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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2013 00698 TI GARO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2013 Parcel: 2S102CB03200 Jurisdiction: TIGARD Site address: 9975 SW FREWING ST 110 Project: United Medical Group Subdivision: FREWING'S ORCHARD TRACTS Lot: 21 Project Description: New rooftop unit,(2)air handlers&ductwork Contractor: VIKING HEATING&SHEETMETAL LLC Owner: MASSIH LLC PO BOX 2610 BY PIERROUZ YASAVOLIAN ESTACADA, OR 97023 8 BECKET ST LAKE OSWEGO, OR 97035 PHONE: 503-679-8096 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/20/2013 $510.27 Class of Work: ALT Type of Const: VB Plan Review 11/20/2013 $127.57 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/20/2013 $61.23 Stories: 2 Info Process/Archiving-Sm$0.50(up to 11/20/2013 $10.50 Project Valuation: 11x17) Project $16,400.00 Fuel Air Handlers Fuel Types: Units<10000 cfm: 2 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: 2 Heat Pump: Appliances Vent Fans: Vent Systems: Total $709.57 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 2 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 'ttee.S.igpptuna* ` Call 503.639. . 0 a.m.for the next available ins. ction date. This permit card shall be kept in a conspicuous place on the Job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard B Received _co( o?CEJ ED PermitNo.: �� �y Wq lig �J g Ill Date/By:. t!I f q 3 H ZC-Gruel3 l a 13125 SW Hall Blvd.,Tigard,OR 7 6 Plan Review 1 n Phone: 503.718.2439 Fax: 503.5 8. 0 Date/By: d If' t t(21:4`�ther Permit: (6u.tC ,9615....60).916 T l G A R D Inspection Line: 503.639.4175 NOV 19 2013 Date Ready/B,. Juris: El See Page 2 for Internet: www.tigard-or.gov Notified/Method/ /ad / 67; 7 Supplemental Information CIRDEIGARD TYPE A?' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ���rl'�'�X511 Mechanical permit fees*are based on the value of the work ❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ /(Ipj L/Q( , 00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: q G 76 s\4 Fi E\ 1 NO ST 44j/U Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Ti exrd 0 R o .'Z23 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: Duct work 23.32 Cross street/directions to job site: LI s3,-r f--] Hew � 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 DESCRIPTION OF WORK Gas fireplace/insert 33.39 t Flue vent for water heater or gas Rcof- Urtr+ lnS+A.(1 2 Dotr 1ncanitPYS duC�-work- fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 g PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: P I e Trot-12- V p Say ci i c.r (Pi efre) Range enod/other kitchen 33.39 Address: OS-3(0 SW C Ufa) ST #S ati Clothes dryer exhaust 33.39 City/State/ZIP: f 6(4 t f,,ha 0 It g 7 z 3 I Single-duct exhaust(bathrooms, 1 toilet compartments,utility rooms) 23.32 Phone:(5 03) -3 py -L{ZN 6 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: 1 / Other: v1n.th HiOAInr) i S�lee-fineAo-t ,AC MECHANICAL PERMIT FEES* Address: &X 2.610 J Subtotal City/State/ZIP:' £d} 0.d� 0g_ o' .7 02 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(5o 3 ) 6,--m g Q ci to Fax:( ) State surcharge(12%of permit fee) CCB lic.: 1 G l®Z&Z lu'll I l y TOTAL PERMIT FEE 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: M i Id Q,i Date: 0/ /y I i. I:\Building\Permits�C_PermitApp_040113.doc 440-4 I7T(I1/0/2/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. • I:\Building\Permits MEC_PermitApp_040113.doc 2 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9975 SW FREWING ST 110, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final 2013-11-21 00:00:00 MEC2013-00698 PASS - No C of O Violation Summary: Inspector Contractor