Permit q CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT Permit#: MEC2013-00508
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2013
Parcel: 2S112DC00701
Jurisdiction: Tigard
Site address: 15951 SW 72ND AVE
Project: Miller Paint Subdivision: FANNO CREEK ACRE TRACTS Lot: 39
Project Description: Replace RTU-reuse existing curb,sd,ductwork,gas piping and controls
Contractor: ARROW MECHANICAL Owner: PACIFIC REALTY ASSOCIATES
10330 SW TUALATIN RD ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY#300
PORTLAND,OR 97224
PHONE: 503-692-1565 PHONE:
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/30/2013 $313.99
Class of Work: ALT Type of Const: VB Plan Review 09/30/2013 $78.50
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/30/2013 $37.68
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/30/2013 $5.50
11x17)
Project Valuation: $8,799.00
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 $435.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issua -, or if work is,suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Ut" Notification Center.' Thos- rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
direct que ions to OUNC .je
?. 03.232.1987 or 1.800.332.2344.
Issued By: / . . Permittee Signature:
ALAI
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic AFOR OFFICE USE O1VL3 - . «Y�
City of Ti CEIVED Received j,._
4 13125 SW Tigard Date B /�� !✓•l/� Permit No: (f(:f/►-' J�er195 8
13125 SV� Hall Blvd..Tigard,OR 97223
_ Plan Revie.
__ Phone: 503.718.2439 Fax: 503.598.1460 O 1 0 013 Plan Ry: •)f M Other permit.
TI G A R 17 Inspection Line: 503.639.4175 Date R .. .y: Lois: H See Page 2 for
Internet: www.tigardor.gov CITY OFTIGARD : / Supplemental Notified/M / / pplementalInformation
: _ :$- ?rte=.:�` �7t �'
�.. •.:w�;�.=ia•_ -,-_,....-."� ::x,. c_ _ ':4? .�.`?3.'-s"".- •.::'s;.7--� " ... "'.!• .•s•.:r. . „:..-:%.�:�:=c�y..re..>;
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Mechanical permit fees*are based on the value of the work
❑New construction Addi ti o n/al terati o ep1acemen
�,��- performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
.. .. _.";-:.-.. ii'•-a
Value:$-_.. b
._..
t=_°s _ma a = r sA MW. z �1 'M'27 t 1.7 slF • C � �W
O.3
❑ 1-and 2-family dwelling VI Commercialindustrial ❑Accessory buildin g For special information use checd ist
❑ Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
~;:�;. G:�sr'"_ ° �}3' f}��+s�+/�:�' 'r�°'':<" -��,=.�=-�: Healing/COOIinR:
--,Piq .. _ , - _..x ..Y.thT'Vi. Q i9►1iA �ray !.MY.�k(k�tt=:4»_ .nom:.',=....t
,.. �".�_ . . -t�;?_�, �'^ a. :,-cam.,...- _-'-_. = -'t'_lS;:.I' S.,.0 s.;�fY:.:'f ���t ,•,_*,w.>s.,,(p._s�'4°R4i�i
w" Air conditioning 46.75
Job site address: 1 q 5'1 5�ti
7z Aft Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP: 4th €:- 727-3-1 g 61 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: /✓I.rtj b34- j74, q--
Dud 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: I Lot no.: Other 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
- r '::?'-t- `"1S M i „ d � '4,0~ ' 33 g ` -t_,
33.39 1::'7 A=�a.ti-ma x -- 1- •�r r__. t - _ ; - -� Flue vent for Ovate r
heater or gas
topi:t 'b; k u 1;- ,J e_,L.g..1 t P.PL.'c�3��sC,/ki fireplace 23.32
L'n T „9 y Log lighter(gas) 23.32
i► .,vi-y I-- t, s T7ez. L'S
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other:
2332
^ ? - 1x t - .." = ,tom Environmental exhaust and ventilation:
Name: �1•s1l b1L Pjl`,r7-
Range hood/other kitchen
Merit
33.39
Address: 1 '17 3`-, Aka ft,i ft I Tn gat M. �r Clothes dryer exhaust 33.39
City/State/ZIP: Fox-c o2 el-22,30 Singtedud exhaust(bathrooms,
Phone: toilet compartments,utility rooms) 23.32
27-� O(C[Z Fax( ) Auicfcrawlspace fans 23.32
"
^•b', " .;y < s`t Ohery t y ty i1 Ys �" ;-';.� '�d ' �� 233 2
Business name: AV�b(..c.>a 4 !>r�.1y I L i
Fuel piping.
$14.15 for first four,$4.03 for each additional
Contact name: c Sei f t- An,S./A o y Furnace,etc.
Address: I o3 30 5,-,4 TV.'16A'T/nl P.�,
Gas treat p
City/State/ZIP: �p,1�A-�—y/vim O� 7c562 fob Water ° heater heater
- Phone:(fi`�3) 6y 2-1, -16. Fax:(9 i3)b/I.�/6 79° Fireplace
E-mail:
•
Barbecue ,
Range
z .� �`�r- = f3��s �" Ms � �t� _
Other
)$. xtcss nwwe:.", / tl,, It���h/.VlI4.41_ _• -W 0 73` ''zn �z`:Tri �rzr�*"" ram:
Address: ii.:/3 330 6....,., 7-0"/A77.1 1 R4 _
Subtotal
City/State/ZIP: —Sr A/A-7-,4 62 Q7O 6 2 Minimum permit fee($90.00)
Phone:( ) 0 Z-rsgs' Fax Ob3 ) I—I Plan charge(25%of permit fee)
1 �q State stti charge(12%of permit fee) '/
CCB lic.: 6143 TOTAL PERMIT FEE 11/35.42'
Y� This permit application expires Ira permit Is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Fri-Canty Building In&ushy Service Board
IPrint name: Din 6 y>\yQ A:L. Date: i '9 • 6p • '3
1:1Buiding%PeambV�C_PmnrtApp_040113.doc V 440-4617r(I u/0JCOM/wEB)