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Permit (203) CITY OF TIGARD MECHANICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MEC2016-00775 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2016 TIGARD B, 9 Parcel: 2S112AA00300 Jurisdiction: Tigard Site address: 14200 SW 72ND AVE Project: Gerber Fiskars Blades Subdivision: None Lot: None Project Description: Replacing existing 3-ton RTU. Contractor: SPECIALTY HEATING&COOLING INC Owner: ASGARD LLC 7500 SW TECH CENTER DR STE 130 BY GERBER LEGENDARY BLADES TIGARD, OR 97223 14200 SW 72ND AVE PORTLAND, OR 97223 PHONE: 503-620-5643 PHONE: FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/06/2016 $277.46 Class of Work: ALT Type of Const: Plan Review 12/06/2016 $69.37 Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 12/06/2016 $33.30 Stories: Info Process/Archiving-Sm$0.50(up to 12/06/2016 $5.00 11x17) Project Valuation: $7,500.00 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 $385.13 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /01/4/1 Issued By: / Permittee Signature: /1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received I q - a Date/By: Permit No.: jl`t ' ) 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review '' (� Phone: 503.718.2439 Fax: 503.598.1960 qIt1Date/B Cy q ) (1\44_, Other Permit:‘3-21, 20/(1. y Inspection Line: 503.639.4175 Yt ,� V T I G A eKt j P Date Rea.y Jana: See Age 2 for Internet: www.tigard-or.gov lay) �" Notified/Method:j /,'�Ch()pr Supplemental Information TYPE OF WORKv �� ULA t L FEE* SCHEDULE USE CHECKLIST ‘c4Mechanical permit fees*are based on the value of the work ❑New construction ddition/alteration/replaC Icjitkiti) performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0Other: j �`j j0 mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF- CONS;' i 11 fit) ` D% �n`�i Value:$ ���" 1 RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling W,CommerciaUindustrial 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: Job site address: !L a OD 6.,/ A_'_� Air conditioning 46.75 �Dc �v Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /,�r,,0v d CA 9 z a L.� Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: 6epbe7 ` e/v61.5 Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: 14...4-4.1- 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 /� I _�/ J r //� Flue vent for water heater or gas t 1 e,iace Exist/Ai' q (�' /a k!r'-1 [/!1e / ! vl - fireplace 23.32 3 �/ Log lighter(gas) 23.32 %O.[J Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ,43ZPROPERTY OWNER TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 6erh e fr- Range hood/other kitchen x/1,7©D 5 G� 7 eL-_ equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: ,-;4,,-,/ e)A * (p7,,7 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 a'APPLICANT CONTACT PERSON Other: 23.32 Business name: Pffd , Fuel piping: Y �� 4�� Cad) $14.15 for first four;$4.03 for each additional Contact name: J (c sCL.414/ y Furnace,etc. Address: 772 ,5 6,,) -T�CL1 �tO �,� {//�� Gas heat pump /� Wall/suspended/unit heater City/State/ZIP: %/f,,1 vd r1,, 9'7,72 3 Water heater Phone:(503)b/6 -0773 Fax: :( ) Fireplace E-mail: Range t 1J e\-S 0.7�tC/Qhfy t°Ctli , e©...-rt. Barbecue CONTRACTOR Clothes dryer(gas) Business name: ✓der,/ (/ fit, r��, 1 � ,.0/yy Other: Address: �y� / ^`/ MECHANICAL PERMIT FEES* 7& „5641 �PC1 ( ' 7 f' ,%/�. Subtotal City/State/ZIP: 7• c,c.,1 62�, 9727,77.3 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(.5 3)6/6- ©77� Fax:( ) State surcharge(12%of permit fee) CCB lic.: 6 S 7t3 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 / days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board ...--- Print name: f C,. 6c4/�- k Date: !f/e//e 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