Permit CITY OF TIGARD MECHANICAL PERMIT
If
''1 • COMMUNITY DEVELOPMENT Permit#: MEC2015-00423
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2015
Parcel: 2S104BB07900
Jurisdiction: Tigard
Site address: 14350 SW BARROWS RD 2
Project: Mathnasium Subdivision: RUSSELL'S SCHOLLS FERRY Lot: A
Project Description: Venting for new restroom.
Contractor: NORTHWEST HOME RENOVATION LLC Owner: SPIRIT SPE HG 2015-1 LLC
11125 SW 106TH AVE BY HAGGEN OPCO SOUTH LLC
TIGARD, OR 97223 2211 RIMLAND DR, STE 300
BELLINGHAM,WA 98226
PHONE: 503-267-5552 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Typo of Use: COM Permit Fee 07/09/2015 $69.06
Class of Work: ALT Type of Const: Plan Review 07/09/2015 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/09/2015 $8.29
Stories:
Project Valuation: $200.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8 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 $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire f work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law require •u • folio • the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 -00 -011 Yo may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - ee Signature: .
Call '3.•39.4175 by 7:00 a.m.for the next available insp: '•• :ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the eject.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica L
FoR(on-.1(1.:1( 1: 1St O
\1.1
City of Tigard CEIVED Received oZ f/5 4g e.' Permit No/JE
Cr20/S O14'a 3
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
N • Phone: 503.718.2439 Fax: 503.598.196g UN 2 9 2015 Y �rk'1 7/7 (•j aherPermit y
J Date/By: lO��J -��l
I I c;,�It a Inspection Line: 503.639.4175 Date Ready/By: Juris 65 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: js ,fir• Supplemental Information
BUILDING nIVIS;ON •-m1 4-, zl--'e-
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ Lc)0, ,.0
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:
Air conditioning 46.75
Job site address: ('-j 0 r. - r Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: —77' O1- ()I-1 L^L3 Furnace 100,000+BTU(ducts/vents) 54.91
_1, Heat pump 61.06
Suite/bldg./apt.no.: 2� Project name: M v....... Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
t p{c o s •t N.J `, . - 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
VtAo■V\(^5 r\Q„...3 rso-k-roo►� fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: tri o L 4A-Vii. LL C (Yvl S \)l.i Range hood/other kitchen
1 equipment 33.39
Address: t C)1 - 5\) `lt Avg Clothes dryer exhaust 33.39
City/State/ZIP: U CI Single-duct exhaust(bathrooms,
��f b O� 1 Z Z toilet compartments,utility rooms) 23.32
Phone:(3 p)) 9i , (Z 9 Fax:( ) Attic/crawispace fans 23.32
❑ APPLICANT - .CONTACT PERSON Other: 23.32 I , Fuel piping:
Business name: t Vc.4i�. f1..L- 1 �w
$14.15 for first four;$4.03 for each additional
Contact name: C \ is ,n s,s. Furnace,etc.
Address: f ( ' p Gas heat pump
�o O Cs'1 t.!1 r. /'rte Wall/suspended/unit heater
•
City/State/ZIP: "Tory, Q`- 1-12.-Vi Water heater •
Phone:(S o3) (. 1._1(-1 Fax::( ) Fireplace
,,q1I2(' Range _
E-mail: SbLAk,,,tiUa G Vvva� ,,nL.S. u... . C,,, Barbecue
CONTRACTOR Clothes dryer(gas)
t ' , \ Other:
Business name: /'�J tnJ 4-�'po,,.�_ �.0„1,4�,r� MECHANICAL PERMIT FEES*
Address: U1 12 S J tO (..-1" - A� Subtotal 6?..042
City/State/ZIP:
Minimum permit fee($90.00)
`cop.,
2-a3� Plan review(25%of permit fee) / A7
Phone:(6-b3) 2(o-1 I 5 5 c--_ Fax:( ) State surcharge(12%of permit fee) ,,2`?
CCB lic.: 2-0 TOTAL PERMIT FEE y 4.,2.
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: eet.gi (Z__1 i * Fee methodology set by Tri-County Building Industry Service Board
Print name: C h f�S 3 0�s,,� Date: IS'1:\BuildingTermitsMEC_PermitApp_040113.doe 440-4617r(lt/02/COM/WEB)
L
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.
$1 00,000.01 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.
1ABuilding\Permits\MEC PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14350 SW BARROWS RD 2, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00423
Chip Barnett
Violation Summary:
Inspector Contractor