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Permit CITY OF TIGARD MECHANICAL PERMIT : a COMMUNITY DEVELOPMENT Permit#: MEC2016-00319 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/05/2016 T t c ` t:f 9 Parcel: 1 S 134 BC00200 Jurisdiction: Tigard Site address: 12198 SW SCHOLLS FERRY RD Project: Baja Fresh Subdivision: None Lot: None Project Description: Duct modifications and gas lines. Contractor: DURAMAX HEATING&COOLING INC Owner: ATLAS GREENWAY LLC 25027 SE HWY 224 333 NW NINTH AVE, STE 1009 BORING, OR 97009 PORTLAND, OR 97209 PHONE: 503-969-3432 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/05/2016 $176.51 Class of Work: ALT Type of Const: Plan Review 05/05/2016 $44.13 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/05/2016 $21.18 Stories: Info Process/Archiving-Sm$0.50(up to 05/05/2016 $0.50 11x17) Project Valuation: $4,000.00 Fuel Air Handlers Fuel Types: Natural Gas 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 $242.32 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rul;\ adopted by the Oregon Utili 'otifica i. enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Your ain a copy of the rules • direct questions to a - •' calling 503.232.1987 or 1.800.332.2344. Issued By: \ # / = Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspecti. date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE: l SE O\Ll !EIew R .. ,/ D PermitNo.: /a � / Qd5/ 114 el 1125SWHallBlvd,Tigard,CR E�2��� M 1,.�' Wv Cv Phone: 503.718.2439 Fax: 503.598.1960Date/By: Other Permit: i I( A R u inspection Line: 503.639.4175 MAY 0 b 2016 Date Ready/By: Juris: lid See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CiTY OF TICARD ,. M .(; 7fii a ` aal - s + !:4:t I« ;ItN" saw r „" .ts ia ' a_ r ,..:7.4.1417.. <. : �. 5;,. . s .' kk+ a' ''. .- + ''''''' ''' ,e, ,.. z..�l '''"' ' b , .'' Mechanical permit fees*are based on the value of the work . ❑ New construction edition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. 440 ," 1 r3 t,4 , :N4,75,... 3 ; r < t. Value,40$ 0O ,'. ���, _: L4 ,, fv ) - Pt,$ iI§ Pr 'tet •>ty ❑ 1-and 2-family dwelling 0Commercial/industrial 0Accessory building For special information use checklist. ❑ Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total �� t, r `[ � t bra ib eit. c e Pfn +m 3 Heating/cooling: •�,.,: *` T" Air conditioning 46.75 Job site address:1 2\ SLS N S�fl 1�S ,-..e J"N ( Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Y� -\e..,,.. (L, 7 22 3 r Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: l Project name: r � ,jest.., work Duct work . Heat 23.32 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: 1 Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 7 �``C'"R�� �: r :£ r y � '"�����TfN�F �p 4 �� J� � Gas fireplace/insert 33.39 ' - //�Li,�iz� , -- "''---,-'`,-N ` .`)`" t' ".,' ''" r' ' , _ ` Flue vent for water heater or gas (_7 C.A. (-i r �-+`C� ��Q t c-%CG ti ©v\ fireplace 23.32 e_�;S� .--k. t Q.. Qc Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r PR-OR, :. ..,$ ,,1. < ot h .v.4ss , Other: 23.32 v t. PETY OWNER r.4.-.;01,:..$....',;, ,1,7:. ; � ' = 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:( ) Attic/crawlspace fans 23.32 r: .... Other: 23.32 s �.a FuelP p l mg: Business name: $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:( ) I Fax::( ) Fireplace Range E-mail: Barbecue .i ^ q �, . s u Clothes dryer(gas) F. n,„'4 aw�.rYw4 .a, ,attiv . �m�z,!,� a_,'Ar rvqY Ekr3: m4 ,.,5 � Other Business name: � JLdCMCtt1'1 eGAtcC 1 � -��C pr tea„. g;, i',i ," .rt_r. a), ., u * ; Address: {{ L-99 c �Jt� LL t ( Subtotal City/State/ZIP: ,, 0 12_, 9 70g9 Minimum permit fee($90.00) Phone:(59)969, 3 cf 32 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 7 All TOTAL PERMIT FEE 402VA•5,- This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatuu4r \ • / * Fee methodology set by Tri-County Building Industry Service Board Print name: Ciel 0 �tl2 �4, Date: S/5 / (h I:,Building,PermitsMEC_PertnitApp_040113.doc 440-46171(111 02,COMWEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: f 7 e ):.i i. ,..,. itjIr i*',.. 4 ? ,..:w, ,.,w.g .. „ ., few $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\M EC_PennitApp_040I 13.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 12198 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2016-00319 Jeff Grove Violation Summary: Inspector Contractor