Permit gi CITY OF TIGARD MECHANICAL PERMIT
� ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00822
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 2S110AA02000
Jurisdiction: Tigard
Site address: 14255 SW PACIFIC HWY
Project: J R Furniture Subdivision: CANTERBURY PLACE,AMENDED Lot: 6A
Project Description: Replace(3) 10 ton units and(1) 12.5 ton unit.
Contractor: ARJAE SHEET METAL CO, INC. Owner: WEC97H-OREGON-2 INVESTMENT TRUST
8545 SE MCLOUGHLIN BLVD. BY COMMACK LAND DEVELOPMENT
PORTLAND, OR 97222 7 PENN PLAZA, STE 618
NEW YORK, NY 10001
PHONE: 503-231-7717 PHONE:
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/15/2015 $1,338.31
Class of Work: ALT Type of Const: VB Plan Review 12/15/2015 $334.58
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 12/15/2015 $160.60
Stories: Info Process/Archiving-Lg$2.00(over 12/15/2015 $2.00
11x17)
Project Valuation: $49,000.00 Info Process/Archiving-Sm$0.50(up to 12/15/2015 $3.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $1,838.99
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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
issuanc- • if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
y Notification .-nter. 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 Os NC • 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.
Mechanical Permit ApplicatEECEIVED FOR OFFICE ISE ONI.
City of Tigard DateRecBy:/�/7 .`S permit No�1rCo2p/ 00p�.2.,13125 SW Hall Blvd.,Tigard,OR 97223 DEC 7 2015 Plan eived Revte
B Phone: 503.718.2439 Fax: 503.598.1960 DateBy et 1 Other Permit:
II,. l Inspection Line: 503.639.4175 CITY AO,F TIGARD Date Rea kris B See Page 2 for
Internet: www.tigard-or.gov B IILDING DIVISION Notified/Method:1M'//y/)te, Supplemental Information
Ml leOthlikRCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction RI Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value $ y9Jt�0o
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling V Commercial/industrial ❑Accessory building For special information use checklisr.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: (4255-1 S w 1"n Ot rr±I c HNy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: POC�I1041a 1 O)S 772.2q y Furnace 100,000+BTU(ducts/vents) 54.91
�^ Heat pump 61.06
Suite/bldg./apt.no.: Project name: 3 R cf/h}4,JCC 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
Like 4r J� r j fireplace 23.32
`l ++ . Lill 3� TIN unt an
(% r,1.5 TON O ff i4. Log lighter(gas) 23.32
y J Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 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:( I Attic/crawlspace fans 23.32
gg APPLICANT 0 CONTACT PERSON Other: 23.32
rr Fuel piping:
Business name: AcjAe S ,r /AAAI $14.15 for first four;$4.03 for each additional
Contact name: h(: 6.c 611 Furnace,etc.
Address: 8. � SE 1 Lit-J p& J Gas heat pump
rt4Ytd DryQ Wall/suspended/unit heater
City/State/ZIP: M I ,J4le ,ig giuz Water heater
Phone:(513 431_7117 Fax: :(sea )Z3b ..-1,/eirg Fireplace
Range
E-mail: M i Ke!O eteria.Ld m Barbecue
—CONTRACTOR Clothes dryer(gas)
Other
Business name: SAME MECHANICAL PERMIT FEES*
Address: subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) o
State surcharge(12%of permit fee)
CCB lie.: ta43 c TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: Z.Z....,2:.7.7Z---' • Fee methodology set by Tri-County Building industry Service Board
i
Print name: M j Ke&Ora d/1 Date: t Z /
/ I
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