Permit (27) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00750
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/27/2016
Parcel: 2S110AA01100
Jurisdiction: Tigard
Site address: 14240 SW PACIFIC HWY
Project: The Gardner's Choice Subdivision: None Lot: None
Project Description: Replace(2)gas furnaces, upgrade existing gas line to 2 pound system.
Contractor: SPECIALTY HEATING&COOLING INC Owner: BATES, STEPHEN C&JODETTE S
7500 SW TECH CENTER DR STE 130 10430 SW VIEW TER
TIGARD,OR 97223 TIGARD, OR 97224
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/27/2016 $347.71
Class of Work: ALT Type of Const: Plan Review 10/27/2016 $86.93
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/27/2016 $41.73
Stories: Info Process/Archiving-Lg$2.00(over 10/27/2016 $2.00
11x17)
Project Valuation: $9,950.00 Info Process/Archiving-Sm$0.50(up to 10/27/2016 $2.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 2 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 $480.87
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /f
Issued By: Permittee Signature: Sf
ic:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio _ _ ,
A FOR OFFICE USE ONLY
City Tigard Ti and Received
Permit No/-7
1111 e 13125 SW Hall Blvd.,Tigard,OR 97223
Date/By:/C/ 7�� /�- �' j�
_ Phone: 503.718.2439 Fax: 503.598.1960 OCT 2 7 2016 Plan Review
Date/By: _4A1 /,/47//(0 Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Read /B rods:
Internet: www.tigard-or.gov 'ITS'OF•1, gR y o See Page 2 for
(g Notified/Method: Supplemental Information
LDIN G DIVIS10
TYPE OF O COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 5,J 950
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/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 'SITEINFORMATION AND LOCATION Heating/cooling:
: / e) L7 It) rt& /� Air1 conditioning046.75
Job site address: L ?
tGly i`. �. Gc%/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /''f2lyc OAc%
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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14240 SW PACIFIC HWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2016-00750
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor