Permit CITY OF TIGARD MECHANICAL PERMIT
! B.. - COMMUNITY DEVELOPMENT Permit#: MEC2013 00457
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013
Parcel: 1 S135BC00900
Jurisdiction: Tigard
Site address: 10855 SW CASCADE AVE
Project: The Design Studio Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Installing generator on roof and running 50 ft.of gas line.
Contractor: REITMEIER MECHANICAL Owner: PAULSON LIMITED LIABILITY CO
19570 SW 90TH CT BY RICHARD G PAULSON SR
TUALATIN, OR 97062 10855 SW CASCADE BLVD
TIGARD,OR 97223
PHONE: 503-603-0205 PHONE:
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/06/2013 $112.04
Class of Work: ALT Type of Const: Plan Review 08/06/2013 $28.01
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/06/2013 $13.44
Stories:
Project Valuation: $1,900.00
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 $153.49
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: igollPP Perm! ee Signature:
•
Call 503.6 •.,175 by :00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica EI VED FOR OFFICE USE ONLY
City of Tigard Received A �� Permit No.: +�
h A U(; 6 2013 Date/By: �� ��PI r"IFca-o —t>
13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review
9 '�'`• Phone: 503.718.2439 Fax: 5.03.598 1960 Date/By: Other Permit: it
T)t;" Rl'3 Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: Jura' ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ jq{0 a
CATEGORY_OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*"
❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building For special inform ation use checklist. _
❑Multi-family ❑Master builder ❑Other: Description I Qty. r Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: /01. 6r 1 ,� -S, A,�� (requires site plan showing placement) 46.75
w �+7,�-Pr�i.,
l l` Fumace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: da
Tat t V _Furnace 100,00.0+BTU(ducts/vents) _ 54.91
Suite/bldg./apt.no.: Project name: P°.01.-SLm.)• alei,J--w+3-fatti 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: 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
I t /� Gas fireplace/insert 33.39
1 JS�RW ��N i�YLff7A//� �/v 7GOVJr" Flue vent for water heater or gas
(2,p) ( (rs bo-iic ( y0/61) ,� fireplace 23.32
7 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: Voot_.561...)5 FL.69a--- £ 1A/k) 5 Environmental exhaust and ventilation:
Address: f og:5-1.5" E_ O>i.l�l Range hood other kitchen
equipment 33.39
City/State/ZIP:1 p,,y Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:60-3) ?O&C Fax:( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspacc fans 23.32
Business name: Other: 23.32
('T�{t� kC�' Fuel piping:
Contact name:?Nip._r-) 4)f� $14.15 for first four;$4.03 for each additional
Address: t 4 5 70 5J 90 (_,am" Fumacc,etc.
Gas heat pump
City/State/ZI —r6 nfr...) oft.— g70(2_ Wall/suspended/unit heater
Phone:(,J )&03 IN 50 Fax::(Op)6,0) p�js- Water heater
Fireplace
E-mail: coe,,lr/\t C / ^ _(M..Z..t e r v w, L-0'^" Range
CONTRACTOR Barbecue
Business name: S Clothes dryer(gas)
Other:
Address: • MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal //A•09
Phone:( ) Fax:( ) Minimum permit fee($90.00)
Plan review(25%of permit fee) a .40j
CCB lie.:/5-37 7L2 State surcharge(12%of permit fee) / . W
TOTAL PERMIT FEE `,6 •£z1 '
Print n me:signature: -- This permit application expires if a permit is not obtained within 180
/` days after It has been accepted as complete.
Print name: �Pi�J/ � G�� Date: 545 ' Fee methodology sct by Tri-County Building Industry Service Board
(:\Building\Permits\MLC-PermitApp.doc 03/07/12 440-461771(I I/02/COM/WEB)