Permit (208) CITY OF TIGARD MECHANICAL PERMIT
71 . . COMMUNITY DEVELOPMENT Permit#: MEC2016 00809
13125 SW Hall Blvd.,Ti Date Issued: 12/01/2016
T[ Ft.ID and OR 97223 503.718.2439 9
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-4
Project: Tea Massage Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: Installation of dryer exhaust and possible replacement of exhaust fan.
Contractor: PORTLAND COMMERCIAL CONSTRUCTION LLC Owner: ROIC OREGON LLC
9215 NE 81ST WAY ATTN: SCHOEBEL, RICHARD
VANCOUVER,WA 98662 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-209-1857 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/01/2016 $69.06
Class of Work: ALT Type of Const: Plan Review 12/01/2016 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 12/01/2016 $8.29
Stories:
Project Valuation: $300.00
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct q stions . OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . /, &,..._.-1'i&4...-/ , Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli ,—,F.-,
FOR OFFICE USF,()NEN
City of Tigard � d `4 Received ArBytimirmini c II-- 4,
Date/By: /41- Permit No.: �GeaO (p���Q 8 o
Ili 13125 SW Hall Blvd.,Tigard,OR 9 2,23,
II ^ CC Plan Review Other Permit: 1 •
Phone: 503.718.2439 Fax: 503.59A36D Q 1 U
Date/By: RCL �(/0_ce3ot
TI G A Iz D Inspection Line: 503.639.4175 Date Read/B Juns:
Internet: www.tigard-or.gov . t Ready/By: Supplemental
See Page 2 for
Q 1 Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the valu- ,
0 New construction 0 Addition/alteration/replacement performed.Indicate the value ro .. . il-nearest dollar)of a
❑Demolition 0 Other: mechanical materials .Ipment,labor,overhead,an.profit.
Value:$ .J(k) 1.1:0-
CATEGORY-OF CONSTRUCTION
El1-and 2-familyRESIDEN • •UIPMENT/SYSTEMS FEES*
dwelling 0 Commercial/industrial 0 Accessory building For special information , .
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
r/ Air conditioning 46.75
Job site address: IJWJ` /'1n L.f Q,fjCl �C lu`/
7 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -7- 4,-(4 Furnace 100,000+BTU(ducts/vents) 54.91
LIL. Heat pump 61.06
-Suite/bldg./apt.no.: _ I Project name: reA ((1A. e (
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.: '� 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF.WORK -' Gas fireplace/insert 33.39
Flue vent for water heater or gas
` (`J�'r E x Ii A U s i t�i�C/V,t.L[,a zI-K fireplace 23.32
✓ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0`1'ROPEIiTY OWNER`
TENANT Other: 23.32
Name: b C b(2 Environmental exhaust and ventilation:
o L41_, Range hood/other kitchen
Address: equipment 33.39
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
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$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:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: t9yY-tj42J,� CG Other:
MECHANICAL PERMIT FEES*
Address: 9,2(S 4!)E / 5'..1 uA Subtotal
City/State/ZIP: UAn e ail.e — LI 1 G`r f�/'/ '1 Minimum permit fee($90.00)
Phone: C� Vrey C¢� ,c l cfr 47 �-` Plan review(25%of permit fee)
(�" —��J 5� Fax.( ) State surcharge(12%of permit fee)
CCB lie.: n w
✓�.p �,;�,�� TOTAL PERMIT FEE �� . 40.0.;
This permit application expires if a permit is not obtained wi in 180
days after it has been accepted as complete.
Authorized signature: /- )_74.1ti * Fee methodology set by Tri-County Building Industry Service Board
Print name: D/11A/ J iltietcJiK Date: a —( .—/6,
I:\Building\Permits\MEC_PennitApp_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