Permit CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2015-00101
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2015
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7244 SW DURHAM RD 300
Project: Ricoh Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 25-27,2:
Project Description: (1)new RTU,(1)server room fan,(2)bathroom exhaust fans,duct work,and gas piping.
Contractor: OREGON HEATING&AIR CONDITIONING Owner: PACIFIC REALTY ASSOCIATES
19300 SW 118TH AVE ATTN: N PIVEN
TUALATIN, OR 97062 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-691-9699 PHONE: 503-624-6300
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/05/2015 $520.43
Class of Work: ALT Type of Const: IIB Plan Review 03/05/2015 $130.11
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/05/2015 $62.45
Stories: 3 Info Process/Archiving-Sm$0.50(up to 03/05/2015 $10.00
Project Valuation: $16,750.00 11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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: 2 Vent Systems: Total $722.99
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.198 • . •- .2344.
Issued By: �J�S -• ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application MR 1/1I It 1 1 til. O\1.1
Received 7
City of Tigard Date : : vZ i Permit No: •
114 • 13125 SW Hall Blvd.,Tigard,OR 97223 E ''a
Phone: 503.718.2439 Fax: 503.598.1960 ( Plan Review Wino tl
1.WARD K D Inspection Line: 503.639.4175 REV Date Reap': furls ', See Page 2 for
Internet: www.tigard-or.gov C 10\5 Notified/Method: 3 S le ) 4. Supplemental Information
1 TYPE OF WORK r Cg -T‘G,ARp®C"( C+1 `0MMERCIAL FEE* SCHEDULE - USE CHECKLIST OF D`v`S`ON Mechanical permit fees*arc based on the value of the work
❑New construction 4Addition/alterationggria perf ormed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labovverhe�a.adya.�nd profit._
Value:$ `(Ll 73t'
CA GORY OF CONSTRUCTION RESIDENTIAL EQUIPMEI ITT/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
V
Job site address: 9 7 4jAi , Furnace 100,000 BTU(ducts/vents) 46.75
/754
City/State/ZIP: .9_./ •' �` Furnace 100,000+BTU(ducts/vents) 54.91
1 t 7:17,
Heat pump 61.06
Suite/bldg./apt.no.: "Vg) Project name: li� Duct work 23.32
Cross street/directions to job site: /� r��, Hydronic hot water system 23.32
/,/��V //tw'v-31 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
, _ //r fireplace vent for water heater or gas
Yw _%•t�'j'.rt fireplace 23.32
e/i/W ��� / 2 ZolA / /_ �� Log lighter(gas) 23.32
�! / 1' !'1 j Wood/pellet stove 33.39
tfi 1,v/ Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
OPERTY OWNER I ❑ TENANT Other: 23.32
/�
Environmental exhaust and ventilation:
2
Name: 1) L �i4 ST 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
El APPLICANT CONTACT PERSON Other: 23.32 _
^� Fuel piping:
Business name: 1C� ) $14.15 for first four;54.03 for each additional
Contact name: r/v GQ�j �y Furnace,etc.
Address: ( v Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater _
Phone:(.7 13) I rib,v Fax: :( ) Fireplace
Range
E-mail: / / l V 14"...e , L40-2_, Barbecue
CONTRA OR Clothes dryer(gas)
N A 6. , Other:
Business name: MECHANICAL PERMIT FEES*
Address: ®O 04,--.71- 2 y/ Subtotal
City/State/ZIP: Pa n o. -e-e 631:./ 9 7/54- Minimum permit fee($90.00)
Phone:( 2?) 6/r• /� ( S Fax:( ) Plan review( ofpermitfee)
12
%
State surcharge(12/o of permit fee)
CCB lic.: / `2 y 7.4, � TOTAL PERMIT FEE _
// This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: e L H-1-71". i Li-f-g;Vl--- Date: /z ;-'4 5-
Ll Building\Permitz\MEC_PerrnitApp_040t 13.doc 17r(1 7/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:\Building\Permits\MEC_PermitApp_040113.doc 2