Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2014-00171
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2014
Parcel: 2S102AC01101
Jurisdiction: Tigard
Site address: 12562 SW MAIN ST 100
Project: Max's Brew Pub Subdivision: BURNHAM TRACT Lot: 1
Project Description: Installing(1)class 1 hood over flat top grill.
Contractor: S&R CRIDER INC Owner: 12562 MAIN ST LLC
9131 SE TAGGART BY GEORGE DIAMOND
PORTLAND, OR 97266 2839 SW 2ND AVE
PORTLAND, OR 97201
PHONE: 503-516-7793 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/21/2014 $155.02
Class of Work: ALT Type of Const: Plan Review 04/21/2014 $38.76
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/21/2014 $18.60
Stories: Info Process/Archiving-Sm$0.50(up to 04/21/2014 $0.50
11x17)
Project Valuation: $3,300.00
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 $212.88
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of QR. Specialty Codes nd/ all other
applicable law. All work will be done in accordance with approved plans. This permit will expire work is not s •tt:d withi A80 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires to follow the rule. .opted /the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952 01-0090. You may .tain a o• of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.801 •3272344`
Issued By:A -ermittee Signature: At? , '
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard 1�E� Received L(dai/py ,�� Permit No. i rl l`-c_/2C(, I -utiv7/
13125 S50 Hall Blvd., Fax: OR 972 �� rj
Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Other Permit:
Date/By:
T I G A R n Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov �O�A Notified/Method: �C Supplemental Information
PR 2 Y
TYPE OF WORK '` T,�AR's COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
1� �""rr V` "j �ON Mechanical permit fees"are based on the value of the work
❑New construction ❑Addition/alteratptxhe la t111p�11s performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: 11311 1 "V• mechanical materials,equipment,labor,overhead,_ul profit.
Value:$ 33(x7
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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /2___S- L L� �6/// 1�, Furnace 100,000 BTU(ducts/vents) . 46.75
City/State/ZIP: . Furnace 100,000+BTU(ducts/vents) . 54.91
�� � ��� ��22,3 Heat pump 61.06
Suite/bldg./apt.no.: Project name:/44:f/-6‘..4,— ,c,a._ ('/-ez-.4 3. 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
S / 3,C e-l'44-,5'S / / /� e-- <-7/ fireplace 23.32
Log lighter(gas) 23.32
/ `;/O LTA a-/7 2 y '"->' Cie.— Wood/pellet stove _ 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ 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
, Fuel piping:
Business name -7,-- e..-- vi�P� i�'.4G
/l ajr/ 514.15 for first four;$4.03 for each additional
Contact name6� e,,,, .1/�.--- Furnace,etc. .
' Gas heat pump
Address: 9/5/ SO 79''�� .
/`✓ Wall/suspended/unit heater
City/State/ZIP: / C"--1 «� ,, 9'� -- -4 Water heater
Phone:� -,, Fax:: Fireplace
J)v57�� / /�3 ( ) Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business namee�r, 'e-36,,_, /7-7,1 c./ti l�i7 MECHANICAL PERMIT FEES"
Address: 7 j � 5 Subtotal
City/State/ZIPc51
( g-7 �‘.:4"" Minimum permit fee($90.00) -
C` ) / Fax:( ) Plan review(25%of permit fee)
Phone:(
x'3 Szri - 7 � . 7 3 State surcharge(12%of permit fee)
CCB lic.: Z 29 np TOTAL PERMIT FEE
This permit application expires if s permit is not obtained within 180
days after it has been accepted as complete.
Authorized si�'re: � ' Fee methodology set by Tri County Building Industry Service Board
Print name , ' ,eY Date: CIA, � /��
�/
I:\BuildingWermitsVlEC_PmnitApp_040113.doc 440-4617T(I I/0?ICOM/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