Permit q CITY OF TIGARD MECHANICAL PERMIT
IIII I COMMUNITY DEVELOPMENT Permit#: MEC2014-00159
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2014
Parcel: 1 S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 250
Project: LoanStar Home Lending Subdivision::CONDO,THE SUPPLEMENTAL PLAT Lot: 25-4
Project Description: Add(2)ducts and(1)grill
Contractor: OREGON HEATING&AIR CONDITIONING Owner: WISCO REAL ESTATE EQUITY FUND I
19300 SW 118TH AVE 1501 SW TAYLOR ST STE 100
TUALATIN,OR 97062 PORTLAND,OR 97205
PHONE: 503-691-9699 PHONE'
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/14/2014 $108.97
Class of Work: ALT Type of Const: Plan Review 04/14/2014 $27.24
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/14/2014 $13.08
Stories:
Project Valuation: $1,800.00
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 $149.29
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 2
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan -, • ' , is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the r es adopted by the Oregon
U' y Notification Cen - T rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo m obtain a copy of the rules
•r direct questions to OUNC ••calling .13.232.1987 or 1.800.332.2344.
•
Issued By: , i ,/ / Permittee Signature: //c.—
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City Received
Ci of Tigard • / Permit No.: h el Y�• 13125 SW Hall lvd.,Tigard,OR 97 EC ��
Date/By: � 4.04_, . r ��4C /`(~�15
1 Phone: 503.718.2439 Fax: 503.598. Plan Review Date/By: Other Permit:
16u P,9014/ ,064
Inspection Line: 503.639.4175 APR 4 2014
T G 1 R D Date Ready/By:By: Juris ® see Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF MOW
TYPE OF mitoiNsivoRiniv COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,q v�; eac and profit.
Value:$ /1 rJ�/
CAT RY 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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
�• p � Air conditioning 46.75
i
Job site address: 7 1 ✓ . / Ai 1l Gti 5?tv-p-v-
9j /- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: A vl� eii2 J Furnace 100,000+BTU(ducts/vents) 54.91
// �Z �,,, Heat pump 61.06
Suite/bldg./apt.no.: I Pfiject name: I�GGyI 7T11r!t Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
(-)4:/1:( 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: I Lot no.:
— - -- - Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
l / de-101.3 l Flue vent for water heater or gas
/!�J/ ( f f/ �J �� fireplace 23.32
'�`�'I 1 J Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
— --- --- . Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT CONTACT PERSON Other: 23.32
///��� P1-1)46, Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name: (,/j 4.7 �7L��, � Furnace,etc.
Address: (/� Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater •
Phone:(03) c'%/6 Y-0 "Z/ Fax::( ) Fireplace
Range
E-mail: /// /y ( 9 /1-,,5,f-/1-,,5,f--L,Ae,./..-)v2 9 ) z,�)'? Barbecue _
CONTEUCTOR
Clothes dryer(gas)
1� Other:
Business name: 0/�/ �� MECHANICAL PERMIT FEES*
(/ ()?
Address: �j, , ' 7'1 i Subtotal /t. • `�?
City/State/ZIP: P///v7 V.-C-1- i'/ 47//5 Minimum permit fee($90.00) —
Phone:(I,) G /J �/ (Fax::( ) Plan review(25%of permit fee) 027.a5/
State surcharge(12/o of permit fee) /3,04g
CCB lic.: /t-7 ?-) TOTAL PERMIT FEE /2/9,A-9
1 This permit application expires if a permit is not obtained within 180
(7 days after it has been accepted as complete.
• Fee metho
Authorized signature:
methodology set by Tri-County Building Industry Service Board
Print name: , > ,! yv.f- `",,Y, )1/1--- Date: 17/10/1
/1
I:\Building\PermitsV�C_PermitApp_040113.doc 440-4617T I/02/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.
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