Permit 1 11 4 u CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00099
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/20/2013
Parcel: 2S 101 CB00500
Jurisdiction: Tigard
Site address: 12670 SW HALL BLVD, BLDG# 3
Project: Canteen Vending Subdivision: 2007 -064 PARTITION PLAT Lot: B
Project Description: Add cash room and (3) offices. Re -build portions of both stairs previously altered to be non - conforming. Add
egress lighting and exit signs
Contractor: JNB MECHANICAL INC Owner: TCTPI LLC
3315 NE 112TH AVE A40-41 4260 GALEWOOD ST, STE A
VANCOUVER, WA 98684 LAKE OSWEGO, OR 97035
PHONE: 360 -433 -9439 PHONE:
FAX: 360 - 433 -9439
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/20/2013 $118.18
Class of Work: ALT Type of Const: IIIB Plan Review 02/20/2013 $29.55
Occupancy Grp: S 1 Occupancy Load: 12% State Surcharge - Mechanical 02/20/2013 $14.18
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 02/20/2013 $1.50
11x17)
Project Valuation: $2,087.00
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: Vent Systems: Total $163.41
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 Other Desc: Infrared
Duct Work: Heater
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 No • - on . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire questions to OUN •y i g '3.232.1987 or 1.800.332.2344.
Issue By: / / 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 A li C'EIVL�D l t)l2 c)� i lc I•; (SE c�,�r.�
City of Tigard L R eceived r /, Permit No.: G� .,rvt�Q
`J g Date/By: O( /4/ / ' ,, Hie 49�. .a.11 9
.
13125 SW Hall Blvd., Tigard, OR 97223FEB
® Phone: 503.718.2439 Fax: 503.598.1960 4 2013 �
DateBY 1 . ' • let (.. Other Permit: 6,p sev 5 -(
"I' I G Ai; a Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready /By: Juris. El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: . 4./ o 3 Supplemental Information
BUILDING DIVISION S9e.tie u/)
TYPE OF WORK 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
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ z /... otp
C ATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* -
❑ 1- and 2- family dwelling Cd 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 2. 107C) P. t 1.46A I B 1 V el (requires site plan showing placement) 46.75
City /State /ZIP: Tro�•rs� Q R C . 3, Furnace 100.000 BTU (ducts/vents) ducts/ (ducts/vents) 54.91
46.75
1 G. Furnace 100,000+ BTU d ucts/vents
SuitePoldg. /apt. no.: Project name: Ca v , , e v'.- 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. l • 46.75
Subdivision: Lot no.: Flue /vent for any of above t- 23.32
Other: _ 23.32
Tax map /parcel no.: Other fuel appliances:
. DESCRIPTION OF WORK Water heater 23.32
` ( {� � Gas fireplace /insert 33.39
.11 � J � l Z G `V��f 1e:. f`'eA .') '4 � 1N l Flue vent for water heater or gas
4..e ak\ £^r (6 ` \ _ _' C A 1- + 1- re a . lt, �. C fireplace 23.32
�� [i1n 'F / -. 1 Lo lighter (gas) 23.32
A s � ' IL. N '_ • �. . - Wood/pellet stove 33.39
+ Wood fireplace/insert 23.32 1
.. ❑ 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
Id APPLICANT . ❑ CONTACT PERSON ' ' Attic /crawlspace fans 23.32
� Other: I 1 23.32 I
Business name: TN �v\tc lova ti4 Ca l S„%c Fuel piping:
Contact name: .3";d\N.,,\ 1. v 4 $14.15 for first four; $4.03 for each additional
Address: %- 1 N L 1 1 2. -'tL Ai t d, vibe .� 4o (� 1 Furnace, etc.
S Gas heat pump
City/State /ZIP: 1 I coy u v- W pt 9 g4 8 Z Wall /suspended/unit heater _
Phone: (3o) 4 33 -4b L-4 Fax: : (mod y 33 9 Li 3i Water heater
Fireplace
E -mail: `e�lnik e J'^\° M„ \tC� • COW\ Range
J , CONTRAC Barbecue
I A �
Business name: -3 V ' \t.G` �4a^. ` ,�\ �'�� _ Clothes dryer (gas)
Other:
Address: -s3 s N E ` l Z -\ _ • A A e So t L 4 L -j 1 MECHANICAL PERMIT FEES*
City /State /ZIP: Vow" �,i 4� An 9 811 bg Z_ Subtotal
Minimum permit fee ($90.00)
Phone: ) 4 -s'• ...q d 6' Fax: 01, ) ti1 3 - s' 4 y 39 Plan review (25% of permit fee)
CCB lic.: 11.61 C O State surcharge (12% of permit fee)
J 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: . 2";,, ^1 v3 ,,,,i -N- Date: Z. /i 3/ 5 • Fee methodology set by Tri- County Building Industry Service Board
I:\ BuildingTermitskMEC- PermitApp.doc 03/07/12 440 -4617T (I I /02 /COM)WEB)