Permit (268) CITY OF TIGARD MECHANICAL PERMIT
11,1 _. COMMUNITY DEVELOPMENT Permit#: MEC2015-00215
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2015
Parcel: 2S 102AB01900
Jurisdiction: Tigard
Site address: 9452 SW TIGARD ST
Project: Cascade Organics Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 56
Project Description: Condensing unit and unit cooler for walk-in refrigerator and freezer.
Contractor: PHILLIPS REFRIGERATION CO Owner: ALLRED INDUSTRIAL LLC
1832 NE 121ST AVE 17902 S HIDDEN LAKE DR
PORTLAND, OR 97220 OREGON CITY,OR 97045
PHONE: 503-286-4660 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/14/2015 $266.22
Class of Work: ALT Type of Const: VB Plan Review 05/14/2015 $66.56
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/14/2015 $31.95
Stories: Info Process/Archiving-Sm$0.50(up to 05/14/2015 $2.00
Project Valuation: $7,100.00 11x17)
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 $366.73
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Walk in
Duct Work: cooler
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 o J ain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 44. /
4
Issued By: + — Permittee Signature: .F�
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 1.01( ()I.1 1( 1 I 'l ()NI 1
City of Tigard Date/By: `1 Jr Permit No.: �_ 15—^ --
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re �
' Phone: 503.718.2439 Fax: 503.598.'1 E C E I V E D Date/By: is-�/ f IA Other Permit:
f I U A R I) Inspection Line: 503.639.4175 Date Ready]•y: luris: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
APR 162015 " ` °" 1'
TYPE OF � COMMER AL FEE* SCHEDULE — USE CHECKLIST
` Ycr OF TIGARD Mechanical permit fees*are based on the value of the work
❑New construction Addition/algipi �yeNhIISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:SI] .00 ...„---
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. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
�^ Air conditioning 46.75
Job site address:: j'5 Z 1 C'1 �,0 ` Furnace 100,000 BTU(ducts/vents) 46.75
` City/State/ZIP: 1 A-RD i OR CI,7 L2-3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: ��5C__ J_ 3 Duct work 23.32
Cross street/directions to job site: E��' Hydronic hot water system 23.32
0 c A�n 4 �-r i. \ 71 C�i Residential boiler(radiator or
l.! f\(ltT `V 1\J /` 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: I Lot no.: Other: 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
C 1 �� 1.JO ■ k Ai,1 `AP' fireplace 23.32
��&M IL 11� ir /� ' Log lighter(gas) 23.32
�i r �' � � � Wood/pellet stove 33.39
Ili i_ �ita� AW\ ,-�`�:1►�, Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ,r TENANT Other: 23.32
� F-� Environmental exhaust and ventilation:
Name: � Range hood/other kitchen
�. equipment 33.39
Address: �52_ �w � S� Clothes dryer exhaust 33.39
City/State/ZIP: b �-A c2 7 227-5 Single-duct exhaust(bathrooms,
_ toilet compartments,utility rooms) 23.32
Phone: Co k t,/ (� Fax:( ) Attic/crawlspace fans 23.32
I lit APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: CA.- CA De. U A N- c_ Fuel piping:
L►-�.�[ , 514.15 for first four;$4.03 for each additional
Contact name: 671T-NA' 6��1r n n t j 'RI( 0 Furnace,etc.
�"""""`"i Gas heat pump
Address: ` 0� L i�� III Wall/suspended/unit heater
City/State/ZIP: + t , , A • t • Water heater
Phone: (243 'x 7 1�, I Fax: :( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Ii ailrelI i' l'�..PA s ' 10/ Other: MECHANICAL PERMIT FEES*
Address: ; 3 ■ t _ KI Subtotal
City/State/ZIP: O _ AN' j " Minimum permit fee($90.00)
Plan review(25%of permit fee) _
Phone:(533 r� itel - 1 ! State surcharge(12%of permit fee)
\ CCB lic.:` '� „'/'l TOTAL PERMIT FEE
tr i
/ �,,,W This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sign�� • Fee methodology set by Tn-County Building Industry Service Board
Print name: -L � : � Date: 1 �
1:\Building U+mnitsV�C_PermitApp_04ol13.doc 440-46I7r(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_PcrmitApp_040I 13.doc 2