Permit u CITY OF TIGARD MECHANICAL PERMIT
1111111 s COMMUNITY DEVELOPMENT Permit#: MEC2015-00352
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/17/2015
Parcel: 1S135BB00800
Jurisdiction: Tigard
Site address: 10645 SW GREENBURG RD
Project: IFLY Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Mechanical piping only.
Contractor: OREGON CASCADE PLUMBING&HEATING Owner: EWING IRRIGATION PRODUCTS INC
1728 22ND ST SE 3441 E HARBOUR DR
SALEM,OR 97302 PHEONIX,AZ 85034
PHONE: 503-588-0355 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/08/2015 $665.21
Class of Work: ALT Type of Const: IIB Plan Review 06/08/2015 $166.30
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 06/17/2015 $79.83
Stories:
Info Process/Archiving-Lg$2.00(over 06/17/2015 $18.00
11x17)
Project Valuation: $22,500.00
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 $929.34
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Hydronic
Duct Work: piping
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Not • . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir• questions to OUN • C. • 03.232.1987 or 1.800.332.2344.
-sued By: , �� r Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received ATAIMI Permit No.: /A
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revte "�
MIM Other Permit
II
Phone: 503.718.2439 Fax: 503.598.1960 �'LZ Date/By: ���I ,LA r (11 ,-A. 0 Li
T I G A R D
Inspection Line: 503.639.4175 ����jjjjr D Date Ready :y: • 0 See Page 2 for
Internet: www.tigard-or.gov 0° ��' Notified/Method:6 /S- „� Supplemental Information
. Ur -('I�RCIAL'FEE* SCHEDULE - USE CHECKLIST
TYPE OF WO Q
D �0�� Mechanical permit fees'are based on the value of the work
j' New construction ❑Addition/alteration/replaggt (tt 01PRO w` performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: JJ`"' 1\ \Q`" mechanical materials,equipment,labor,overhead,and profit.
-('�( �� >�\� S Value:$ �2r 5-00 -O_°-
CATEGORY OF CONSTRUCON OVA RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling commercial/industria06Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
' Job site address: / ‘ - 51,0 [e ei2 13(.)/A 2 D. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -7-1 ,+R p , 0 ` 7 �3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: _ Heat pump 61.06
J I p'Ly 5 Icy p 1 t1 l n 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
Flue vent for water heater or gas
Ce,/Ltplr..-IC.- 1I?EC/4- /7/P/%J4 ONIy !OQ fireplace 23.32
Log lighter(gas) 23.32
/v 6.--&J I Ft S' 5 V/44,(T06 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: 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
jr1 APPLICANT ❑ CONTACT PERSON Other: 23.32 _
‘ Fuel piping:
Business name: 0 Q t✓G On) 611 SC.Fi[7E ?L v M
Et!` G j t //E--0i, first� $14.15 for four;54.03 for each additional
Contact name: Kg--v l r\ /v1,1-LU 2 Furnace,etc.
Address: I-7.4.46 A +‘At.ST S 6- Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 5 A L Em ' g 7 3 O Z Water heater
Phone:(s® ) s��- Q 3 5-s Fax: (Sp3) 3(o 4��y�i f' Fireplace
Range
E-mail: � k- l�r r4 rnO
r` a r.CQ5 c4,.G
0. m/Y` Barbecue .
CONTRACTOR f Clothes dryer(gas)
_ Other:
Business name:0 rL. - Oro CA5 eA.D E- PC,u tvt,S/�6 }hiE�le4!°i'/�JG MECHANICAL PERMIT FEES*
Address: /-701.$ aa.'"-4"5T-- 5E Subtotal (P -S/
City/State/ZIP: Minimum permit fee($90.00)
5 4 Lt✓rr1 ► O/Z.. 17 3 0 Z Plan review(25%of permit fee) .4. 3./..5
Phone:(Co 3) 5 D 3 5-5-- Fax:('-o33)3 4 4 �-arj le State surcharge(12%of permit fee) 78.30
CCB lie.: /t_-7 TOTAL PERMIT FEE 293,9 f
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: y„ • Fee methodology set by Tri-County Building Industry Service Board
Print name. /�•t-N rr�r-r Date:, (,_,c� 1.-7-1
1:\Building\Permits\MEC_PermitApp_0401t3.doc 440-46.,ito1/6uCOstJ.B)