Permit CITY OF TIGARD MECHANICAL PERMIT
a.. - COMMUNITY DEVELOPMENT Permit #: MEC2013 -00323
Date Issued: 06/24/2013
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 parcel: 2S110AB00200
Jurisdiction: Tigard
Site address: 14385 SW PACIFIC HWY
Project: Harbor Freight Subdivision: CANTERBURY PLACE, AMENDED Lot: PTS 1-4
Project Description: Replacement of (5) RTU's, no duct work, hook to existing
Contractor: NORTHWEST COMMERCIAL HEATING Owner: BULL MOUNTAIN INVESTMENTS LLC
PO BOX 574 ATTN JERRY KOLVE
CLACKAMAS, OR 97015 14389 SW PACIFIC HWY
TIGARD, OR 97224
PHONE: 503 - 225 -0076 PHONE:
FAX
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/24/2013 $1,986.21
Class of Work: ALT Type of Const: VB Plan Review 06/24/2013 $496.55
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 06/24/2013 $238.35
Stories: 1 Info Process /Archiving - Sm $0 50 (up to 06/24/2013 $4 50
11x17)
Project Valuation: $75,000.00
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 $2,725.61
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 rules adopted by the Oregon
Utility Notification 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 direct • . - • • OUNC by calling 503.232 1987 or 1.800.332.2344.
Issue. By: ii V / Permittee Signature: bi%itZ/
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 1 1 licat;C�:1,u. IV - FOR OFFICE USE ONLY -
City of Tigard 11∎ . r I Received , fir Permit No �(/) q � 5 403AS .
WI i j li,;,,,t Date/By fp 1f i jI3 ; ' I Ce
. ° 13125 SW Hall Blvd., Tigard, OR 9722 plan Revt ' / Phone: 503.718 2439 Fax• 503.598.19 �/ a / Other Permit:
VI I i 01" TIGt1`l Date 1 � •
T I G A R D Inspection Line: 503 4175 Date Ready/By Juns El See Page 2 for
Internet: www.tigard -or gov BUILDING DIVISION Notified/Method /1// Supplemental Information
TYPE OF WORK COMMERCIAL FEE* l( 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, an profit.
-_., Value $ 7S, 61,0
CATEGORY OF CONSTRUCTION 'RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling gCommercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family .---- ❑ Master builder ❑ Other: Description I Qty I Ea. I Total
/ y3 gs . JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 3' 46.75
Job site address: fv PAe✓F /G /49//f)' Fumace 100,000 BTU (ducts/vents) 46 75
City /State /ZIP:'/U/giCY w�O 9 ,f Fumace 100,000+ BTU (ducts/vents) 54.91
! �/� Heat pump 61.06
Suite/bldg. /apt. no.: Project name: ��xav7z. �2E7G
�'r Duct work 23 32
Cross street/diredions to job site: Gx gipgaidp �e/il,Qg Hydronic hot water system 23.32
f7 /� Residential boiler (radiator or
hydronic) 23 32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.: Other: 23 32
Other fuel appliances:
Tax map /parcel no.: Water heater 23 32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
• Flue vent for water heater or gas
PS/l i S •/G UNZTS N• fljjY fireplace 23.32
r Log lighter (gas) 23.32
4,., .,K i/Gb#Y 77? 4 �/✓ 7 ?A/i Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner /flue /vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other 23.32
Environmental exhaust and ventilation:
Name: JERY /r'GVJ Range hood/other kitchen
equipment 33 39
Address:
/5�3 s de ?9/ ( 7 e) ,yy Clothes dryer exhaust 33 39
City /State /ZIP: Tl4��� 9722, « Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23 32
Phone: (510;3) 0:39_ 7V22 Fax: ( ) Attic /crawlspace fans 23.32
r APPLICANT '0 CONTACT PERSON Other: 23 32
Fuel piping:
Business name:
$14.15 for first four; $4.03 for each additional
Contact name: Furnace, etc 4 /0-41
Address:
Gas heat pump
Wall /suspended/unit heater
City /State /ZIP: Water heater
Phone: ( ) Fax: : ( ) Fireplace
Range
E -mail: Barbecue
. CONTRACTOR Clothes dryer (gas)
Business name:Aeia L� fig€ / p 2 , N�7 "A /G
Other:
G 'ME CHANICALTERMIT FEES*
Address: A�6 2r7 se . v,GeL, Subtotal
City /State /ZIP:_z2A0,14se O� 97dS9 Minimum permit fee ($90.00)
7 /` � Plan review (25% of permit fee)
Phone: z + ��d,6 Fax: (5:9.3 450" fO.y State surcharge (12% of permit fee)
CCB lic.: \-.�
Sg37S /x �Ily C 6_4i.7 X09 - 6, 53 TOTAL PERMIT FEE /
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature' • F ee methodology set by Tri- County Building Industry Service Board
Print name: AiNiis Gdlagtee Dater %7
I \Building\Per itsU�C_PermtApp_040113,doc 440.461 (11 /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
fr 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
$1'00,000.00.
$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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