Permit CITY OF TIGARD MECHANICAL PERMIT
741 ' COMMUNITY DEVELOPMENT Permit#: MEC2016 00668
RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016
T f '" " 9 Parcel: 2S102AA04100
Jurisdiction: Tigard
Site address: 12230 SW MAIN ST 100
Project: Paddle Palace Subdivision: None Lot: None
Project Description: Adding 4"ducts for venting(2)restroom fans.
Contractor: PRECISION INSTALLATIONS Owner: HOBO PROPERTIES LLC
12413 NE RUSSELL PO BOX 8087
PORTLAND, OR 97230 PORTLAND,OR 97280
PHONE: 503-481-4057 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/20/2016 $69.06
Class of Work: ALT Type of Const: Plan Review 09/20/2016 - $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/20/2016 $8.29
Stories:
Project Valuation: $500.00
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 $94.62
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Bathroom
Duct Work: Exhaust Fan
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.23 81~OT T 80G 3 . 4.
C-
Issued By: Sie nature:
______Zfe•'----------
Call 50 . .4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application i� 7`` FOR OFFICE USE ON IA
Received
City of Tigard Date/By: Permit No.:
us 13125 SW Hall Blvd.,Tigard,0% ,? "J 1�� � �� a'
Plan Review
It i Phone: 503.718.2439 Fax: 503. 60 Date/By: Other Permit: f e r/j , I4
T 1 G A K D Inspection Line: 503.639.4175 -�' Date Ready/By: H See Page 2 for
Internet: www.tigard-or.gov i)t k Notified/Method: Iffl, Supplemental Information
93
TYPE OF
.,-4.10
r r - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
El New construction Addition/alw.
IXYe cement performed.Indicate the value(rounded to the nearest dollar)of all
D Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ Gff(,,
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEN /SYSTEMS FEES*
❑ 1-and 2-family dwelling „Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
2,2,30Job site address: '2,2,30 5 Ata:+rl �J- ,.t- . /f S`' Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '-ri C QY j ti 7a-2-3 Furnace 100,000+BTU(ducts/vents) 54.91
t Heat pump 61.06
Suite/bldg./apt.no.: /66 Project name: P (2_ Po(ate_ Duct work 23.32
Cross street/directions to job site: wit ,rvr,t/-t-ic t. ( 5f .i- A.46:',4 S,fi Hydropic 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: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
' ",DESCRIPTION.OF WORK Gas fireplace/insert 33.39
i%`' n �� `" _ Flue vent for water heater or gas
/- J/X cIuL1-S ' Li i DT 1 fireplace 23.32
CZ ( Log lighter(gas) 23.32
'� `'�� 7 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: ( 0(3 � P e S LL G Range hood/other kitchen
' equipment 33.39
Address: ��,x { Clothes dryer exhaust 33.39
City/State/ZIP: � -CQ V op , q 7 Z,g c) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
..APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: �-+ Fuel piping:
t(Lrii S��� -1 ?���G.' � $14.15 for first four;$4.03 for each additional
Contact name: -1:1- 'a*Pia' - Furnace,etc.
Address: katir4J Yom.,.„J e ii Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: )0y1-65..6,„,R 1""1,( 9>7L C) Water heater
Phone:(,g) ') 57,_t3S3_,, Fax::($ ) Z$7 - 2_3 e.-.)_- Fireplace
Range
E-mail: bo.{ (iz,rChi i L„l�t t Barbecue
CONTIRACTOR Clothes dryer(gas)
Other:
Business name: Pp-c 4, s ti ,`s x'.1(0_1- s MECHANICAL PERMIT FEES*
Address: 3 /v .• R(,t.S—I( �-(.1._ Subtotal
City/State/ZIP:Povf{� '7 Z. Minimum permit fee($90.00)
-7Plan review(25%of permit fee) / 7,P.7
(j
Phone: (J?) Z 5-7, f 33O Fax:(5ZJ) ) 2_5-7 Z V L State surcharge(12%of permit fee)
CCB lie.: 6 0 Y .ZTOTAL PERMIT FEE q Ja
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: /I EL'S-----� * Fee methodology set by Tri-County Building Industry Service Board
Print name: T. g,.4.Le e-- Date: 9 zo.-,6
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/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.
I:\Building\Permits\MEC_PermitApp_040113.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
12230 SW MAIN ST 100, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00668
Chip Barnett
Violation Summary:
Inspector Contractor