Permit CITY OF TIGARD MECHANICAL PERMIT
1114 a • COMMUNITY DEVELOPMENT Permit#: MEC2016-00211
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/28/2016
Parcel: 2S102AD02200
Jurisdiction: Tigard
Site address: 8900 SW BURNHAM ST
Project: Burnham Business&Storage Park Subdivision: None Lot: None
Project Description: Bathroom fan for new residential unit in former office.
Contractor: AFFORDABLE SOLUTIONS LLC Owner: BURNHAM BUSINESS&STORAGE LLC
13531 CLAIRMONT WAY UNIT 172 9500 SW BARBUR BLVD STE 300
OREGON CITY, OR 97045 PORTLAND, OR 97219
PHONE: 503-270-1702 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Single Duct Exhaust(Bathrooms,Toilet, 03/28/2016 $23.32
Type of Use: SF Utility Rooms)
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 03/28/2016 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 03/28/2016 $66.68
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ` / P6711rtttee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
4tV
Mechanical Permit Applicatio , 1.0Iz OFFA( h: t SI: ON 1.1
h, ReceEiew
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City of Tigard
Permit No.: air._
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13125 SW Hall Blvd.,Tigard,OR �°6 iii
Phone: 503.718.2439 Fax: 503.598.1960 q� Date/By: Other Permit:ih
0`/.,...t,
I I,;A I:I) Inspection Line: 503.639.4175 t 5 " w y loNv. ' Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov •Si it .,4 Notified-Method: MI Supplemental Information
ter- Mechanical permit fees*are based on the value of the work
0 New construction EAddition/alteratil n/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit
r l Value:$ t QO .0I>
1.L: ) d Z,VL 'a.. v wCA tY coN MICTION .,, i lti� A tSYSTE�!SFEEs*
rcg"-T-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family ❑ Master builder 0 Other: Description Qty. Ea. Total
r
Heating/coolin
. w ",4r.�,,�5 w s .:r. I>tCr k'1T+f 1 1 rixii , , . ,w g
J "� Air conditioning 46.75
Job site address: e6,& �ij /7�fn �6 5-
��,�, Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP: S t,_, 0 /7 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
/�Suite/bldg./apt.no.: Project name: 4 ,,,,t /t.-,5-7 r(-� Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
/7 4'01
f? 414,� Residential boiler(radiator or
1P� /ir�t �( ' GJcrbrS t, hydronic) 23.32
Unit heaters(fuel-type,not electric),
5.2_ 594..-{7e, .--, 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
DESloitr 'ION OF WORK Gas fireplace/insert 33.39
,y 1, ..S Flue vent for water heater or gas
ZVeo 7�, �� H,P(.J ,,� ,�e - , tipJ fireplace 23.32
1? dti" Log lighter(gas) 23.32
�) 0t- l( �� I"� Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Pk iiia TY'U4V - 0 'MAW'
- Environmental exhaust and ventilation:
Name: 7-2)t. (0�
ti (0i„,,,,,,--c-:.. ( 6rno/6 Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) J 23.32 -J 3d1.
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
PPLiil3 " Q CONTACT PERSON Other: 23.32
Business name: /, [/ Fuel piping:
�[lr G 4%. �D(/ b.-f G $14.15 for first four;$4.03 for each additional
Contact name: ��,_z,,, /'�G h.) Furnace,etc.
/ J �r/ / ) Gas heat pump
Address:
(3 c"?
`- IGte1r r........,,. t t/�� ✓ /�Z Wall/suspended/unitheater
City/State/ZIP: v w,es G lq 70t YT Water heater
(5--03. )270-1 70 t..._ Fax: :( ) Fireplace
Range
Email6--k/ipc�/I f),2r . n� � '/ .. GD,.., Barbecue
A i ' Clothes dryer(gas)
Business name: i/Krriez,,„r_cZ Vai(1,..f L e ( Other
Address:/S -y/ C/A,^w,,u,.,(f (Nc., Ur-r! (7 2_ .. .�,. Subtotal �3. �
City/State/ZIP: x c Minimum permit fee($90.00) qo At
�/`
70
c>n c! if
Phone:(5-03 ) Z:-70� Fax:( ) Plan review(25%of permit fee) --
-/ )D Z State surcharge(12%of permit fee) 161._goo
CCB lie.: 2 o* /r/ TOTAL PERMIT FEE td O ,rQ
This permit application expires if a permit is not obtained within 180
c-----2 days after it has been accepted as complete.
Authorized signature: / * Fee methodology set by Tri-County Building Industry Service Board
Print name: r.4.1�� ��A v Date: l2 r/j 6
I:Building Permits MI-C_PermitApp 040113 dor 440-4617T(I 102 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
on. , 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',MEC_PennitApp_040I 13.doc 2