Permit CITY OF TIGARD MECHANICAL PERMIT
s • COMMUNITY DEVELOPMENT Permit#: MEC2015-00287
T i GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2015
Parcel: 25101 DB00901
Jurisdiction: TIGARD
Site address: 7145 SW VARNS ST
Project: Ascot Building Subdivision: VARNS ACRES Lot: 12
Project Description: HVAC Replacement.
Contractor: BARNESS CONTROLS Owner: VARNS CORNER LLC
2020 SW 8TH PMB#310 7155 SW VARNS ST#120
WEST LINN, OR 97068 TIGARD, OR 97223
PHONE: 503-723-7257 PHONE:
FAX: 866-593-1764
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/21/2015 $472.17
Class of Work: ALT Type of Const: VB Plan Review 05/21/2015 $118.04
Occupancy Grp: S-1 Occupancy Load: 12%State Surcharge-Mechanical 05/21/2015 $56.66
Stories: Info Process/Archiving-Sm$0.50(up to 05/21/2015 $5.00
11x17)
Project Valuation: $14,900.00
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: Vent Systems: Total $651.87
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may btain a copy of the rules
or direct questions •OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By � / 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.
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Mechanical Permit Applicati 0,, FOR OFFICE UISE ONLY
City of Tigard 1 a 1015 Permit No-: y/_ ,��t —4(0, 7
•III I 13125 SW Hall Blvd.,T' OR 97223 tiNi 1
Phone: 503.718.2439 F�503.598.1960 "• -��Q►����� Other Perms:
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TI( n 1:ti Inspection Line: 503.639.4175 `` ' 0` Q,v``J Date ReadyBy: ® See Page 2 for
Internet www.tigard-ar.gov G\,�`p�NG Notified/Method: �j 11 i3" Supplemental Information
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�U"1 i.�a vet[`()M1 ERCIAL FEE" SCHEDULE - USE CHECKLIST
TYPE OF WORK
Mechanical permit fees*are based on the value of the work
❑New construction Z Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S$14,900.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
❑ i-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. j Ea. Total
JOB S,JTE INFORMATION AND LOCATION Heating/cooling:
�xr-n1 Air conditioning 1 46.75 46.75
Job site address:7145 SW iiff nes St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/OR/97223 Furnace 100,000+BTU(ducts/vents) 1 54.91 54.91
Heat pump 61.06
Suite/bldg./apt.no.:X Project name:HVAC replacement Dud work 23.32
Cross street/directions to job site:72°d&Varns 0,,‘X.t 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
1\C Other: 23.32
Subdivision: Lot no.:
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
Remove 1 existing 4 ton AC/gas heat rooftop units and replace with like fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/msert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Varns Corner LLC Range hood/other kitchen
equipment 33.39
Address:7155 SW yarns St Suite 120 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/OR/97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)670-8080 Fax:(503)620-9065 Attic/crawlspace tans 2332
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
' Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address:
Gas heat pump
Wall/suspended/unit beater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:BarNess Controls Other: _
MECHANICAL PERMIT FEES`
Address:PO Box 27 Subtotal 101.66
City/State/ZIP:Marylhurst/OR/97036 Minimum permit fee($90.00)
Plan review(25%of permit fee) 25.42—
Phone:(503)804 744 Fax:(866)593-1764
State surcharge(12%of permit fee) 12.20
CCB lic.:147154 TOTAL PERMIT FEE 139.28
This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Authorized signature: S * Ice methodology set by Tri-County Building Industry Service Board
Print name:Karl Ness Date:5/15/15
I Building Pcrmg,11EC'_PcrmitAt+p_040113.doc 440.461 TT(11O2'COM'WEB)