:) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: .0413 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: J � i4bitc)e— FEB 27 2013
CITY aF TIGARD
COMPANY: BUILDING DiUISIO
PHONE: .51) � C cY7/ By �C
RE: fig Su) ' 4 3� � �(o
` it Ad ress (Permi n1 �
‚ we
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain): Aleer git'd S e
REMARKS:
FORQFFIC> USE ONLY
:: • it echnician: Date: 2 1 Initia • ` %.v
ees Due: I ' : s ❑ No Fee Description: =.•• : - - :
$ t 0 ,
$
Special
I '•s
Re. • t Permit (per PE): Yes ❑ No ❑ Done
' �� licant Notified: % at- 0_8 , w / Initials:
1: \Building\ Forms \TransmittalLetter - Revisions doc 05/25/2012
Mechanical Permit Application FOR OFFICE USE ONLY
R ECEIVED Received t / 3 ` II Sj ^0
City of Tigard
Date/By: ( U 3 �1 Permit N °.:N EG 020 / 3 - �wlD9
g Ill 13125 SW Hall Blvd., Tigard,OR 97223 Plan Revie
g . Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 2_l /' ( /
1 Other Permit:
TI G A R D Inspection Line: 503.639 JAN 3 0 2013
Date Ready r � _ luris: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: 9l al 3 n (v Supplemental Information
CITY OFTIGAR w(
TYPE OF W COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction it Addition/alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 2.0YST1�
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SEMS FEES*
❑ 1- and 2- family dwelling CommerciaUindustrial ❑ Accessory building For special information use checklist.
❑ Multi - family Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION ir c
A n diti oling:
Air conditioning
Job site address: / r/ � 2O s� 7 2 T J1 LC (requires site plan showing placement) 46.75
�/ v Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: ' Ad r Glr Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: / I Project name: Plo mw- up 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
�dt7 �.(� 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:
DESCRIPTION OF WORK Water heater 23.32
1 Gas fireplace/insert 33.39
N ett✓ w Ak . � vej ,� Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
PRI, 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: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
O f APPLICANT X CONTACT PERSON Attic /crawlspace fans 23.32
Business name: onAv Other: 23.32
Fuel piping:
Contact name: Gi 1 t^,..., l/i /�� f r1 iL $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: (513) 'l j i- r&7.- Fax: : ( ) Water heater
r �/ v Fireplace
E -mail: riI l& aC TH • �• Range
CONTRACT Barbecue
Business name: 011!"` e.--- Clothes dryer (gas)
Other:
Address: 190 pA,Jl MECHANICAL PERMIT FEES*
City /State /ZIP: 011 h. 24e< t�✓ i X l < Subtotal
Minimum permit fee ($90.00)
Phone: ( As ) co', Cj to/ 4 7 Fax: ( ) Plan review (25% of permit fee)
CCB lic.: /77.11.10 State surcharge (12 %ofpermit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: c - i,t,,o fro ?1(_ n - I Date: //1,/) 3 * Fee methodology set by Tri- County Building Industry Service Board
I:\BuildingTemlitAMEC-PennitApp.doc 03/07/12 44 7T ( /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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I:\ Building \Permits\MEC- Pennit.App.doc 03/07/12 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14830 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Mechanical
615 Mechanical rough-in
03/22/2013 00:00
MEC2013-00069
PASS
Violation Summary:
Inspector Contractor