Permit CITY OF TIGARD MECHANICAL PERMIT
111 41
COMMUNITY DEVELOPMENT Permit#: MEC2014-00083
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/26/2014
T[C�aA fj) g Parcel: 2S110DB01300
Jurisdiction: Tigard
Site address: 15298 SW ROYALTY PKWY
Project: EyeHealth Northwest Subdivision: 1996-010 PARTITION PLAT Lot: 2
Project Description: New exhaust fan for TI.
Contractor: ARJAE SHEET METAL CO, INC. Owner: TIGARD INVESTMENT PROPERTIES LLC
5510 SE MCLOUGHLIN BLVD. 11086 SE OAK ST
PORTLAND,OR 97202 MILWAUKIE, OR 97222
PHONE: 503-231-7717 PHONE: 503-344-5100
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/26/2014 $118.18
Class of Work: ALT Type of Const: Plan Review 02/26/2014 $29.55
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/26/2014 $14.18
Stories:
Project Valuation: $2,100.00
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 $161.91
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Exhaust fan
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 .1 may ain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.80• .
Issued By: /lle „ -- I ittee Signature: -.
Call 503.63-.,175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application tcil JEn FOR OFFICE USE ONLY
City of Tigard Date/By: / ] Permit No;. i 13125 SW Hall Blvd.,Tigard,OR 9722]r ��/ y `, �6c�iii��rai
M Phone: 503.718.2439 Fax: 503.598.198 (r s 2014
Plan Review
Date:By: Other Permit e�J��®IK.��C�ep
I 1 t ,iz I t Inspection Line: 503.639.4175 Date Ready By: Juris: El See Page 2 for
Internet: www.tigard-or.gov CITY OF 1I6ARU Notified Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE: — USE CHECKLIST
Mechanical permit lees*are based on the value of the work
❑ New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 21 C.t.3, Loa7
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 15298 SW ROYALTY PARKWAY Furnace 100,000 BTU(ducts'vents) 46.75
City/State/ZIP:TIGARD,OR 97224 Furnace 100,000+B T_U(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:EYE HEALTH NORTHWEST 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
NEW EXHAUST FAN/REDISTRIBUTE AIR FLOW fireplace 23.32 _
Log lighter(gas) 23.32
Wood/pellet stove _ 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32 _
❑ PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: EYE HEALTH NORTHWEST Range hood/other kitchen
equipment 33.39
Address: 15298 SW ROYALTY PARKWAY 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
0 APPLICANT 0 CONTACT PERSON Other: _ 23.32
Business name:ARJAE SHEET METAL Fuel piping:
$14.15 for first four;54.113 for each additional
Contact name:HEATH BURMEISTER Furnace,etc.
Address:8545 SE McLOUGHLIN BLVD Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:MILWAUKIE,OR 97222 Water heater
Phone:(503)231.7717 Fax::(503)230.4888 Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:ARJAE SHEET METAL ntl"r.
MECHANICAL PERMIT FEES*
Address:8545 SE McLOUGHLIN BLVD Subtotal I I ('
City/State/ZIP:MILWAUKIE,OR 97222
Minimum permit fee($90.00)
Plan review(25%of pennit fee) )-9.S
Phone:(503)231.7717 Fax:(503)230.4888 State surcharge(12%of permit fee) /l/. I A,
CCB lie.:60835 TOTAL PERMIT FEE 1( 1. j
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur •' * Fee methodology set by Tri-County Building Industry Service Board
Print name: CAVAS "Ior•SaA/ Date: 2' 2G,. ice{
(:,Building Permits MEC_PermitApp_0401I3.doc 440-4617T(II.02-COM,WEB)
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
15298 SW ROYALTY PKWY, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
2014-03-21 00:00:00
MEC2014-00083
PASS - No C of O
Violation Summary:
Inspector Contractor