Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013-00464
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2013
Parcel: 25101 BCO2401
Jurisdiction: Tigard
Site address: 12650 SW HALL BLVD
Project: Snyder Roofing Subdivision: TIGARDIA TERRACE Lot: 3
Project Description: (2)4 ton heat pumps and(3)exhaust fans.
Contractor: AMERICAN HEATING INC Owner: JFK PROPERTIES OREGON LLC
1339 SE GIDEON ST 12650 SW HALL BLVD
PORTLAND,OR 97202 TIGARD,OR 97223
PHONE 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/17/2013 $690 61
Class of Work: ALT Type of Const: VB Plan Review 09/17/2013 $172 65
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/17/2013 $82.87
Stories: 2 Info Process/Archiving-Lg$2.00(over 09/17/2013 $6 00
11x17)
Project Valuation: $23,453 00 Info Process/Archiving-Sm$0 50(up to 09/17/2013 $3 50
11x17)
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 3 Vent Systems: Total $955 63
Hoods: Comm Incinerators:
Woodstoves Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers Other Mech Units'
Gas Outlets Other Desc:
Duct Work: 1
Fire/Smoke Dampers.
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232 1987 or 1.800 332.2344.
Issued B f� bfmittee-Signature: gr-4 U M n G "r C 5.---/c
^
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
j
Mechanical Permit Application " ' FOR OFFI( f l:SL O\l '
City of Tigard c O�� �/�j / Permit No.: J1 i F(� ,`1 —(fU'J/ `'
13125 SW Hall Blvd,Tigard,OR 97223 12e`vi • ! e. L t/ S 'F(D_I
'9" Phone: 503.639.4171 Fax 503.598.1960 �, • �"�;y�.�! 9 Other Permit LIPS - S.
T 1 G A R D Inspection Line: 503.639.4175 P� �`� :�;� R ;. y inns: 0 See Page 2 or
Internet www.tigard-or.gov °4' N •• �9 / ' /j -7-5T� Supplemental Information
TYPE OF WORK i.`��/� COMMERCII[I, FEE* SCHEDULE - USE CHECKLIST
vm Mechanical permit fees*are based on the value of the work
❑New construction �,Addition/alteration/replacement
❑Demolition performed Indicate the value(rolmded to the nearest dollar)of all
❑Other mechanical materials,equipment,labor,overhead,and profit
CATEGORY OF CONSTRUCTION Value:$ x31 4F--23
-l>
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling El Commerciallmdustrial ❑Accessory building
For special information use checklist
❑Multi-family ❑Master builder ❑Other. Description I Qty. I Fa I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling _
l Air conditioning
Job site address: �/ Gam ) ' l ( ( vV1 (requires site plan showing placement) 46.75
City/State/ZIP: -11 --61 { v g- Furnace 100,000 BTU(ducts/vents) 46.75
n Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldgJapt no.: I lect name: SA t 4/ Ro v- .-‘ Heat pump 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 Flue/vent for any of above 23.32
Lot no.:
Other 23.32
Tax map/parcel no.: Other fuel appliances
�� !� DESCRIPTION OF WORK `�� ," " _ (� Water heater 23.32 -
t �T3�r/`-t -" 1 � 1� t p_^ , .�5 S. ( 3).r14't i.UJ'�-.air Flue vent for water heater or gas 3339
" .. j Qs5.QCJ C&Q c C ( L oi-bo c(,� ()lr..-6 t S- fire lace 23.32
al( J Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplaceJmsert 2332
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 2332
Other 23.32
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone:( ) Fax: Single-duct exhaust(bathrooms,
( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Amcicrawtipsfans 2132
Other 2332
Business name: cidindi(cal, ,�(�L Fuel piping
Contact name: IN a- $14.15 for first four,$4.03 for each additional
Address: 1'.-b S Furnace,etc.
S l�I ""� Gas heat pump
City/State/ZIP: Cnc ( Q a_ ch'a-a Wall/suspended/unit heater
Phone:(563) X J l Lito 00 Fax::'(51b) 013C(-1 o3 () Water heater
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: a ytn„(` (ark .eatrn �z Clothes dryer(gas)
-vralY � 6yR"'-""'
Address: �3C1 Se lJ " 1 other. MECHANICAL PERMIT FEES"
City/State/ZIP: 0 - 41 Subtotal_ -
Minimum permit fee($90.00)
Phone:(56>)) '� (�� Fax (9)63) a3�"l 03 B Plan review(25%of permit fee)
-
CCB lic.: 33(3 State surcharge(12%of permit fee)
�]QJ/)/y TOTAL PERMIT FEE
Authorized signature: (�'y '�• m„..(d...ay,
T his permit application expires if a permit is not obtained within 180
�,���,, / /� days after k has been accepted as complete
Print name: �t r w\ "'t', l'1�+� Date: / -7-4 3 • Fee methodology set by Tri-County Building Industry Service Board
L-1Buldiog1Pemits\MEC-PcmitApp.doc 1V0/01/09 440-4617T(I 1/02/COM/WFB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12650 SW HALL BLVD, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-02-05 00:00:00
MEC2013-00464
PASS - No C of O
Violation Summary:
Inspector Contractor