Permit 1 CITY OF TIGARD MECHANICAL PERMIT
°F 2 - COMMUNITY DEVELOPMENT Permit#: MEC201300459
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2013
Parcel: 2S 113AB00500
Jurisdiction: TIGARD
Site address: 16083 SW UPPER BOONES FERRY RD 310
Project: Sterling Bank Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Mechanical for TI-Corporate office space build-out. install(1)new fan powered box,(1)new VAV cooling only
box,duct work,SA&RA grills for new systems and duct work for existing fan powered box.
Contractor: JNB MECHANICAL INC Owner: G&S FC LLC
3315 NE 112TH AVE A40-41 16083 SW UPPER BOONES FERRY RD,
VANCOUVER,WA 98684 STE
TIGARD,OR 97224
PHONE: 360-433-9439 PHONE:
FAX: 360-433-9439
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/08/2013 $388.35
Class of Work: ALT Type of Const: Plan Review 08/08/2013 $97.09
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/08/2013 $46.60
Stories: Info Process/Archiving-Lg$2.00(over 08/08/2013 $4.00
11x17)
Project Valuation: $11,597.00
Fuel Air Handlers
Fuel Types: 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 $536.04
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV
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 rules adopted by the Oregon
Utility ification ,.-nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir t questions to Ob C b •- ling 503.232.1987 or 1.800.332.2344.
Issue By: ___... ...0 / / 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 Application �1�,��E FOR OFFICE USE ONLY
•
Received fj .
City of Tigard AUG 7 2013 Date/By: O 7/2 Ar Permit No�yEr�7���J—a 5
a 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie - �(/ .J
Phone: 503.718.2439 Fax: 503.598.1960 DateBy/ Other Perm.
Inspection Line: 503.639.4175 CITYOFTIGARD Ct!/�a0/3�J4/�5
-T I GA R I� Date Ready/By: / luris: VI See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIO , otified/Method: $/7II? 42P7 Supplemental Information
TYPE OF WORK C�O CIAL 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:$$11,597.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: _ ___
Air conditioning
c/Job site address: 16083 SW Upper Boones Ferry Rd (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Ore.97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: GO/0 Project name:Sterling Bank 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: 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
Gas fireplace/insert . 33.39
Install(1)new fan powered box,Install(1)new VAV cooling only box Flue vent for water heater or gas
Ductwork,SA&RA grills for above systems fireplace 23.32
Log lighter(gas) _ 23.32
Ductwork for(1)existing fan powered box 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:( ) I Fax:( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Business name:JNB Mechanical Inc.
Other: 23.32
Fuel piping:
Contact name:John Wright $14.15 for first four;$4.03 for each additional
Address:3315 NE 112th Ave ST#A40-41 Furnace,etc.
Gas heat pump
City/State/ZIP:Vancouver Wa.98682 Wall/suspended/unit heater
Phone:(360)721-7039 Fax: :(360)433-9439 Water heater
Fireplace
E-mail:john @jnbmech.com Range
CONTRACTOR Barbecue
Business name:JNB Mechanical Inc. Clothes dryer(gas)
Other:
Address:3315 NE 112th Ave ST#A40-41 . MECHANICAL PERMIT FEES* •
City/State/ZIP:Vancouver Wa.98682 Subtotal
Phone:(360)433-9067 Fax:(360)433-9439 Minimum permit fee($90.00)
/ _ Plan review(25%of permit fee)
CCB lic.: 176150 ✓ State surcharge(12%of permit fee)
TOTAL PERMIT FEE
..7c://" This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
Print name:John Wright Date:8/07/2013 • Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-46171(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
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.
1:\Building\Permits\MEC-PermitApp.doc 03/07/12 2