Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC201500060
T t GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2015
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7340 SW HUNZIKER RD 100
Project: GreenCo Subdivision: VARNS ACRES Lot: 9
Project Description: Modification of grilles for new TI
Contractor: RELIABLE MECHANICAL LLC Owner: HILLTOP BUSINESS CENTER LLC
13215 SE MILL PLAIN BLVD STE C8#537 HUNZIKER LLC
VANCOUVER,WA 98684 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 360-334-1598 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/05/2015 $69.06
Class of Work: ALT Type of Const: Plan Review 02/05/2015 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/05/2015 $8.29
Stories:
Project Valuation: $400.00
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 $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • • I ication Ce •r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or ect questions to OU • = 503.232.1987 or 1.800.332.2344.
I-sued By: /41- Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatiECEIVED FOR OFFICE USE ONLY
City of Tigard Received DateBy: /7 / ' \ ,��j Permit No.: flee,?as- lam
• 13125 SW Hall Blvd.,Tigard,OR 97223 CCB 5 2015
I Phone: 503.718.2439 Fax: 503.598.1960 r CD Plan Review
Date/By: Other Permit:r
��D/5 -GL6�/t
Inspection Line: 503.639.4175
I I(i \R I
CITY OF TIGARD Date Ready/By: 3uris. fD See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYJ nF WORT{ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
®/ `" Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ L/ 1, c)U
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:
Q Air conditioning 46.75
Job site address: 73410 G-�� v./i.,Zr�rr/N. Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T �rd Ce 97zz3 Furnace 100,000+BTU(ducts/vents) 54.91
/ / �n` Heat pump 61.06
Suite/bldg./apt.no.: &l el Project name: C1�i%oeQ
Duct work 23.32
Cross street/diredions 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
1 Flue vent for water heater or gas
L,/ov' SeU L_nni / D AY/5 76 /'YIG Ie tO «Gy fireplace 23.32
/ Log lighter(gas) 23.32
1� V1 r°l.L./ ` • ' e e-C'r.--k' 'L)C4/NCI ' '',..‘ Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/flue/vent _ 23.32
❑ PROPERTY OWNER I O.-TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Gr ee,„ ,c....., Range hood/other kitchen
,,� equipment 33.39
Address: 7,3(.70 mi 1,2_, t i/ AY xicJ Clothes dryer exhaust 33.39
City/State/ZIP: TgG rd !72_23 toilet compartments,rtments(bathrooms,utility rooms)
t compartments,utility roo 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans . 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: Barbecue _
CONTRACTOR Clothes dryer(gas)
Business name: /2 �4 b/r J echo Nll�j L!� Other:
,y. MECHANICAL PERMIT FEES*
Address:/3 Z/S SL�ph'if /�/G t vt Mt, 57� �7f f Subtotal [pq.047
City/State/ZIP: uG to C . 98 y Minimum permit fee($90.00) �-
_ / Plan review(25%of permit fee) /7.??-
Phone:(3ca'33LJ /`� 9y Fax:( ) State surcharge(12%of permit fee) Y•c `�
CCB lic.: /5)(12 or L f TOTAL PERMIT FEE SW,(AA_
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature: v-t • Fee methodology set by Tri-County Building Industry Service Board
Print name:/7al,. ioArr Date: 2...-5--/s-
1:\Building\Perrnits 1 MEC_PermitApp_040113.doc 440-4617T(11/02/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.
I:1 BuildingTermits\MEC_PermitApp_0401 I 3.doc 2