Permit CITY OF TIGARD BUILDING PERMIT
11111 •: COMMUNITY DEVELOPMENT Permit#: MEC2013-00665
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2013
Parcel: 2S102AB04700
Jurisdiction: Tigard
Site address: 12448 SW MAIN ST
Project: Computer Skills School Subdivision: KINGSTON Lot: 2
Project Description: Installation of heat pump on roof,(1)wall mounted fan head in back office,(2)wall mounted fans in main lab.
Contractor: RELIANT PLUMBING&MECHANICAL Owner: CAPISTRANO, NICOLAS N REV LIV TR
11575 SW PACIFIC HWY SUITE 219 CACH FAMILY REVOCABLE TRUST
TIGARD,OR 97223 CACH,GERALD C MARITAL TRUST
12488 SW AUTUMNVIEW ST
TIGARD,OR 97224
PHONE: 503-246-1201 PHONE:
FAX: 503-246-1205
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee 11/07/2013 $235.31
Occupancy Grp: B Occupancy Load: Plan Review 11/07/2013 $58.83
Dwelling Units: 12%State Surcharge-Mechanical 11/07/2013 $28.24
Info Process/Archiving-Sm$0.50(up to 11/07/2013 $3.50
Stories: 1 Height: ft 11x17)
Bedrooms: Bathrooms:
Value: $6,000
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $325.88
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 232.1987 or 1.800.332.2344.
-"••••i
Issued B : / rmittee Signature:
C � y 7:00 a.m.for the next available Inspec on 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.
Nov. 5. 2013 9:26AM Relient Plumbing and Mechanical No, 9502 P. 2
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard t, ,y�''1 Received CEIVE� Receive -e • Permit No.:iitE ity .z
)11.---a 13125 SW Hall Blvd.,Tigard,OR -.
Phone: 503.718.2439 Fax: 503.598.1960 Dale Rem -A i ®7 Other Permil:
DaleBy: 1 �
TIGARli inspection line: 503.639.4175 C �0�� DateReady/:y: 1�:- ta See Page 2 for
Internet: www.tigard-or.gov NOV J Notified/Method: I Supplemental Information
p �� 3�
- _ -
1� n--'la y n 11 Mechanical permit fees*are based on the value of the work
New Construction r ddttioflyglr8>�u0 ' - performed,Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials.equipment,labor,overhead,and profit.
Vale $ f d/ -"°"
r r !titi =(4%*illITid.. ti 1� y
PY+�f �e t
❑ 1-and 2-family dwelling , "ommercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family • Master builder ❑Other: Description 1 Qty. I Ea. I Total
"" , , - Fleating/coolln
' `- ` " Air conditioning 46.75
Job site address: a . „. 1 1 Flunace 100,000 BTU(ducts/vents) 46.75
` • • Furnace 100,000+BTU(duos/vents) 54.91
Heat pump i 61.06
Suite/bldg./apt.no.: Project name: Ii t I �r /L Duct work 23.32
Cross street/directions to job sic: 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
Other: 23.32
Subdivision: Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'4; "'--'� `T�1 "' Gas fire lace/inse,t 33.39
tY177 a�CQ ( _ w . Flue vent for water heater or gas
ltd L Li L I PAC ,t. a t ii'1 A I tog ,fireplace 23.32■
I rr�� Log lighter(gas) 23.32
hA Or.V"4 I% 11.1.�'�I� A lt. I. /. �,at 111. i Wood/pellet Move 33.39
« 11i• e . I. 11.0.6. 1. I L' 0 .1 6 I Wood fireplace/insert 23.32
r / Chimney/liner/flue/vent 23.32
rLiA , 1 • ..r,. ._-. , , ._ ,,.,-,,r-.,, __tl Ill - Other: 23.32
�A..e .-41 7 � v ...L J-4 -=^a-.
Environmental exhaust and ventilation:
Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39 ,
City/Slate/ZIP: Single•duct exhaust(bathrooms, _
toilet compartments,utility rooms) 23.32 ,, C
Phone:( ) Fax ( ) Attic/erawlspace fans 23.32 �(
kYv+1,jilt Fvf. �1 ` i-j-f i(elipty�'(cJ d;i"Ye-1 Other: 23.32 , /1 ,'
MIZE ../... ,JJ Fuel piping: _
/ �� ■ V ' .A. .1 514.15 for first four;59.03 for each additional
Contact name: se 9 , BZI r Furnace,etc.
Address:
675 pa(.i,,',,( ['-A E Ki Gas heat pump
Wail/suspended/unit heater
City/State/ZTP:T( Q'/q C� /Ul0'1'3 Water heater
Phone:( )a w I l)I 1 F'ax::(51 6)e?Li co QC/5 Fireplace -
E-mail:' : 0 , I Roam-
' VAC-pa `. . Barbecue
_-_ 440ist LYciifij 1 a, Clothes dryer(gas)
BUaineS name: A nI MM Ot her }_, r i;Itp:v�lsi;7 -
Ufa<3 -
Address: ;# Sw 0l2 r ' 3 a subtotal
City/State/ZIP: t` l/' 97) Minimum permit fee($90.00) • - D.--
( 3 4 - 1905 Plan review(25%of permic fee) 5$•4?$ �'ck
Phone: - `ac) %
a I Fax: State surcharge(12%of permit fee) ,f,a4
, _ TOTAL PERMIT FEE 3A5.gg
This permit application expires If a permit Is not obtained within 100
days after It has been eceopied ea complete.
Authorized signature: / . " . • Fee methodology set by Tel-County Building Industry Service Board
Print name; J 11A„„N41 Date:'//'.///3
t/, sllding\Pcrmae\MEC PcmilApp 010113.doc 440-46171(1 I/021COMME II)