Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2013-00582
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/02/2013
Parcel: 2S113AB00500
Jurisdiction: TIGARD
Site address: 16083 SW UPPER BOONES FERRY RD 320
Project: Spec Space Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Installing(1)fan powered box,(1)VAV cooling box,duct work,and grills.
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 10/02/2013 $344.90
Class of Work: ALT Type of Const: Plan Review 10/02/2013 $86.23
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/02/2013 $41.39
Stories:
Project Valuation: $9,807.00
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 $472.52
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 1.8r .
Issued By' Permittee Signature: /
Call 50 ..39.4175 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 ONLY
Received
City of Tigard �1
Date/By: , I law Permit No.: ���/ b�
C a 13125 SW Hall Blvd.,Tigard,OR 's�. C�j1N:�J Plan Review
Phone: 503.718.2439 Fax: 503.59:; r�,t. Date/By: Other Permit: tA/02 u/3
Inspection Line: 503.639.4175 13 �y�
T I G A R D 2 �� Date Ready/By: 65 See Page 2 for
Internet: www.tigard-or.gov V- Notified/Method: BM Supplemental Information
TYPE OF 11 1 NC
�� �0 �
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑New construction ���ll1p�acem Mechanical permit fees*are based on the value of the work
®Addition/alt �hltfplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$9807.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklisi.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 16083 SW Upper Boones Ferry Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:320 Project name:Fanno TI 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 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install(1)new fan powered box and(1)new VAV cooling only box with ductwork fireplace 23.32
and SA&RA grilles for each system Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 _
0 PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:G&S FC LLC Range hood/other kitchen
equipment 33.39
Address: 16083 SW Boones Ferry RD Clothes dryer exhaust , 33.39
City/State/ZIP:Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:JNB Mechanical Inc.
$14.15 for first four;$4.03 for each additional
Contact name:John Wright Fumace,etc.
Address:3315 Ne 112th Ave Suite A40-41 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver WA 98682 Water heater
Phone:(360)721-7039 Fax: :(360)433-9439 Fireplace
Range _
E-mail:john @jnbmech.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:JNB Mechanical Inc. Other:
MECHANICAL PERMIT FEES*
Address:3315 NE 112th Ave Suite A40-41 Subtotal 3414.4d
City/State/ZIP:Vancouver WA 98682 Minimum permit fee($90.00) —
Plan review(25%of permit fee) 4.
Phone:(360)433-9067 Fax:(360)433-9439
State surcharge(12%of permit fee) H I.3k
CCB lic.: 176150 TOTAL PERMIT FEE 1,./70 11
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:
• Fee methodology set by Tri-County Building Industry Service Board
Print name:John Wright Date: 10/2/13
11Buitding\Permits\MEC_PermitApp_040 113.doc 440-4617T(I I/02/COM/WEB)