Permit CITY OF TIGARD MECHANICAL PERMIT
''1 I COMMUNITY DEVELOPMENT Permit#: MEC2015-00706
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2015
Parcel: 2S112AD00500
Jurisdiction: Tigard
Site address: 14650 SW 72ND AVE
Project: Rogers Machinery Company,Inc. Subdivision: BONITA GARDENS Lot: 4
Project Description: Construction of a new ADA restroom on ground level,and adding 484 square feet on second level.
Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: ROGERS MACHINERY COMPANY
10940 SW BARNES RD#114 INC
PORTLAND, OR 97225 PO BOX 230429
PORTLAND, OR 97281
PHONE: 971-563-1672 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/27/2015 $115.11
Class of Work: ALT Type of Const: VB Plan Review 10/27/2015 $28.78
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 10/27/2015 $13.81
Stories: 2
Project Valuation: $2,000.00
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: 2 Vent Systems: Total $157.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or :a 2.2344.
Issued By: � Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application �� FOR OFFICE USE ONLY
Received �7^
City of Tigard �YNN Date/By: (G'/'(/ I J 1'"""'No /i7Ct: J IT_/21-�(c)
;. 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1 t I J'� `�t7iher Permit: Q 7r� �^ n
Date, y� V lV�L 1� ��l 'J`V�7 ' �L�
I 1(i,\R l) Inspection Line: 503.639.4175 OCT 1 2�1� Date Ready/ !mu's ® See Page 2 for
Internet: www.tigard-or.gov \ i „ Notified/Method: Supplemental Information
6N�Y 142
Pgr
TYPE OF WO COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit Ices*are based on the salue of the work
❑New construction NIA Addition/alteraN cement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. -
Value:$ UU%
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist
El Multi-family ❑ Master builder ❑Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: VA IcI5I , Svv-----t Z4.„,44„ Qv Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ` %G-bYc.,0 s t'J 2 \'12^Z‘3% Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 62.2.Sxvc."E ty, ALAS tow Duct work 23.32
Cross street/directions to job site: In 1...3'C V it, .t "-1,ZN 0 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: c.. ply to q'.P2CXrvS Lot no.:Ij�02rs�i Other. 23.32
■ Other fuel appliances:
Tax map/parcel no.:Z S -Z (� Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
� nn`` l
Flue vent for water heater or gas
2-ZZ `S Sb 2Ci. • - l t NOrv'}c3 fireplace 23.32
£X t 'N - 0 ; K7� n 1 � � Log lighter(gas) 23.32
�' r'y3 Wood/pellet stove 33.39
cue N- TL .CI a 0.r�t�.lsavel. \j 4), c --.y 6cea.A.i. Wood fireplace/insert 23.32
/�L�L_y v v1 `' (,_4_ --qtr_i- Chimney/liner/flue/vent 23.32
PROPERTY OWNER ' +{ i ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Q.�CT^�� ,* 'x-,r„•rSJLn I r,c Range hood other kitchen
equipment 33.39
Address: ) LSo S W —I-Z-'4° p\). Clothes dryer exhaust 33.39
City/State/ZIP: ?a2'��p,r�.a CD CZ- `\-'ZZ--`1 Single duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:15 p3) (�3g " O$D$ Fax:(' 'J (p3�- tJ\ t \ Attic/crawlspace fans 23.32
.APPLICANT 0 CONTACT PERSON Other: 23.32
\ Fuel piping:
Business name:
20 %sr-412-'x/ $14.15 for first four;$4.03 for each additional
Contact name: ç \ ��%6 2•■ G'1 Furnace,etc.
Address: S t v�G Gas heat pump
O
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: C2.A,,..l;. \62\ • C4-1-.4 �Zo(3.-c, —K1(0C�%rA2,r\r(otv Barbecue
t/. CONTRACTOR 11 Clothes dryer(gas)' 1 Other:
v Business name: C Z1k.'\c,Ec2 L "c"L��r�\CnL
\I•l Address: � s MECHANICAL PERMIT FEES*
09 t-1:c S�.. 9,4 ri�' q >t \1 -• Subtotal
�oR. .... o Q '� .�S Minimum permit fee($90.00)
City/State/ZIP: �{ 'Z,
1 Plan review(25%of permit fee)
Phone:Pc-II ) Sea ,.\VI..-.L.. Fax:( ) State surcharge(12%of permit fee)
CCB lie.: Zv-a,Zy S Ls < it ? `( ‘ Nc,5% TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: V-(Z p r.t ‘NI' 62 VW,, CO Date: t e7 - \C ^ .,pt(,,
I:'Building Permits`MEC_PermitApp_040113.doc 440-4617T 11 I u2 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.
1:\Building\Permits\M EC_PcrmitApp_040 I I3.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
14650 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00706
Chip Barnett
Violation Summary:
Inspector Contractor