Permit CITY OF TIGARD MECHANICAL PERMIT
14, • COMMUNITY DEVELOPMENT Permit#: MEC2013-00578
T(CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2013
Parcel: 1 S135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY 102
Project: Tigard Plaza Subdivision: METZGER ACRE TRACTS Lot: 9
Project Description: Relocating gas meter.
Contractor: HEAT RELIEF CO Owner: COMMERCIAL ENTERPRISES LLC
13122 NE DAVID CIR#800 8320 NW HWY 99
PORTLAND,OR 97230 VANCOUVER,WA 98665
PHONE: 503-261-9915 PHONE:
FAX: 503-261-9814
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/10/2013 $78.27
Class of Work: ALT Type of Const: VB Plan Review 10/10/2013 $19.57
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 10/10/2013 $9.39
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/10/2013 $0.50
11x17)
Project Valuation: $800.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers 8 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 $107.73
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 Permittee Signature:
Call 5 . 9.4175 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 p FOR OFFICE USE ONLY
1111/1 - City of Tigard `�i" Permit No.: _
a • • • • Cate/By: � 1.3 gm, IzC. 1 . �13125 SW Hall Blvd.,Ti ard,OR 97223 •�•Phone: 503.718.2439 Fax: 503.598.1960 • •' �•13 9aRBy tet/�A Other Permit:
TIGARD Inspection Line: 503.639.4175 CI'I'y OF TIG RD Date Rea;r::y: /A (O ,3 .[/ �Juri 0 See Page 2 for
Internet: www.tigard-or.gov BUILDINGD �SIO ,N,tif d/,ethod: • • J (J'1" 0 Supplemental Information
• • ••••
7T :. 3".0 iiiu` �':wi i1C'a kg:AVo3RI . :� 1 - "�#3i'•- • i!;': I1.•-!a r •;.--- . 1 1_ -�`SE- RZ1SI:3■'
1 �! • _ ; • ••••Mechanical permit fees*are based on the value of the work
❑New construction ��I'Addition/alterati s l r en \ _, performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition r �", equipment, P
❑Other: r�{,► mechanical materials, ui meat,labor,overhead,and profit.
ltr .�. - - t •- • Value $21.1.-
, , . _. j17_,•!!,.;. ,.;.t ��' •F CONSTR Irt' -•?e7� 0 n Pa •• _g� .f�:• _
..e:6 7,-it, �`fi~ :i.lt,_, _.. -.+ _ , .1 ' irR j • r a ,Tig.�1 r'1Atr fi 1'6 1 g
•-an - amt y Commercial/industria it ,,• , m • • ••
�, '��C"p"�' u g For special information use checklist.
❑Multi-family ,El Master builder �� o - 1�`0\� Description Ea. Total
• oai s �1v P I Qty I I
..w, --rv.z r : gr, ,; ,P, c," y, 4,; Heating/cooling:
ue as t>:4-�. Air:..,- .. OR141.�TIO._ 1, • 4Ol�,#..4+. 1* ,.'
c, -\ '�'-" Air conditioning
Job site address: 11 C L K; .J� Pau fiC Su 1 .I iC) (requires site plan showing placement) 46.75
City/State/ZIP: //.��p el I l.1 Furnace 100,000 BTU(duets/vents)
46.75
T�ord V^ � Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I %)..., I Project name: 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: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
€ .���'`fir` w. y .K �' i EESCR[PTIO . ,•F?t. a "gg�''. , , ' t`'t "` Water heater 23.32
7 • 0 C A-t- (9AS IV\W,}ev - Pe( Na lAYt7L' Flu fireplace
entf r 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood emplace/insert 23.32
f ;Fr * T7 Chimney/liner/flue/vent ry . 005-' 1 . .0 ti_ , Q l:10,N. _ e 23.32
Name: -1 i T bryi 0 1az.R 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 moms) 23.32
tl w7tira viii :rte 1.sti__ •mte*tr .�.�k_ _..._ . Attic/crawlspace fans 23.32
Other. 23.32
Business name: k4 (3 Fuel piping:
Contact name: A $14.15 for first four;$4.03 for each additional
Address: 3`,Q_ e \J 1t) cj r. "i _ 4- �0_ Furnace,etc.
a i�Z Gas heat pump
City/State/ZIP: I-R O1I'd 0 611-e9-3 0 Wall/suspended/unit heater
Phone:(rix b( q cl I r� I Fax::( Jo 9 2 1 t Water heater
,,•���,,7,, ""r'a Fireplace
E-mail hri. U heck id 1QF a , conn
" WIC..'. rte-3tla� � `'Wt�'f-t�';"' .-..,s- e r Barbecue
Range
Business name: �'irr I Clothes dryer(gas)
Address: t �` 1 �y ^J Other.
Addr , a�, �. t Jf-\V CAA c- \��UC_l ZA40' 'IECHANN1 AI:ORy11TFEES,.• . 4 't;
City/State/ZIPTCW 6Wt CtZ c\--\�3 o Subtotal
Phone: �-. r'� _ Minimum permit fee($90.00)
(C=�' "D�A )`� F � �t Li,,
Plan review(25%of permit fee)
CCB lic.: I Qa q D State surcharge(12%of permit fee)
- TOTAL PERMIT FEE
Authorized signature: c c`(1 This permit application expires if a permit is not obtained within 180
111111 N LJL days after it has been accepted as complete.
Print name: \^ v C C IF f�1i/,E/3 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doe 09/09/10 440-4617T(II/02/COM/WEB)