Permit a CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00425
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2014
T f�''`�ft g Parcel: 2S 102AB04300
Jurisdiction: Tigard
Site address: 12400 SW MAIN ST
Project: Musi's on Main Subdivision: KINGSTON Lot: 2
Project Description: Installation of split system. To be ground mounted.
Contractor: 2BROTHERS HEATING&COOLING Owner: CAPISTRANO, NICOLAS N REV LIV TR
14501 AMES ST CACH, CHRISTOPHER J
OREGON CITY, OR 97045 6003 4TH AVE NE
SEATTLE,WA 98115
PHONE: 971-533-2359 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/12/2014 $263.41
Class of Work: ALT Type of Const: Plan Review 08/12/2014 $65.65
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/12/2014 $31.61
Stories:
Project Valuation: $7,000.00
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 $360.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifica•on Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire estions to 0 b -fling 503.232.1987 or 1.800.332.2344.
Is ued By: Perm ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati FOR OFFICE USE ONLY
MI I City of Tigard
� I� Rece"_.
1>�����n��,
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 AUG 12 2014 Date/By: Other Permit:
T I G A R I) Inspection Line: 503.639.4175 Date Ready/By: loos.
® See Page 2 for
Internet: www.tigard-or.gov CITY OF 1IGAHU Notified/Method: Supplemental Information
BU POIT 1t1 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
TYPE OF WORK
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$'-"/ •°°
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Q 'Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: / 2406 S uJ to 19/kj Sy. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Ttligac c k 97223 Furnace 100,000+BTU(ducts/vents) 54.91
,) Al Heat pump 61.06
Suite/bldg./apt.no.: Project name: IYluS I S OAJ In A)A/ 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
—y-� �LL,,��U "�� , + 4- Flue vent for water heater or gas
7 ./s-hl U ,7(..4 L Lis Sp 1 14- fireplace 23.32
`}111 YS 3 Z - e�K Log lighter(gas) 23.32
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: C VILA S CA LA_\ Range hood/other kitchen
equipment 33.39
Address: `'z,4.00 S W 110)A It.,) Clothes dryer exhaust 33.39
City/State/ZIP: T1 L'1 Av.,d a r q-7z,Z,3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( J1 7 4-L, - ( l d I Fax:( ) Attic/crawlspace fans 23.32
15 APPLICANT ❑ CONTACT PERSON Other: 23.32
`11 Fuel piping:
Business name: Z ���S i-tE5"t 1 Al� $14.15 for first four;$4.03 for each additional
Contact name: Chc gt le, (�f U� J Furnace,etc.
Address: 14f ( ,A rr,. —"s+t Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 012 c�.,o).J at4y O� q-704-5-- Water heater
Phone:(97/)S33-2_3s-1 Fax: :( ) Fireplace
2 5 e4/- He U j I .
Range
J rrT °J®�ma t • (.,�YZ/3 Barbecue
CONTRACTOR Clothes dryer(gas) _
^l /r�_ ` Other:
Business name:•Z13Rd e(5 t4EA I/.13 `� UDC`1 IJ�{ MECHANICAL PERMIT FEES*
Address: I 45O I arms S\ •3J Subtotal ., ,4/
City/State/ZIP:QQc ,.,t01,j eI 4,4 G1 9-764 c Minimum permit fee($90.00) .-------
Phone: Plan review(25%of permit fee) li?SgS
(97/)53 3`•23_ Fax:( ) State surcharge(12%of permit fee) 3/ •6/
CCB lie.: 2 00 2.q Z &kg//c.-- TOTAL PERMIT FEE ' ' ,46, V7
This permit application expires if a permit is not obtainedwnhin 180
days after it has been accepted as complete.
Authorized signal e: • Fee methodology set by Tri-County Building Industry Service Board
Print name:0Am Ji �U Date//21/
1:\Building\Permits\MEC_PermitApp_040113.doc 440-46171(I1/02/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$1 00,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC_PermitApp 040113.doc 2
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