Permit CITY OF TIGARD MECHANICAL PERMIT
1114
COMMUNITY DEVELOPMENT Permit#: MEC2014 00086
Ti G AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2014
Parcel: 251 02 DB00100
Jurisdiction: Tigard
Site address: 8840 SW BURNHAM ST
Project: Frontier Subdivision: 1992-069 PARTITION PLAT Lot: 2
Project Description: Installation of ducts and grilles in equipment room
Contractor: HVAC INC Owner: FRONTIER COMMUNICATIONS NORTHWES
5188 SE INTERNATIONAL WAY PO BOX 152206
MILWAUKIE,OR 97222 IRVING,TX 75015
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/27/2014 $212.83
Class of Work: ALT Type of Const: Plan Review 02/27/2014 $53.21
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/27/2014 $25.54
Stories:
Project Valuation: $5,150.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers ti Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Fumaces: 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 $291.58
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 ■- ' - _• Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain copy of the rules
or•' -ct questions to b NC • calling 503.232.1987 or 1.800.332.2344. '
By: I
Is ued B �, ) - Permittee Signature: � G �/
Call 503.639.4175 by 7:00 a.m.for the next available inspects• • te.
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 1Y►lt Oil It I I 'l (►\I 1
City of Tigard v may. PermitNo.: ,�66,:poi -�:11 ` 13125 SW Hall Blvd.,Tigard,OR ��
Phone: 503.718.2439 Fax: 503.5 1 \a� AA FD Plan Review Other Permit:
I I c,A R 1) Inspection Line: 503.639.4175 FEB 2 7 Z014 Date R
eadyBy. Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Ot
TYPE Ol COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
New construction Mechanical permit fees'are based on the value of the work
❑ ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
• Value:$$5,150.00
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. I Ea. I Total
U` v JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address 83�SW Burnham Street (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) , 54.91
Suite/bldgJapt.no.: Project name:Frontier 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: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Install supply ducting and grilles to deliver cooling down aisleways in Gas fireplace/insert 33.39
Flue veent nt for or water heater or gas
equipment room fireplace 23.32 -
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name:HVAC,Inc. Other: 23.32
Fuel piping:
Contact name:Jody DePew $14.15 for first four;$4.03 for each additional
Address:5188 SE International Way Furnace,etc.
Gas heat pump
City/State/ZIP:Milwaukie,OR 97222 Wall/suspended/unit heater _
Phone:(503)462-4822 Fax::(503)462-6555 Water heater
Fireplace
E-mail:jodyd @hvacincorp.com Range
CONTRACTOR Barbecue
Business name:HVAC,Inc. Clothes dryer(gas)
Other:
Address:Same as above MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal ra/a,g 3
Phone:( ) Fax:( ) Minimum permit fee($90.00) - - ---
Plan review(25%of permit fee) S 3,. j
CCB lit..:50897 State surcharge(12%ofpermit fee) ..15-•5y
i. TOTAL PERMIT FEE 4,529/. 5
J
This permit application expires if a permit is not obtained within 180
Authorized signature: after it has been accepted as complete.
Print name:Jody DePew I Date:2/27/14 * Fee methodology set by Tri-County Building Industry Service Board
t.\Building\Permits1MEC-PmnitApp.doc 03/07/12 440-46171(11/02/COM/WEB)
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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
8840 SW BURNHAM ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-03-26 00:00:00
MEC2014-00086
PASS - No C of O
Violation Summary:
Inspector Contractor