Permit (9) INCITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC201600656
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2016
I '�' g Parcel: 1 S 133AC 14500
Jurisdiction: Tigard
Site address: 13351 SW HAWKS BEARD ST
Project: Scholls Ferry Apartments Subdivision: Lot: 63
Project Description: Building 6-Mechanical for new 24-unit apartment building.
Contractor: JET INDUSTRIES INC Owner: GRABHORN, BURTON E ESTATE OF
1935 SILVERTON RD NE 14577 SE ANDERSON RD
SALEM, OR 97303 CLACKAMAS, OR 97011
PHONE: 503-363-2334 PHONE:
FAX: 503-363-2622
FEES
Specifics: Description Date Amount
Type of Use: MF Misc Administration Fee 10/05/2016 $2.00
Class of Work: NEW Type of Const: VB Info Process/Archiving-Lg$2.00(over 10/05/2016 $8.00
Occupancy Grp: R-2 Occupancy Load: 11x17)
Info Process/Archiving-Sm$0.50(up to 10/05/2016 $2.50
Stories: 3 11x17)
Project Valuation: $24,000.00 Permit Fee 10/05/2016 $703.31
Plan Review 10/05/2016 $175.83
Fuel Air Handlers 12%State Surcharge-Mechanical 10/05/2016 $84.40
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: 84 Vent Systems: Total $976.04
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 24
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 to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: t Permittee Signature: \y. 410104
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 Application FOR OFFICE USE ONLY
City of Tigard
14 � e,adoly
/ �� Permit No.: l 1/ �/-(y�5
MI
13125 S W Hall Blvd.,Tigard,OR 97223 Plan Revier-—/ ( O[�/ w ww
'tt
Phone: 503.718.2439 Fax: 503.598.1960 } .1 Other Permit.
Inspection:503. 18 503.639.4175
SEP 1 201 Date/By: �.1 v/P
TIGARD Date Read :,: inns: See Page 2 for
Internet: www.tigard-or.gov /r 1 �` o a. `inotified/Method:x'73 y „577 { Supplemental Information
3UJLDr $G DIVISION. t.-+rt.+ u RCIAL FEE* SCHEDULE — USE CHECKLIST
TYPE OF WORK
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed. Indicate the value(rounded___ the ne est dollar)of all
❑Demolition ❑Other: mechanical materials,equipment, ) and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
® Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 13351 SW Hawk's Beard St. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97008 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:6 Project name:Scholls Ferry Apts. 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
1n 1_" �y y� Flue vent for water heater or gas
- 4►g 4 i'Ji,"�c1`cw,FF �4 la qA-__ fireplace 23.32
ew Log lighter(gas) 23.32
h )14 Wood/pellet stove 33.39
a 0L' l -4-10'5 .
,� i Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER 0 TENANT
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
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Jet Industries,Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tina Torres Furnace,etc.
Address: 1935 Silverton Rd.NE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Salem,OR 97301 Water heater
Phone:(503)363-2334 Fax: :(503)363-2622 Fireplace
Range
E-mail:Tina.t@jetindustries.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Jet Industries Inc. Other:
MECHANICAL PERMIT FEES*
Address: 1935 Silverton Rd.Ne Subtotal
City/State/ZIP:Salem,OR 97301 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)363-2334 Fax:(503)363-2622 State surcharge(12%of permit fee)
CCB lie.:3944 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
i days after it has been accepted as complete.
Authorized signature:�\ 1 i �M /'a LAA,/ ►/� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tina Torres y�/�3/� ������+++ e[wc J�1 Date:9/12/16
1:ABuilding lPei nits\MEC_Pet mitApp_0401 13.doc 440-4617T(1 I/02/COM/WEB)
Mecfiianical 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:ABuilding\Pennits\MEC_PennitApp_040 1 13.doc 2