Permit (172) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00084
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2016
Parcel: 2S 113AA00100
Jurisdiction: Tigard
Site address: 16350 SW 72ND AVE
Project: Spec Space Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS A,B
Project Description: Installing(1)ceiling exhaust fan for bathroom.
Contractor: Owner: PACIFIC REALTY ASSOCIATES
ATTN: N PIVEN
15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/04/2016 $78.27
Class of Work: ALT Type of Const: Plan Review 02/04/2016 $19.57
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/04/2016 $9.39
Stories:
Project Valuation: $750.00
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 $107.23
Hoods. Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Bathroom fan
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to ollow the rule adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0 You may o fain copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: A- 5j�
Signature:
Call 5013.639.4175 by 7:00 a.m.for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until co pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
City of Tigard Received Permit 7No.:
-V Date/By: i
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
'] ft-60'�"PAC K Mechanical pennit fees*are based on the value of the work
El New construction ❑ Add i ti on/a]teration/recyv"# performed.Indicate the value(rounded to the nearest dollar)of all
D Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
_4,wf
Value:$
RV
❑
1-and 2-family dwelling PCommercial/industrial ❑Accessory building For special information use checklist.<
❑ Multi-family ❑ Master builder El Other: Description Qty. Fa. Total
ANDHeating/cooling:
Air conditioning 46.75
Job site address: S-5-0 -5t.1 7o7 1,Ju45_ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Z_1!�!Ay_ 0 Furnace 100,000+BTU(ducts/vents) 54.91
61.06
Suite/bldg./apt.no.: Project name: Heat purrip
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
Other: 23.32
Subdivision: 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
-V fireplace 23.32
_Z
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23 12
PROPERTY�0 0-TENANT Environmental exhaust and ventilation:
Name: )t'A env. Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( toilet compartments,utility rooms) AL 23.32
6 3 0 Fax: Attic/crawlspace fans 23.32
W
0Other: 23.32
Business name: Fuel in
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone: Fax: Fireplace
Range
E-mail: Barbecue
;&
V
Clothes dryer(gas)
21
Business name: Other:
40 Al /XZCf'q /-AA
Address: l`✓r0"S— Subtotal
City/State/ZIP: GG d Minimum permit fee($90.00)
Phone: Plan review(25%of pennit fee)
( FFax: csw?
State surcharge(12%of pennit fee)
FCCB fic.: //9 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatu Fee methodology set by Tri-County Building Industry Service Board
Print name:A:,,'5 .. Date:
1:Building Permits MEC Permit Ap60113.doc 444-4617i(1 1 02 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
;Total Valuation; Permit F>ee:
$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.
I: Building\Pennits\MEC_PennitApp_040113.doc 2