The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT ar . COMMUNITY DEVELOPMENT Permit#: MEC2015-00059 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2015 Parcel: 2S 101 DB00100 Jurisdiction: Tigard Site address: 7340 SW HUNZIKER RD 210 Project: Cornerstone Clinical Services 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 $84.41 Class of Work: ALT Type of Const: Plan Review 02/05/2015 $21.10 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/05/2015 $10.13 Stories: Project Valuation: $1,000.00 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 $115.64 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Noti •in Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or dire• questions t. •UNC b c.11ing 503.232.1987 or 1.800.332.2344. Issue. By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available i pection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application F01t Ori.w( t ( SF ()NI.) III City of Tigard RECEIVED Received ©� Permit No.: v (t'^/ Date/By: / (� �v[S-day • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �. Phone: 503.718.2439 Fax: 503.598.1960 FEB 5 2015 Date/By: Other Permit: �(,i/94:99/5—' � T 1. A R I> Inspection Line: 503.639.4175 Date Ready/By: luris PI See Page 2 for Internet: www.tigard-or.gov CITY TIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees"are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$I,c :x .C.c., 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 Qty. I Ea. 1 Total JOB SITE INFORMATION AND LOCATION Heating/cooling: �Q-/ Air conditioning 46.75 • Job site address: 73 yt, 3 w J(lul�rzlL4 r {`Cf Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: // p,i cQ 9722:3 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.:�0 1 Project name:C�,0 f/L AV CG/C,4L Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: , EQ c S 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 Move SLovet%'/,3 rd/s 71. rnq(/to L. C fireplace 23.32 (� / Log lighter(gas) 23.32 �ee P'1 L°� C 'r t 'l� ' C''' ' f�')LIC/1 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:( y er5 t' C vt t CC/ 5 en/,'C 2°S Range hood/other kitchen Y' equipment 33.39 Address: 73 L 0 S(„/I h Zt t<.c/. ,Qd 57 C 2-0 Clothes dryer exhaust 33.39 City/State/ZIP: 7-:,„„, '7 2__Z.'3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 APPLICANT ❑ CONTACT PERSON Other: 23.32 _ Business name: JC /,Cr bits color n ;e./ Z.--6-C- Fuel piping: $14.15 for first four;54.03 for each additional Contact name: / h } ice,,,,- Furnace,etc. Address:/3�5-5E_- g //g4(.,.1' )01 tot/ 6y-c- 6.# 7 Gas heat pump / 4,j/4— 91w/ , Wall/suspended/unit heater City/State/ZIP: U�YY" [�rdYl� O ! Water heater (w9)33(7L/5-9F ( ) Fireplace Phone: Fax: - . Range E-mail: Barbecue C CTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES" Address: Subtotal 211.41 City/State/ZIP: Minimum permit fee($90.00) ------ Plan review(25%of permit fee) (71/ ./6 Phone:( ) Fax:( ) State surcharge(12%of permit fee) /0. /3 CCB tic.: g9z F-/ TOTAL PERMIT FEE //S.eoei / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: 'L/1 • Fee methodology set by Tri-County Building Industry Service Board Print name: 2° Date: Z—rj—/ — 1:\Building\Permits\MEC_PennitApp_040113.doc 440-46171(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. 1:\Building\Permits\MEC_PermitApp_040113.doc 2