Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00446
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2015
Parcel: 15 136DD00500
Jurisdiction: Tigard
Site address: 11580 SW 67TH AVE
Project: LHL Homes Subdivision: WEST PORTLAND HEIGHTS Lot: 12-Jul
Project Description: Replace existing furnace and a/c with like kind.
Contractor: PYRAMID HEATING&COOLING Owner: HARTUNG, RICHARD&
9409 NE COLFAX LESLIE,TIMOTHY J
PORTLAND, OR 97220 11580 SW 67TH AVE
TIGARD,OR 97223
PHONE: 503-786-9522 PHONE: 503-348-3000
FAX: 503-786-3432
FEES
Specifics; Description Date Amount
Type of Use: COM Permit Fee 07/09/2015 $224.07
Class of Work: ALT Type of Const: Plan Review 07/09/2015 $56.02
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/09/2015 $26.89
Stories:
Info Process/Archiving-Sm$0.50(up to 07/09/2015 $9.00
11x17)
Project Valuation: $5,585.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 1 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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $315.98
Hoods: Comm Incinerators:
Gas Fireplaces:
Required Items and Reports(Conditions)
Woodstoves
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 f. ow the rules adopted by the Oregon
Utility N. a ion = ter. Th• - rules are set forth in OAR 952-001-0010 through OAR 952-001-Os s. You may ,,tain a c••y of e rules
or dir- questions to O C • call' • 503.232.1987 or 1.800.332.2344. Air
Issu:d 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.
Mechanical Permit Applica CEI/EP ,.,,11 01.1.It I , ', 0\1 1
City W Tigard 7 qAdSBM Permit No.: h (C' 1� /�. �/ .
:� • 13125 SW Hall Blvd.,Tigard,OR 9722 U L 9 2015 Plan Review ` [ '�/
Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGAR1) Date Ready/By: Juris
eddy Y RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FZZ S( USE caulancr
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$5585.00
CATEGORY OF SAL EQUIPMENT 1 SYSTEMS nu*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For spedoi Information use checklIst.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB S E 11NFORMATION AND LOCATION Heati ng/cooling:
Air conditioning 46.75
Job site address:11580 SW 67'Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Or.97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:LHL office 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
Oth
Subdivision: Lot no.: er' 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
Replace furnace same size and location.Replace AC same size and location. fireplace 23.32
Outdoor unit sits on the ground. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 _
Chimney/liner/flue/vent 23.32
Other: 23.32
0 OWNER ❑ Environmental exhaust and ventilation:
Name:LHL Homes Range hood/other kitchen
Address:11580 SW 67th equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503-)348-3000 Fax:( ) Attic/crawlspace fans 23.32 _
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Pyramid Heating and Cooling Fuel piping:
$14.15 for first four,54.03 for each additional_
Contact name:Dave Salholm Furnace,etc.
Address:9409 NE Colfax Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97223 Water heater
Phone:(503)786-9522 Fax::( ) Fireplace
Range
E-mail:dsalholm @pyramidheating.com
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same'
MECHANICAL PERMIT FEES"
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lie.:59382 TOTAL PERMIT FEE ��5' 9g#
J This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: j:(frir" • Fee methodology set by Tri-County Building Industry Service Board
Print name: by, 5 (LP(,n Date: 7 (( /
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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.
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