Permit CITY OF TIGARD MECHANICAL PERMIT
:e�! ; COMMUNITY DEVELOPMENT Permit#: MEC2013 00561
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 2S 101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 102
Project: Plaza Home Mortgage Subdivision: VARNS ACRES Lot: 3
Project Description: Modification of grilles for TI
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC
21360 NW AMBERWOOD DR HUNZIKER LLC
HILLSBORO, OR 97124-9321 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503-645-8531 PHONE: 503-699-5100
FAX: 503-645-5397
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/26/2013 $69.06
Class of Work: ALT Type of Const: Plan Review 09/26/2013 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/26/2013 $8.29
Stories:
Project Valuation: $500.00
•
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 $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility ' ca io -nter. The e rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or •ect questions to O,NC % ca-i • 503.232.1987 or 1.800.332.2344.
Is ued By: I / Permittee Signature: AP
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE oiNI
City of Tigard Date/By: 9 M /3 . 9 Permit No.: ,fe:04J/ e2'}
14 u jl
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
0 Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit: / 0/.3 aG,/
TI G AR D. Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 506,o )
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description 1 Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
7320 �&/� �ie r Rd Air conditioning
Furnace 100,0 g 46.75
Job site address: ,�,pp /���7t Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP: S—d C/IL % 7-Z Z3 Furnace-100,000+-BTU(ducts/vents) 54:91-
Heat pump 61.06
Suite/bldg./apt.no.: /0 Z Project name: / / Z e,,,,r rharrj5 ,5e Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances: _
Tax map/parcel no.: Water heater 1 23.32
- DESCRIPTION OF WORK Gas fireplace/insert , 33.39
Flue vent for water heater or gas
Mal e 3 r;/I S 'j C)ccG✓ p cl�k n rL.,- fireplace 23.32
/� Lt / Log lighter(gas) 23.32
0 r'C Y 'r-t rene- S t"1 0' .• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: tnd PObtfYle-Y"—, Range hood/other kitchen
/ n equipment 33.39
Address: 2 f 3 0 II// 41'nb a iOr Clothes dryer exhaust 33.39
City/State/ZIP: I /,, Single-duct exhaust(bathrooms,
1 L'SbJ /Z`/ toilet compartments,utility rooms) 23.32
Phone:( ) 016-7552 Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
/ / Fuel piping:
Business name: go/rci bit, medic,,,, ,,„,/ ) Lz
_ $14.15 for first four;$4.03 for each additional
Contact name: 00V__ )4' -c Fumace,etc.
• Address: /)2/' rn?/gwv, /✓A✓I 6_ �8 #. 3-7 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: (.41,.,eG/�, �,,^ u4-- Q/c' c7 Water heater
3 'j / :3 Fireplace
Phone:6Go) 3 Sl'I Fax: :( ) .
Range
E-mail: T 5 /7 9 2 3Y Barbecue
CONTRACTOR Clothes dryer(gas) .
Other:
Business name: Rvlp,I^ 5G� C�1ej�fc. MECHANICAL PERMIT FEES*
Address: 2l'5 GO A/I-1 Avg► r�.i�xl Subtotal 6 9,G{o
City/State/ZIP: Wale)l5 tjr 17)21i Minimum permit fee($90.00) . .�
n / Plan review(25%of permit fee) /7. )7
Phone:(�) b y� 35-3 / Fax:( ) State surcharge(12%of permit fee) V• 9
CCB lic.: C3/y 7 TOTAL PERMIT FEE 1/9�j�(0�
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:a * Fee methodology set by Tri-County Building Industry Service Board
Print name:f3 Date: /0/Z 6/i3
I:\Building\Permits C_PermitApp_040 113.doc 440-46I7T(I I/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_PertnitApp 040I13.doc 2